Operational and Financial Factors Affecting The Implementation of The Sehat Card Scheme

Abstract

This study intended to identify and analyse the multiple factors affecting the implementation of the Sehat Card Scheme in the empanelled hospitals in the Islamabad Capital Territory (ICT). Focusing on operational and financial aspects of the panelled hospitals in the Sehat Card scheme, this study was aimed to identify challenges and barriers in the implementation of health insurance packages. Specifically, this study attempted to understand the issues associated with the hospital registration procedures, monitoring mechanism, patient documentation requirements, costing for health services, claims submission and liaison with the insurance companies & govt. bodies. This study used the interview-based data from the hospital administrators in the sampled hospitals in the ICT region. Our objective was to highlight the operational and financial issues from the prospective of the health service providers in order to understand the service delivery challenges in the empanelled hospitals.