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Table 3 Utilisation by insurance status

From: Social health insurance contributes to universal coverage in South Africa, but generates inequities: survey among members of a government employee insurance scheme

Variable

Uninsured

Privately Insured

GEMS

GEMS OPTIONS

Total sample

Sapphire/ Beryl/Ruby

‘low-cost’

Emerald

‘mid-cost’

Onyx

‘high-cost’

Total sample

N = 342

N = 574

N = 408

N = 67

N = 305

N = 36

N = 1330

Mean outpatients visits/person in last month

0.33

0.80

0.74**

0.60

0.74

1.0**

0.66

Percent on chronic medication (385)

15.3

35.0

33.3*

29.2

31.0

52.8*

29.4

Percent any inpatient services in last year (161)

5.9

14.5

14.1*

7.5

15.5

14.3

12.2

Lower skilled workers

N = 97

N = 33

N = 36

N = 16

N = 20

N = 0

N = 168

Mean outpatients visits/person (in last month)

0.44

0.67

0.68*

0.56

0.62

–

0.54

Percent on chronic medication (47)

19.2

42.4

40.5*

43.8

36.8

–

28.7

Percent any inpatient services (in last year) (17)

7.2

21.2

7.9**

0.0

15.0

–

10.1

  1. *P < 0.05. **P = 0.05–0.10
  2. No lower skilled workers were members of the Onyx option