Research Article
Factors Influencing Nonrenewal of Health Insurance Membership in Ejisu-Juaben Municipality of Ashanti Region, Ghana
Table 5
Logistic regression analysis on systemic factors influencing health insurance renewal.
| Characteristic | Univariate logistic regression | Multivariate logistic regression | Odds ratio | 95% confidence interval | value | Odds ratio | 95% confidence interval | value |
| Distance from health facility | | 0.10 | | 0.01 | >1 km | Ref | | | Ref | | | 1 km–5 km | 1.671 | 0.945–2.956 | 0.08 | 0.576 | 0.747–3.212 | 0.24 | 6 km–10 km | 2.309 | 0.582–9.484 | 0.25 | 0.186 | 0.012–2.774 | 0.22 | More than 10 km | 3.359 | 1.111–10.157 | 0.03 | 0.340 | 0.021–5.594 | 0.45 |
| Nature of road | | 0.01 | | Poor | Ref | | Ref | | Very good | 1.725 | 0.169–17.563 | 0.65 | 3.18 | 0.109–93.19 | 0.50 | Good | 0.600 | 0.061–5.870 | 0.66 | 0.85 | 0.031–23.44 | 0.92 |
| Satisfaction level | | 0.01 | | Poor | Ref | | Ref | | Very good | 0.148 | 0.045–0.488 | 0.01 | 0.149 | 0.035–0.640 | 0.01 | Good | 0.136 | 0.058–0.319 | 0.01 | 0.290 | 0.107–0.785 | 0.02 |
| Made copayment | | 0.01 | | Yes | Ref | | Ref | | No | 0.356 | 0.196–0.652 | 0.01 | 0.152 | 0.068–0.344 | 0.01 |
| Received all drugs prescribed | | 0.01 | | Yes | Ref | | Ref | | No | 2.33 | 1.406–3.885 | 0.01 | 4.191 | 2.027–8.668 | 0.01 |
| Closeness to the health insurance office | | 0.07 | | >1 km | Ref | | Ref | | 1 km–5 km | 0.831 | 0.293–2.351 | 0.73 | 0.558 | 0.159–1.958 | 0.36 | 6 km–10 km | 1.118 | 0.392–3.188 | 0.84 | 2.373 | 0.672–8.379 | 0.17 | More than 10 km | 2.908 | 0.797–10.601 | 0.11 | 53.828 | 3.097–937.410 | 0.01 |
| Awareness of mobile renewal | | 0.63 | | Yes | Ref | | Ref | | No | 1.136 | 0.681–1.894 | 0.63 | 3.139 | 1.462–6.739 | 0.01 |
| Knowledge of mobile renewal code | | 0.01 | | Yes | Ref | | Ref | | No | 2.209 | 1.144–4.263 | 0.02 | 1.458 | 0.675–3.151 | 0.33 |
|
|