Emerging and Future Challenges for Hospital-based Internet Medical Care Delivery amidst COVID-19 Pandemic in China: Descriptive analysis (Preprint)

2020 ◽  
Author(s):  
Le Yang ◽  
Yi Yang ◽  
Jun Yin ◽  
Siying Wu ◽  
Yeying Wen ◽  
...  
Keyword(s):  
Medical Care ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Descriptive Analysis ◽  
Health Insurance Coverage ◽  
Information Platform ◽  
Online Consultation ◽  
Challenges And Opportunities ◽  
Future Challenges ◽  
The Government

BACKGROUND The hospital-based Internet medical care is an online approach mode to provide health services directly from hospitals to patients, which develops rapidly in China. However, this mode is confronting new challenges and opportunities due to the prevalence of coronavirus disease 2019 (COVID-19). OBJECTIVE This study aimed to try to reflect the changing tendency of hospital-based Internet medical care in China by focusing on a large regional hospital. METHODS We employed The First Affiliated Hospital of Soochow University as the subject of this study, which ranked the 50th in the top 100 medical centers in China. Data on hospital-based Internet medical care from November 2019 to April 2020 were collected, including the volume of online appointments, online consultations, and offline consultations. And we collected the data of COVID-19 confirmed cases and deaths from January 2020 to June 2020 to correspond to the data of hospital services for research. RESULTS 632225 online appointments and 1207235 offline consultations were analyzed in hospital from November 19 to April 20. We calculated the online appointment rate, which changed in each department significantly with an upward tendency in March and April after the peak of the COVID-19 pandemic. Up to April, the department with the largest increase in online appointment rate was Nursing, and with the least increase was Rheumatology. Since the end of February, a total of 12 departments started free online consultation. Online consultations mainly focused on Otolaryngology, Endocrinology, Obstetrics, and Gynecology. CONCLUSIONS During the epidemic, though we still face various issues such as doctor scarcity and unavailability of health insurance coverage, hospital-based Internet medical care is expanding in China. The government and hospitals are creating a practical, shared medical and health information platform to combat the crisis. China’s hospital-based Internet medical care is meeting the new situation and much remains to be done.

scholarly journals Health insurance policies for magnetic resonance imaging tests in Korea

2021 ◽  
Vol 64 (3) ◽  
pp. 172-176
Author(s):  
Dong Ah Shin
Keyword(s):  
Magnetic Resonance Imaging ◽  
Health Insurance ◽  
Magnetic Resonance ◽  
Medical Care ◽  
Financial Burden ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Coverage Rate ◽  
Resonance Imaging ◽  
The Government

On August 9, 2017, the government announced a policy to strengthen health insurance coverage. The main goal is to increase the health insurance coverage rate and lower the national medical expense burden by an average of 18% by 2022. This policy was proposed without consulting doctors, a major medical care provider, and raised the impression of populism. It is a concern that this policy may place an additional financial burden on the medical clinics, which are already suffering due to poor financial circumstances. Although the policy is already in progress, it is necessary to carefully review whether the government and the medical community can afford it in terms of the national healthcare financial burden and the implementation possibility of this policy. There is no disagreement on the efficient supply of qualified medical care. However, it must be a sustainable system in Korea. Simply increasing the coverage rate does not increase the quality of healthcare. This study aims to analyze the government's health insurance policy for magnetic resonance imaging tests and suggest proper countermeasures.

scholarly journals Bridging the Funding Gap for Oncology Services in LMIC: The BWS Cancer Patient Treatment Intervention Fund Project

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 184s-184s
Author(s):  
A. Nnamani ◽  
N. Iloanusi ◽  
C. Okwuosa ◽  
A. Lasebikan ◽  
I. Okoye
Keyword(s):  
Cancer Patient ◽  
Cancer Treatment ◽  
Financial Burden ◽  
Insurance Coverage ◽  
Large Population ◽  
Health Insurance Coverage ◽  
Patient Treatment ◽  
Direct Result ◽  
Treatment Intervention ◽  
The Government

Amount raised: #1,627,000 (Nigerian Naira) Background and context: With a large population and very limited resources, the economic burden of cancer in our country is enormous and cannot be tackled solely by the government. A high mortality rate among newly diagnosed patients is a direct result of poverty and lack of an effective health insurance coverage for cancer, among other reasons. Breast cancer accounts for two out of five women cancers, with a 70% mortality. Aim: To alleviate the financial burden of cancer treatment on indigent patients. Strategy/Tactics: We constituted the Cancer Patient Treatment Intervention Fund (CPTIF) board of partners and funders. We also inaugurated a fundraising event, the annual Go Pink Day Ball, and instituted crowd-funding schemes. Program process: Indigent patients diagnosed at BWS and designated health facilities are referred to CPTIF for financial support. The patient is reviewed for eligibility by the medical board. If approved by the CPTIF Board of Directors, the required funds are paid directly to the designated tertiary health facility where patient will be receiving the oncology services. Costs and returns: Between December 2017 and March 2018 a total of #1,627,000 (Nigerian Naira) was raised, a total of #750,950 has been spent on 7 patients at different levels of oncology services. The cost covered included laboratory tests, ultrasounds, biopsies chemotherapy and radiotherapy. What was learned: Financial assistance gave these patients a lifeline and zeal to go through the usually overwhelming cancer treatment process.

scholarly journals Deaths by tuberculosis in a priority city for disease control in the Brazilian Northeast: sociodemographic-operational characteristics and vulnerable territories.

10.3823/2393 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marcelino Santos Neto ◽  
Francisca Bárbara Gomes Da Silva ◽  
Mariana Borges Sodré ◽  
Mellina Yamamura ◽  
Floriacy Stabnow Santos ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Medical Care ◽  
Care Delivery ◽  
Descriptive Analysis ◽  
Public Health Research ◽  
Operational Characteristics ◽  
Point Density ◽  
Assistant Physician ◽  
Keywords Tuberculosis ◽  
Brazilian Northeast

Introduction: Incorporating spatial approaches into epidemiological research is a challenge in public health research. The goal in this study was to analyze the spatial distribution of cases of deaths by tuberculosis in Imperatriz – MA (Brazil) and to characterize these events according to sociodemographic and operational characteristics. Methods: In this ecological study, all deaths from tuberculosis as the primary cause registered in the Mortality Information System from 2005 to 2014 were considered. The research variables were subject to descriptive analysis, point density analysis (Kernel Intensity Estimation) and area analysis. Results: Fifty cases of deaths by TB were identified, particularly the pulmonary clinical form. Male patients were predominant, with a median age of 59 years, mulatto race/color, single, who had finished secondary education. Most deaths happened at the hospital, with medical care before death and without autopsy. Most events happened at the hospital, with medical care delivery by an assistant physician and without autopsy. The point density revealed heterogeneity in the spatial distribution of the deaths, with rates of up to 2.33 deaths/km2. The area analysis by census sector presented age standardized mortality rates of 0.00 to 4.00 deaths/100,000 inhabitants-year. Conclusion: The results contributed to the knowledge on the spatial distribution of cases of deaths by Tuberculosis and their characteristics in the research scenario. The importance of space is highlighted as a methodological alternative to support the planning, monitoring and assessment of health actions, targeting interventions to the control of the disease in vulnerable territories. Keywords: Tuberculosis; Health Information Systems; Mortality; Spatial analysis.

scholarly journals Health insurance coverage and cost barriers to needed medical care among U.S. adult cancer survivors age <65 years

Cancer ◽  
2006 ◽  
Vol 106 (11) ◽  
pp. 2466-2475 ◽  
Author(s):  
Susan A. Sabatino ◽  
Ralph J. Coates ◽  
Robert J. Uhler ◽  
Linda G. Alley ◽  
Lori A. Pollack
Keyword(s):  
Health Insurance ◽  
Cancer Survivors ◽  
Medical Care ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Adult Cancer Survivors

Autonomy, Coercion, and Public Healthcare Guarantees: The Uptake of Sofosbuvir in Germany

2020 ◽  
Vol 30 (1) ◽  
pp. 90-102
Author(s):  
AFSCHIN GANDJOUR
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Reflective Equilibrium ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Public Healthcare ◽  
Recent Introduction

AbstractHealth insurance coverage for incarcerated citizens is generally acceptable by Western standards. However, it creates internal tensions with the prevailing justifications for public healthcare. In particular, a conceptualization of medical care as a source of autonomy enhancement does not align with the decreased autonomy of incarceration and the needs-based conceptualization of medical care in cases of imprisonment; and rejecting responsibility as a criterion for assigning medical care conflicts with the use of responsibility as a criterion for assigning punishment. The recent introduction of sofosbuvir in Germany provides a particularly instructive illustration of such tensions. It requires searching for a refined reflective equilibrium regarding the scope, limits, and justifications of publicly guaranteed care.

scholarly journals Health Insurance Support on Maternal Health Care: Evidence from Survey Data in India

2020 ◽  
Author(s):  
Imtiyaz Ali ◽  
Saddaf Naaz Akhtar ◽  
Bal Govind Chauhan ◽  
Manzoor Ahmad Malik ◽  
Kapil Dev Singh
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Maternal Health ◽  
Policy Development ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Maternal Health Care ◽  
Long Run ◽  
Inclusive Policy ◽  
The Government

AbstractMaternal healthcare financing is key to the smooth functioning of maternal health systems in a country. In India, maternal healthcare persists as a significant public health issue. Adequate health insurance could transform the utilization of maternal health care services to prevent maternal consequences. This paper aims to examine the health insurance policies that cover maternal health and their performance in India. The unit-level social consumption data on health by the National Sample Survey Organizations (NSSO), conducted in India (2017-18), is used. Bi-variate analysis, logistic regression, and propensity scoring matching (PSM) are used to evaluate the coverage of health insurance coverage on women’s maternal health care utilization. Our findings suggest that spending on health insurance can benefit pregnant women, especially among the poor, without financial stress. The study has also minimized the financial burden and prevent high-risk pregnancy-related complications and consequences. Also, there is a need for proactive and inclusive policy development by the Government of India to promote more health insurance schemes in the public and private sectors. This can bring down the risk of maternal mortality and also boost the Indian economy in terms of a better quality of life in the long run, and the way towards more just and more egalitarian societies.HighlightsAround 14.1% of Indian women are covered with health insurance schemes.Muslim women have the lowest health insurance coverage in India.Women covered with health insurance schemes has showed significant contributor to the better utilization of full ANC and institutional delivery compared to uncovered women in India.A proactive and inclusive policy development is needed by the Government of India to promote more for health insurance schemes better quality of life in the long run.

scholarly journals The War on Language: Providing Culturally Appropriate Care to Syrian Refugees

2016 ◽  
Vol 6 (2) ◽  
pp. 21-25
Author(s):  
Meagan A Roy
Keyword(s):  
Medical Care ◽  
Health Care Providers ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Primary Care Providers ◽  
Syrian Refugees ◽  
Care Providers ◽  
Early Assessment ◽  
Term Care ◽  
Professionnels De La Santé

ABSTRACTOntario’s Ministry of Health and Long-Term Care released a document in January 2016 regarding medical care of Syrian refugees as an effort to support primary care providers in the care and early assessment of their new patients [1]. The fourteen-page document provides an overview of the transition to Ontario medical care, from the Immigration Medical Examination prior to the refugee’s entry into Canada, to health insurance coverage resources and information [1]. Health care providers may welcome this plethora of informa­tion, but the presence of a language barrier may prove to be the most considerable issue. RÉSUMÉEn janvier 2016, le ministère de la Santé et des Soins de longue durée de l’Ontario a publié un document au sujet des soins médicaux pour les réfugiés syriens, pour appuyer les fournisseurs de soins primaires lorsqu’ils soignent et effectuent l’évaluation initiale de leurs nouveaux patients [1]. Le document de quatorze pages fournit un survol de la transition vers les soins de santé ontariens, allant de l’examen médical aux fins d’immigration précédant l’entrée du réfugié au Canada, à de l’information sur les régimes d’assurance-maladie [1]. Les professionnels de la santé recevront sans doute favorablement cette abondance d’information, mais la présence d’une barrière linguistique pourrait se révéler comme étant le problème le plus substantiel.

scholarly journals Risk Factors of Maternal Mortality in Calabar

2020 ◽  
Vol 1 (2) ◽  
pp. 83-92
Author(s):  
Uduakobong P. Akpabio ◽  
Pius U. Angioha ◽  
Chiamaka V. Egwuonwu ◽  
Esther B. Awusa ◽  
Magareth N. Ndiyo
Keyword(s):  
Maternal Mortality ◽  
Medical Care ◽  
Cultural Practices ◽  
Care Delivery ◽  
Quality Data ◽  
Design Data ◽  
Health Centres ◽  
Quality Of Medical Care ◽  
The Government

Maternal mortality remains unacceptably high despite both local and international programs carried at reducing the incidence. Nigeria suffers from 800 maternal death per 100,000 births. This study examines the extent to which cultural practices and quality of medical care determines maternal mortality in Calabar, Cross River State. Using the survey research design, data were collected from 400 women aged between 15 and 49 from Calabar using a self-developed structured questionnaire. The participants were selected using cluster and purposive sampling technique. Data collected from the field was analyzed using descriptive statistics and regression analyses at 0.05 confidence level. Result from the analysis revealed that uncivilized cultural practices lead to high maternal mortality. 75.64 per cent of the participant reported cases of complications during birth in the hands of traditional birth attendants. cultural practices account for 49 per cent of the variation in maternal mortality. Also, result revealed that poor care delivery or quality of medical care leads to high maternal mortality. 54.14 per cent of the participants reported that the cost of medical care for a pregnant woman in the hospital is too expensive. 69.43 per cent reported there have been deaths as a result of lack of care in hospitals. Based on these findings There is need for the government and its health ministry to increase the number of primary health centres in the nation as well as strengthen this health centres to collect high-quality data to respond to the needs and priority of women and girls amongst others.

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