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Experiences and effect of implementing social health insurance (SHI) program in Nepal-A mixed method study.

PLOS Glob Public Health · 2025 · PMC12021158 · PMID 40273154

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However, the increase in client visits at hospitals did not reach statistical significance, likely due to the small hospital sample size, short NHIP implementation period, geographic infeasibility of district hospitals for many enrollees, and distrust in district hospitals as referral centers, leading enrollees to private or tertiary care centers.

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