Good governance management of the local health insurance fund

Abstract

Applying good governance principles and relevant factors to the management of local health insurance funds ensured that the health insurance fund was transparent, equitable, and socially organized. The objective of this study was to assess the implementation of the main good governance factors related to the management of local health insurance funds. A descriptive study was conducted. The study population included the fund committee (fund manager, fund president, fund secretary, sub-fund committee and officials) from 54 funds operating in Khon Kaen and Kalasin provinces. 540 samples were collected by simple random sampling. Self-administered questionnaires consisted of general information, level of good governance, and related factors, were applied for data collection. Statistical analysis was performed by frequency, percentage, mean, standard deviation, chi-square, 95% confidence interval, and Odds ratio. Most respondents were male between 38-52 years old. Overall, good governance was used (3.98 SD0.52). In each component considered, we found the laws had the highest used (4.14 SD0.83) but health innovation had lowest used (3.72 SD0.80). And the main good governance factors related to the management of local health insurance funds was statistical significance (p-value <0.05) were occupations and education. In summary, the overall governance of the local health insurance fund was at a high level (3.98 SD0.52). However, improvements should be made in terms of efficiency, using up-to-date technology to reduce costs and reduce service. In addition, health promotion is promoted by encouraging the local health insurance fund to innovate to improve the people's health behavior is tangible.