{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:36:30Z","timestamp":1740202590510,"version":"3.37.3"},"reference-count":0,"publisher":"IOS Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>In this retrospective study, the authors monitored the patient health coverage in 6 Rwandan hospitals in the period between 2011 and 2014. Among the 6 hospitals, 2 are third level hospitals, 2 district hospitals and 2 private hospitals. Patient insurance and financial data were extracted and analyzed from OpenClinic GA, an open source hospital information system (HIS) used in those 6 hospitals. The percentage of patients who had no health insurer globally decreased from 35% in 2011 to 15% in 2014. The rate of health insurance coverage in hospitals varied between 75% in private hospitals and 84% in public hospitals. The amounts paid by the patients for health services decreased in private hospitals to 25% of the total costs in 2014 (&amp;minus;7.4%) and vary between 14% and 19% in public hospitals. Although the number of insured patients has increased and the patient share decreased over the four years of study, the patients' out-of-pocket payments increased especially for in-patients. This study emphasizes the value of integrated hospital information systems for this kind of health economics research in developing countries.<\/jats:p>","DOI":"10.3233\/978-1-61499-564-7-193","type":"book-chapter","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:46:46Z","timestamp":1740160006000},"source":"Crossref","is-referenced-by-count":0,"title":["The Role of Hospital Information Systems in Universal Health Coverage Monitoring in Rwanda"],"prefix":"10.3233","author":[{"family":"Karara Gustave","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Verbeke Frank","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Nyssen Marc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2015: eHealth-enabled Health"],"original-title":[],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:47:15Z","timestamp":1740160035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospressISBN&isbn=978-1-61499-563-0&spage=193&doi=10.3233\/978-1-61499-564-7-193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/978-1-61499-564-7-193","relation":{},"ISSN":["0926-9630"],"issn-type":[{"value":"0926-9630","type":"print"}],"subject":[],"published":{"date-parts":[[2015]]}}}