The main objective of this paper is to assess the level of patient satisfaction, to assess barriers faced by users of social health insurance during receiving treatment in the hospital, and to find out the relationship of participants' satisfaction with their selected demographic variables. This paper is a cross-sectional descriptive study and covers 354 samples that were selected by systematic sampling technique. The modified version of Assessment of Patients Satisfaction Scale (SAPS) consisting of seven structured items is used to collect the data through the face to face interview. The results of the study indicated that 158 (44.6%) participants are between the age group of 40-59 years and the majority of them i.e. 232 (65.5%) are females. Out of 354, most of the participants 292 (82.5%) are enrolled in the social health insurance scheme for more than 6 months. The study findings indicated that more than half 186 (52.5%) participants are satisfied, followed by 152 (42.9%) are dissatisfied, and 16(4.5%) of participants are very dissatisfied with the treatment service under the social health insurance respectively. The most common barriers faced by the participants while utilizing the health insurance services are unavailability of necessary drugs, long waiting times, limited opening hours, and complex billing system for insurance patients. Hence, the service availability time should be extended and availability of health personnel, medicines as well as other services should be improved that can increase satisfaction among users of health insurance.
{"title":"Patients’ Satisfaction regarding Treatment and Perceived Barriers: A Study of Social Health Insurance Scheme in Kaski District","authors":"G. Ghimire, S. Paudel","doi":"10.3126/paj.v2i0.31504","DOIUrl":"https://doi.org/10.3126/paj.v2i0.31504","url":null,"abstract":"The main objective of this paper is to assess the level of patient satisfaction, to assess barriers faced by users of social health insurance during receiving treatment in the hospital, and to find out the relationship of participants' satisfaction with their selected demographic variables. This paper is a cross-sectional descriptive study and covers 354 samples that were selected by systematic sampling technique. The modified version of Assessment of Patients Satisfaction Scale (SAPS) consisting of seven structured items is used to collect the data through the face to face interview. The results of the study indicated that 158 (44.6%) participants are between the age group of 40-59 years and the majority of them i.e. 232 (65.5%) are females. Out of 354, most of the participants 292 (82.5%) are enrolled in the social health insurance scheme for more than 6 months. The study findings indicated that more than half 186 (52.5%) participants are satisfied, followed by 152 (42.9%) are dissatisfied, and 16(4.5%) of participants are very dissatisfied with the treatment service under the social health insurance respectively. The most common barriers faced by the participants while utilizing the health insurance services are unavailability of necessary drugs, long waiting times, limited opening hours, and complex billing system for insurance patients. Hence, the service availability time should be extended and availability of health personnel, medicines as well as other services should be improved that can increase satisfaction among users of health insurance.","PeriodicalId":429477,"journal":{"name":"Prithvi Academic Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114965767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is a qualitative study to explore the issues and status of social inclusion of queer identities i.e. lesbian, gay, bisexual, and transgender (LGBT). For this purpose, using the purposive technique, ten samples from Kathmandu and Pokhara were taken for interview along with a participatory observation. The generated data were presented in paraphrasing, verbatim, and case study form. The secondary data were reflexively embedded throughout the analysis. Confidentiality and cultural safety were maintained through the use of pseudo name in the study. The theory of recognition and the queer theory were used to make a discussion more trustworthy. The empirical data show that gender identity, relationships; social exclusion; effects of consumerism; school enrolment, and environment; employment, rental discrimination; polysexuality; sexual violence; and legalization of same-sex marriage or partnership were surfaced as the major issues of LGBT in Nepal. The empirical data also show that different people have different levels of exclusion. The identity issue against relationship is found a major threat for their inclusion. However, they were less worried about their own identity than their social relationships. Hence, they were compelled to maintain double standard identities because of the fear of relationship breakup. In this context, some steps are needed to be initiated for their inclusion, such as making gender and sexuality responsive policies and laws; institutionalizing collective identity; evading genderism, stereotyped stigma and superstitions; incorporating indigenous moralities and wisdom; improving heteropatriarchal norms; providing opportunity and environment of education; and making sexuality and LGBT friendly school curriculum and environment.
{"title":"Exploring the Issues of Social Inclusion in Queer Identities","authors":"Shree Krishna Panthee","doi":"10.3126/paj.v2i0.31509","DOIUrl":"https://doi.org/10.3126/paj.v2i0.31509","url":null,"abstract":"This is a qualitative study to explore the issues and status of social inclusion of queer identities i.e. lesbian, gay, bisexual, and transgender (LGBT). For this purpose, using the purposive technique, ten samples from Kathmandu and Pokhara were taken for interview along with a participatory observation. The generated data were presented in paraphrasing, verbatim, and case study form. The secondary data were reflexively embedded throughout the analysis. Confidentiality and cultural safety were maintained through the use of pseudo name in the study. The theory of recognition and the queer theory were used to make a discussion more trustworthy. The empirical data show that gender identity, relationships; social exclusion; effects of consumerism; school enrolment, and environment; employment, rental discrimination; polysexuality; sexual violence; and legalization of same-sex marriage or partnership were surfaced as the major issues of LGBT in Nepal. The empirical data also show that different people have different levels of exclusion. The identity issue against relationship is found a major threat for their inclusion. However, they were less worried about their own identity than their social relationships. Hence, they were compelled to maintain double standard identities because of the fear of relationship breakup. In this context, some steps are needed to be initiated for their inclusion, such as making gender and sexuality responsive policies and laws; institutionalizing collective identity; evading genderism, stereotyped stigma and superstitions; incorporating indigenous moralities and wisdom; improving heteropatriarchal norms; providing opportunity and environment of education; and making sexuality and LGBT friendly school curriculum and environment.","PeriodicalId":429477,"journal":{"name":"Prithvi Academic Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123918013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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