1. Jiangsu University, School of Management, Department of Health Policy and Management 301 Xuefu Road, Zhenjiang, 212013, P.R. China
2. Jiangsu University, School of Management, Department of Public Health Policy and Medical Insurance
3. Jiangsu University, School of Management, Department of Health Policy and Management 301 Xuefu Road, Zhenjiang, 212013, P.R. China and University of Cape Coast, School of Health and Allied Sciences, Department of Health Information Management, Cape Coast - Ghana