Knowledge, Attitude, and Perception of the National Health Insurance among Primary Healthcare Providers in the Qassim Region, Saudi Arabia

Abstract

National Health Insurance (NHI) is a significant step towards ensuring sustainable healthcare in Saudi Arabia, and healthcare providers’ behaviors and attitudes play a crucial role in its effective implementation. This descriptive cross-sectional study assessed knowledge, attitudes, and perceptions of NHI among 140 primary healthcare providers in the Qassim region between 17 October and 30 November 2024. Data were collected using a self-administered questionnaire, and associations between demographic factors and attitudes were analysed using chi-square tests and multivariate logistic regression. Overall, 76.42% of participants had heard of NHI, most commonly through social media (37%). Only 32.3% believed the government aims to ensure equitable healthcare through NHI. Nearly half (47.1%) thought NHI services would be available through both the Ministry of Health and private hospitals, and 57.4% expected it to improve care quality. About 21.3% anticipated increased personal financial contributions, while 45.2% felt the community was optimistic about NHI. Most participants (63.2%) viewed social media as an effective tool for government-led public education on NHI. The findings highlight the need for proactive governmental efforts to raise awareness and address concerns surrounding NHI in Saudi Arabia.