|IJPRT. 2020; 10(1): 83-85
INFLUENCE OF THIRD PARTY SYSTEM ON RATIONAL DRUG USE IN A TERTIARY HOSPITAL IN BENIN CITY NIGERIA: EXPLORING SYSTEM DYNAMICS
ISIBOGE PD, OGBONNA BO, ELE GN, ORJI EC, EJIM CE, ONYEYILI AN, UZODINMA SU, AJAGU N, IWEH MI.
Catastrophic spending is a major limitation of access to quality health care especially in developing countries. Health insurance enables resource pooling and burden sharing serves as a way of eliminating the challenges. The study assessed the level of rational drug use in National Health Insurance Scheme (NHIS) andnon-NHIS facility based on World Health Organizations (WHO) Standard Drug Use Indicators to generate data for planning and policy. The study was a cross-sectional survey. Drug utilization in the NHIS and non-NHIS facilities was benchmarked withthe WHO Standard Drug Use Indicators. The data was summarized with descriptive statistics. The average number of drugs prescribed per encounter was 3.92 (with range 3.80 3.97) for the NHIS clinics and 3.15 (with range 3.05 3.30) for the General Practice Clinic (GPC). The average percentage of drugs prescribed from the National essential drugs list was 80.46 (range 40.18 92.90) and 90.10 (range of 86.38 94.37) for the NHIS and GPC clinics respective. The average percentage of encounter with antibiotics was 12.77 (range 6.48 15.44) and 12.86 (range 10.22 15.46) for the NHIS and GPC clinics respectively. The third party payment system operational in the NHIS facility negatively influenced drug utilization.
Key words: healthcare, funding, health insurance, patient care, access to healthcare, Nigeria