Estimation of Production Function of Direct Health Care Services Delivered by Iranian Social Security Organization

Sattar Mehraban; Hossein Raghfar

doi:10.15171/ijhr.2016.09

Law Protection on Patients Toward The Health Services Conducted by Social Security Administrator for Health (Ssah) or BPJS in Accordance With The Limitation on Cataract Surgery

SOEPRA ◽

10.24167/shk.v6i1.2595 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Chori Diah Astuti ◽

Suherman Suherman ◽

Arrisman Arrisman

Keyword(s):

Health Care ◽

Health Services ◽

Social Security ◽

Cataract Surgery ◽

Health Care Services ◽

Legal Protection ◽

Secondary Data ◽

The State ◽

Care Services ◽

The Government

Health is a primary right of every individual and must be guaranteed by the state; therefore, the state has regulated the health of its citizens as stipulated in the 1945 Constitution Article 28 Section 3 which is further regulated in law No. 40 Year 2004 concerning the national social security system. One of the concerns of the government is that many Indonesians who have reached the age of 50-60 years who experience vision problems due to cloudy eye lense or cataract. The government concern is can be seen from their attention on health problems by passing Minister of Health Regulation No. 29 Year 2016. Concerning with eye Health Care Services at the Health Care Amanities and the Director of Health Service Security on Health (SSAH) passed a regulationNo. 2 Year 2018 concering with cataract service security service.The Method Used in this study is a normative juridical method, using secondary data consisting of primary, secondary and tertiary legal materials. The end purpose of this study is to get clarity about the legal protection of patients against health services by the Health amenities and SSAH or BPJS with the existence of restrictions on cataract surgery and to find out the claim procedures concerning with this restriction.Keywords: Legal Protection, BPJS or SSAH, Cataract Surger.

Download Full-text

KONTRAK KAPITASI DALAM HUKUM KONTRAK INDONESIA

Media Iuris ◽

10.20473/mi.v1i2.8826 ◽

2018 ◽

Vol 1 (2) ◽

pp. 215

Author(s):

Andini Aprilia Wardhani ◽

Erni Agustin

Keyword(s):

Health Care ◽

Health Insurance ◽

Social Security ◽

Health Care Services ◽

Healthcare Services ◽

Third Parties ◽

Health Law ◽

The Third ◽

Care Services ◽

A Company

The existence of Act No. 3 of 1992 on Social Security of Labor which regulates that a company is required to provide social security, one of them by providing health insurance for its workers. One form of health insurance provided by the company to its employees is through a healthcare contract, made between the company and the hospital generally referred to as the capitation contract. However, until now there has been no legislation regulating the capitation contract so that the question arises about the validity, characteristics, and implementation of the capitation contract itself. This article aims to examine the characteristics, the validity, and the implementation of capitation contract in Indonesia. Specifically, this type of capitation contract has not been regulated in Indonesian legislation. The parties to the capitation contract are hospitals as providers of healthcare services and companies as recipients of healthcare services. Payments in capitation contracts are fixed and made regularly provided by the recipients of health care services. Capitation contracts are included in contracts that are beneficial to the third parties. Implementation of captation contract in Indonesia refers to the prevailing laws and regulations in Indonesia and should not be contradictory to the regulations such as Social Security of Labor, Health Law and Hospital Law.

Download Full-text

The Covid-19 cascade of care in Mexico: symptoms, positivity, and health care seeking decisions amid the pandemic

Salud Pública de México ◽

10.21149/12822 ◽

2021 ◽

Vol 63 (6, Nov-Dic) ◽

pp. 734-742

Author(s):

M. Arantxa Colchero ◽

Luis Alberto Moreno-Aguilar ◽

Sergio A Bautista-Arredondo

Keyword(s):

Health Care ◽

Social Security ◽

Health Care Services ◽

Care Seeking ◽

Nutrition Survey ◽

Services Utilization ◽

Care Services ◽

Health And Nutrition ◽

Cascade Of Care ◽

Health Care Services Utilization

Objective. The study describes health care services utilization contextualized by the needs of the Mexican population during the Covid-19 pandemic. Materials and methods. We used data from the National Health and Nutrition Survey, Covid-19. Among the population with symptoms compatible with Covid-19, we describe the proportion who sought care, received care, were tested, were diagnosed positive, and survived, and whether they received care in public or private services. We estimated factors associated with the probability of seeking and receiving care. Results. Out of 7.1% of the population with symptoms compatible with Covid-19, 64.4% received care, and 15.4% tested positive; 74.5% received care in the private sector, even among the population with social security. Those with social security, in contact with a suspected or confirmed Covid-19 case, and with at least one comorbidity had a higher probability of seeking and receiving care. Conclusions. The most relevant finding of our study is the large proportion of the population with Covid-19 symptoms who sought and received care in private facilities an essential aspect for decision-makers to consider as the current health reform moves forward in Mexico.

Download Full-text

Der zweite Gesundheitsmarkt

Public Health Forum ◽

10.1016/j.phf.2009.06.009 ◽

2009 ◽

Vol 17 (3) ◽

pp. 16-18 ◽

Cited By ~ 3

Author(s):

Klaus-Dirk Henke

Keyword(s):

Health Care ◽

Social Security ◽

Health Care Services ◽

Health Sector ◽

Health Economy ◽

Health Care Market ◽

Industrial Countries ◽

Working Hypothesis ◽

Care Services ◽

Innovative Products

EinleitungA working hypothesis is that the increasing “second health care market” is supporting and financing the “first health sector” in the overall health economy. The first sector refers to the protection with health care services for everyone in tax-financed or in social security type of systems whilst the second health care market is functioning as the normal economy does in industrial countries; i.e. through innovative products and services in growing markets. To justify this hypothesis there are several considerations to be taken into account and hopefully tested empirically in the future.

Download Full-text