Figure 1: Conceptual framework
Our framework identifies individual and health facility-level factors
that influence an NHIF member’s choice of an outpatient healthcare
provider. Given the choice that NHIF members have to make for outpatient
facilities, then it is postulated that the choice would create
competition among providers to both be selected and retained by NHIF
members. Consequently, provider competition drives health system service
improvements especially the quality of care, efficiency and service use
relative to need 15.