Abstract
MJPJAY is a state sponsored publically funded health insurance scheme (PFHI) launched by Govt. of Maharashtra. It provides free quality critical care for low income families. At tertiary care hospital, specialist is the first point of care. Therefore knowledge & awareness among specialist about MJPJAY is essential for its proper implementation.
To describe current state of knowledge, beliefs and practices about MJPJAY among specialty doctors & to suggest measures for increasing benefits of MJPJAY at tertiary care hospital.
This is a Cross sectional descriptive study – a KAP survey model conducted at tertiary care hospital of Maharashtra. 100 randomly selected clinicians enrolling beneficiary under MJPJAY were targeted. Written informed consent was obtained for participation in the study. The specialists were requested to answer all set of questions on the spot in a standardized 45 item questionnaire. Suggestions were invited for maximizing the benefits of the scheme. The data was analyzed using Fischer Exact test & Chi square test as appropriate at significance level of 0.05.
Significant difference was observed in knowledge of faculty & resident doctors about MJPJAY. Despite of good insurance scheme, rigid rules discourage patient enrollment under MJPJAY with additional burden of investigations & documentation. 77% specialists suggested that insurance scheme should cover all illnesses rather than specific diseases. The package for treatment should be increased. Incentive is must for enrollment in the scheme along with training sessions every six months to one year.
Keywords: Mahatma Jyotiba Phule Jan Arogya Yojana, preauthorization, claim settlement, medical specialties, surgical specialties, publically funded health insurance scheme, treatment update, discharge update.
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Corresponding Author
Suchita A Joshi
Medical Co-Ordinator, Mahatma Jyotiba Phule Jan Arogya Yojana, Govt. Medical College & Hospital, Aurangabad, Maharashtra, INDIA
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.111
