The Social Return of the Comprehensive Health Insurance System in South Sinai Governorate

The research aimed to identify the level of health care for beneficiaries of the comprehensive health insurance system and its various dimensions (patient care, medical staff, and availability of medicines, medical devices and supplies, ease of procedures, means of hygiene and comfort, emergency services, complaints system), determine the level of satisfaction of beneficiaries with the medical services subject to the system. Identify the level of social returns of the comprehensive health insurance system; identify the problems facing beneficiaries of comprehensive health insurance, and their proposals for overcoming them. A purposive sample of 199 respondents was selected from family medicine centers located in the villages of Ras Masla, Jubail, and Ruwaisat. Data was collected through structured personal interview questionnaires conducted during May, June, and July 2025. Statistical analyses included frequencies, percentages, weighted averages, and Chi-square test. Results indicated that 51.3% of respondents expressed an average level of satisfaction with the health services provided. There was a statistically significant association between satisfaction levels and demographic variables—age, marital status, employment status, and educational level—with Chi-square values of 14.922, 32.305, 21.444, and 28.288, respectively. Furthermore, more than half of the participants perceived the social return of the system as moderate. The most important problem was the failure to report the results of the laboratory tests necessary to open files for beneficiaries, and it was limited to the system. The most important proposals were to provide health centers and units with MRI, CT, and endoscopy machines with a 100% recurrence rate.