The Impact of Medical Services Provided to Beneficiaries on the Efficiency of Health Insurance: An Analytical Comparative Study , International Management Review Vol. 8, No. 1, 2012

This study is aimed at measuring the level of medical services and the level of efficiency of medical services provided to the beneficiaries in both public and private sectors; it is also aimed at measuring the impact of medical services on the efficiency of health insurances services provided to the beneficiaries. The population of the study was all the beneficiaries of health insurance in Jordan. Therefore, a questionnaire was designed and distributed to all health insurance beneficiaries in Jordan. A simple random sampling technique was utilized; thus, 640 questionnaires were distributed to different health insurance services' beneficiaries throughout Jordan, and 610 of the questionnaires were recovered; 10 were excluded for not reaching the minimal validation requirements, and so 600 or (about 93.75%) of the questionnaires were suitable for analysis. The researchers depended on the 600 questionnaires for both private and public sectors; they were distributed equally, with 300 in the private sector and 300 in the government sector. The major finding of the study was that the variables related to the factors, such as reception procedure, health education, and external environment, are inadequate in both sectors, but in general, the efficiency of health insurance provided in the private sector was comparatively better than in the public sector. The study recommended that health insurance should provide adequate health care, especially in the public sector, which affects the productivity of individuals.