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Table 2 Methodological quality of studies on the impact of Ghana’s national health insurance scheme on OOPE(s) and financial catastrophe (1 = Yes; 0 = No)

From: Evaluating the impact of the national health insurance scheme of Ghana on out of pocket expenditures: a systematic review

Study

Clear study aims

Adequate sample size(justification)

Representative sample(with justification)

Clear inclusion & exclusion criteria

Reliability & validity of measures justified

Adequate description of the data

Appropriate statistical analysis

Discussion of generalizability

a Total score (J.S.O, S.E)

a Quality based on total score (J.S.O)

a Quality based on total score (S.E)

b Quality based on outcomes

Chankova et al., 2008

1

0

0

0

0

1

1

1

4

Low

Low

Low

Nguyen et al., 2011

0

1

1

1

1

1

1

1

7

High

High

High

Dalaba et al., 2014

1

1

1

1

0

1

0.5

0.5

5.5

Low

Low

Low

Abrokwah et al., 2014

0.5

0.5

1

1

0

1

1

0.5

5.5

Moderate

Moderate

Moderate

Abuosi et al., 2015

1

1

1

1

0

1

1

0

6

Moderate

Low

Low

Kusi et al., 2015

1

1

1

1

1

1

1

1

8

High

High

High

Aryeetey et al., 2016

1

1

1

1

1

1

1

1

8

High

High

High

  1. aThe total score is the average score for the quality items based on each author’s review. Scores less than 5 were considered low, 5–6 moderate, 7–8 high in quality
  2. bBoth authors agreed on the quality assignments based on the outcomes reported on OOPE, CHE, or poverty reduction