Health Costs of the Aged: A Source Book on the Use of Hospital and Medical Services and on Health Insurance and Other Methods of Financing Medical Care among the Aged.

1956 ◽  
Vol 30 (4) ◽  
pp. 489-490
Author(s):  
Alexander Ropchan
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Medical Services ◽  
Health Costs ◽  
Source Book

scholarly journals Financing of Medical Care in Russia: Sources and Problems of Their Evaluation

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Tatyana Faiberg ◽  
Irina Scherbakova
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Medical Care ◽  
Financial Support ◽  
Health Care Expenditures ◽  
Healthcare Sector ◽  
Medical Services ◽  
Effective Mechanism ◽  
The Russian Federation ◽  
Financing Health Care

To form an effective mechanism for financial support of health care in Russia, it is necessary to introduce into scientific and practical activities clearly-defined concepts that characterize medical services and sources of their financing. The analysis of the definitions such as «medical care» and «medical services» described in this article showed a lack of orderliness in basic terminology, as well as the possibility of replacing these concepts in practice. The article discusses the types of medical services in relation to the Program of state guarantees for providing citizens with free medical care. The sources of financial support for medical services in Russia are systematized and their features are highlighted. The research of the problems of financing health-care expenditures from various sources made it possible to suggest the main criteria for sharing these expenditures among the budgets of the budget system of the Russian Federation. The volume of budget financing of healthcare in Russia, compulsory and voluntary health insurance, and paid services in the healthcare sector are evaluated in the article, and also, the problems of estimating the volume of medical care in total from all sources, including the income of private medical organizations are identified.

scholarly journals Influence of the Introduction of the Electronic Health Insurance Card on the Use of Medical Services by Asylum Seekers in Germany

2018 ◽  
Author(s):  
Kevin Claassen ◽  
Pia Jäger
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Asylum Seekers ◽  
Influencing Factor ◽  
Medical Services ◽  
Consultation Rate ◽  
The Social ◽  
Insurance Card ◽  
Electronic Health ◽  
Use Of Medical Services

Objectives Asylum seekers in Germany represent a highly vulnerable group from a health perspective due to a variety of risk factors. At the same time their access to healthcare is restricted. While the introduction of the Electronic Health Insurance Card (EHIC) for asylum seekers instead of healthcare-vouchers is discussed controversially using politico-economic reasons, there is hardly any empirical evidence on its actual impact on the use of medical services Study design Thus, the aim of this study is to examine the influence of the possession of the EHIC on the use of medical services by asylum seekers as measured by their consultation rate of ambulant physicians (CR). For this purpose, a standardized survey was carried out to 260 asylum seekers in different municipalities of which some have introduced the EHIC for asylum seekers, while others have not. Methods Various CR were differentiated considering possible third variables as well as confounding factors. The period prevalence was compared between the groups "with EHIC" and "without EHIC" using a two-sided t-test. Multivariate analysis was done using a linear OLS regression model. Results Asylum seekers who are in possession of the EHIC are significantly more likely to seek ambulant medical care than those receiving healthcare-vouchers. Their CR, however, does not differ significantly from the age-corrected CR of the autochtonous population. Taking into account relevant covariables, the possession of the EHIC can be viewed as an independent influencing factor on the asylum seekers' use of medical care. Conclusions The results of this study suggest that having to ask for healthcare-vouchers at the social security office could be a relevant barrier for asylum seekers. Nevertheless, the ownership of the EHIC does not seem to lead to an overuse of medical services.

Health Insurance, Medical Care, and Children's Health

PEDIATRICS ◽  
1986 ◽  
Vol 77 (1) ◽  
pp. 124-128
Author(s):  
R. BURCIAGA VALDEZ ◽  
ARLEEN LEIBOWITZ ◽  
JOHN E. WARE ◽  
NAIHUA DUAN ◽  
GEORGE A. GOLDBERG ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Status ◽  
Medical Care ◽  
Cost Sharing ◽  
Medical Services ◽  
Randomized Experiment ◽  
Opportunity To Respond ◽  
Insurance Policies ◽  
Rand Health Insurance Experiment ◽  
Use Of Medical Services

We welcome this opportunity to respond to previously published commentaries by Drs Haggerty, Starfield, and Dutton on our discussions of how cost sharing affects the use of medical services and health status.1,2 Our purpose in responding is threefold: to reiterate succinctly the major conclusions of the Rand Health Insurance Experiment, to respond to issues raised by the commentators, and to emphasize certain points of agreement with them. Our goal is to promote a better understanding of the experiment and spur further discussion about the structure of health insurance for children. WHAT DID WE SHOW? In the Rand Health Insurance Experiment, a total of 1,844 children from six areas participated in a randomized experiment on the effects of cost sharing in health insurance policies.

Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China

2020 ◽  
pp. 30-42
Author(s):  
Arkady Nikolaevich Daykhes ◽  
Vladimir Anatolievich Reshetnikov ◽  
Olga Aleksandrovna Manerova ◽  
Ilya Aleksandrovich Mikhailov
Keyword(s):  
United Kingdom ◽  
South Korea ◽  
Medical Care ◽  
Medical Tourism ◽  
Value Added ◽  
External Factors ◽  
Medical Services ◽  
High Tech ◽  
Medical Organization ◽  
The United Kingdom

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.

Sicker and Poorer—The Consequences of Being Uninsured: A Review of the Research on the Relationship between Health Insurance, Medical Care Use, Health, Work, and Income

2003 ◽  
Vol 60 (2_suppl) ◽  
pp. 3S-75S ◽  
Author(s):  
Jack Hadley
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Data Sets ◽  
Work Effort ◽  
Services Research ◽  
The Past ◽  
Medical Care Use ◽  
Process Studies ◽  
Annual Earnings ◽  
The Relationship

Health services research conducted over the past 25 years makes a compelling case that having health insurance or using more medical care would improve the health of the uninsured. The literature's broad range of conditions, populations, and methods makes it difficult to derive a precise quantitative estimate of the effect of having health insurance on the uninsured's health. Some mortality studies imply that a 4% to 5% reduction in the uninsured's mortality is a lower bound; other studies suggest that the reductions could be as high as 20% to 25%. Although all of the studies reviewed suffer from methodological flaws of varying degrees, there is substantial qualitative consistency across studies of different medical conditions conducted at different times and using different data sets and statistical methods. Corroborating process studies find that the uninsured receive fewer preventive and diagnostic services, tend to be more severely ill when diagnosed, and receive less therapeutic care. Other literature suggests that improving health status from fair or poor to very good or excellent would increase both work effort and annual earnings by approximately 15% to 20%.

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