Presentation Information
[31q821XY-03]Patients' satisfaction and perceived inequality in Non-Communicable Diseases (NCD) care across different financing groups: A case study at Khmer Soviet Friendship Hospital in Cambodia
*Sokchamroeun Sim1 (1. Hiroshima University (Japan))
Keywords:
Health Care Access,Health Equity,Disparities,NSSF,HEF,OPE,Non-Communicable Diseases (NCDs)
Background: Non-Communicable Diseases (NCDs) are the leading cause of death in Cambodia, accounting for approximately 60,000 deaths annually. Nearly one in four Cambodians dies prematurely between the ages of 30 and 70 due to cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases. Despite ongoing health system reforms aimed at achieving Universal Health Coverage (UHC) by the Cambodian Government by 2035, disparities in healthcare access may still persist across different health financing schemes. Understanding whether patients enrolled in various financing mechanisms experience differences in satisfaction and perception of disparities in access, equity, and quality of NCD care is critical as inputs for strengthening Cambodia’s public health system. This study aims to explore the patients’ satisfaction and perceived disparities in healthcare access and the NCD care across different financing groups at the National Level Hospital, Khmer Soviet Friendship Hospital in Phnom Penh, Cambodia.
Method: In this cross-sectional study, the structured questionnaire survey has been utilized to interview approximately 420 patients aged over 18 years old. Patients were categorized into three financing groups: NSSF members, HEF/Poor ID members, and out-of-pocket patients. Participants were selected using convenience sampling, based on their availability and willingness to participate during the data collection period. Descriptive statistics and ANOVA were conducted to assess group differences.
Results:Despite policy commitments to equitable healthcare provision to all patients, significant differences were observed among financing groups in perceived disparities in access to Healthcare Services, F= 6.297, p = 0.002, and perceived quality of Healthcare Services, F= 3.491, p = 0.035. With statistical evidence, HEF got the highest score for satisfaction in the quality of NCD care, but NSSF got the lowest, and out-of-pocket is in between (or similar to NSSF).
Conclusion:The relatively favourable results among HEF may provide the key improvement insights for strengthening equity-oriented improvements within other financing schemes, particularly NSSF. Addressing these disparities is essential for advancing equitable NCD care and supporting Cambodia’s progress toward UHC.
Method: In this cross-sectional study, the structured questionnaire survey has been utilized to interview approximately 420 patients aged over 18 years old. Patients were categorized into three financing groups: NSSF members, HEF/Poor ID members, and out-of-pocket patients. Participants were selected using convenience sampling, based on their availability and willingness to participate during the data collection period. Descriptive statistics and ANOVA were conducted to assess group differences.
Results:Despite policy commitments to equitable healthcare provision to all patients, significant differences were observed among financing groups in perceived disparities in access to Healthcare Services, F= 6.297, p = 0.002, and perceived quality of Healthcare Services, F= 3.491, p = 0.035. With statistical evidence, HEF got the highest score for satisfaction in the quality of NCD care, but NSSF got the lowest, and out-of-pocket is in between (or similar to NSSF).
Conclusion:The relatively favourable results among HEF may provide the key improvement insights for strengthening equity-oriented improvements within other financing schemes, particularly NSSF. Addressing these disparities is essential for advancing equitable NCD care and supporting Cambodia’s progress toward UHC.
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