scholarly journals Healthcare Systems and Variation in Healthcare Utilization at the End of Life Across Countries

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 560-560
Author(s):  
Jennifer Ailshire ◽  
Cristian Herrar ◽  
Margarita Maria Osuna
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Service ◽  
End Of Life ◽  
Low Income ◽  
Health Care Systems ◽  
Social Health Insurance ◽  
Social Health ◽  
Care Utilization ◽  
Care Systems

Abstract With rapid population ageing, providing better end-of-life care (EOLC) is becoming a source of social demand and financial pressure for public and private budgets in many countries. This paper uses data from harmonized end-of-life interviews in the HRS family of studies to assesses variation in health care utilization across different income groups and how they differ across different health care systems. Hospital stay did not vary across health care systems, but nursing home stays were lower in countries with either national or statist social health insurance systems. Hospice use was low in all countries, but particularly in national and social health insurance systems. Lower income was associated with greater use of nursing homes in both the private and social health care systems. Low income was also associated with greater use of hospice in national health service, but lower use in social health service.

Social Health Insurance in Europe: Basic Concepts and New Principles

2019 ◽  
Vol 44 (4) ◽  
pp. 665-677
Author(s):  
Claus Wendt
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Insurance ◽  
Health Care Systems ◽  
Social Health Insurance ◽  
Social Health ◽  
Traditional Values ◽  
The Public ◽  
Recent Developments ◽  
Care Systems

Abstract This article discusses recent developments in and new principles of European social health insurance (SHI). It analyses how privatization policies and competition have altered social insurance and whether financial difficulties are caused by social insurance features not evident in other types of health care systems. There is little if any evidence that SHI causes higher cost increases than other types of systems. The comparison of five European SHI systems demonstrates that despite cost containment policies these countries do not experience a trust crisis in health care or loss in support among the public. The author shows that SHI has moved toward universal health care and that the traditional values of solidarity and social security have even been strengthened over the past decades.

Umverteilungseffekte in der Finanzierung von Gesundheitsleistungen / Redistribution Effects of Health Care Financing

2007 ◽  
Vol 227 (5-6) ◽  
Author(s):  
Florian Buchner ◽  
Rebecca Deppisch ◽  
Jürgen Wasem
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Social Health Insurance ◽  
Health Care Expenditures ◽  
Social Health ◽  
Financing System ◽  
Out Of Pocket Payments ◽  
Care Systems

SummaryHealth care systems are financed through a mixture of different components: taxes, contributions to social health insurance, premiums to private health insurance, out of pocket payments by patients. These components can be combined differently leading to specific effects of interpersonal redistribution. This can be compared between different countries. In such a comparison the redistributional impact of the German health care systems is rather regressive - which is basically caused by the opportunity for people with high income to leave social health insurance. In comparison to a health insurance system with risk rated premiums, financing of the German social health insurance leads to interpersonal redistribution from higher to lower income, from the young to the elderly, from healthy to sick and from singles to families with children. The pay-as-you-go character of the system leads especially in combination with an aging population and technological change to burden for future generations. In comparison to a system in which each region finances its own health care expenditures, there are also considerable interregional redistributions. The financing system in Germany is not conceptually consistent. Reform proposals (unified health insurance for all; flat rate premiums) tackle these inconsistencies.

scholarly journals Privatisation and profitisation in health care. A comparative study of Sweden and the Netherlands

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ines Verspohl
Keyword(s):  
Health Care ◽  
Health Service ◽  
The Netherlands ◽  
Health Care Systems ◽  
Social Health ◽  
Internal Markets ◽  
Detailed Explanation ◽  
Care Systems ◽  
Technical Innovations ◽  
The Welfare State

<p>During the last 20 years, privatization<br />became an issue in health care. The neoliberal<br />market idea promised to increase<br />efficiency and responsiveness, while at the<br />same time relieving public budgets. European<br />countries have introduced all kind of market<br />instruments, reaching from internal markets,<br />over DRGs, to increased co-payments.<br />However, the welfare state literature<br />currently lacks a detailed explanation of<br />these different reforms.<br />All health care systems in the European<br />Union are affected by the same problem<br />pattern: demographic change, raising<br />demand, medical-technical innovations and<br />labour intensive services. Nonetheless, the<br />degree and form of privatization varies a lot.<br />This paper studies the power of ideas within<br />the framework of structural reform pressure<br />and institutional path-dependency. The<br />causes for privatization reforms are studied<br />in two countries representing the two ideal<br />types: the Netherlands for Social Health<br />Insurance and Sweden for the National<br />Health Service.</p>

scholarly journals Social health insurance in the Philippines: do the poor really benefit?

2020 ◽  
Vol 45 (1) ◽  
pp. 171-187
Author(s):  
Salaheddine El Omari ◽  
Mahmoud Karasneh
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
Access To Health Care ◽  
Social Health Insurance ◽  
The Philippines ◽  
Social Health ◽  
Free Access ◽  
Care Services ◽  
Access To Health

AbstractDeveloping countries have spent a tremendous amount of time and money on social health insurance programs to give the low-income population free access to health care services. Standard economic theory predicts that people use care services more frequently and regularly when they are free. In this paper, we show that providing free access to health services might not be enough to enhance the utilization of health care by indigents.

Accountability for Rationing — Theory into Practice

2005 ◽  
Vol 33 (4) ◽  
pp. 660-668 ◽  
Author(s):  
Christopher Newdick
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Systems ◽  
The Public ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Care Systems ◽  
Health Need

Most now recognize the inevitability of rationing in modern health care systems. The elastic nature of the concept of “health need,” our natural human sympathy for those in distress, the increased range of conditions for which treatment is available, the “greying” of the population; all expand demand for care in ways that exceed the supply of resources to provide it. UK governments, however, have found this truth difficult to present and have not encouraged open and candid public debate about choices in health care. Indeed, successive governments have presented the opposite view, that “if you are ill or injured there will be a national health service there to help; and access to it will be based on need and need alone.” And they have been rightly criticized for misleading the public and then blaming clinical and managerial staffin the National Health Service (NHS) when expectations have been disappointed.

scholarly journals Ethnobotanical Study of Medicinal Plants Used for Human Health Care in Yem Culture, South Ethiopia

2021 ◽  
Author(s):  
Gideon Woldemariam ◽  
Sebsebe Demissew ◽  
Zemede Asfaw
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Indigenous Knowledge ◽  
Human Health ◽  
Traditional Knowledge ◽  
Low Income ◽  
Health Care Systems ◽  
Low Income Countries ◽  
Ethnobotanical Study ◽  
Care Systems

Abstract BackgroundIndigenous or traditional herbal medicine has been widely regarded as a resource for strengthening the health care systems among communities of low income countries including Ethiopia. The Yem people in Ethiopia have deep-rooted and ancient traditional knowledge of managing human ailments and health conditions using medicinal plants (mps). On the other hand, mps and the associated indigenous knowledge are under erosion due to human-induced and natural factors. Therefore, documenting the plant biodiversity along with the associated indigenous knowledge is of urgent task for conservation. MethodsThis study was conducted in April, 2013, October, 2016 and July, 2016 with the objective of documenting traditional mps in different land uses that are used for treating human ailments. Ethnobotanical data were collected from 69 informants that were selected by stratified random sampling and purposive sampling. Vegetation data were obtained from 30, 30x30 m quadrats. Ethnobotanical data were analysed using paired ranking, Informant consensus factor and Fidelity Level index. ResultsAbout 213 medicinal plant species that are used for treating 117 human ailments were recorded. ICF calculated depicted a highest ICF value of 0.82 for Gastrointestinal & Visceral organs ailments. Haplocarpha rueppellii, Carduus schimperi and Inula confortiflora each 100%, Maesa lanceolata 80% and Rumex abyssinicus 75%. Vegetation analysis showed three plant communities.ConclusionThe Yem people have rich traditional knowledge of utilising plants side by side with the mainstream biomedical system for maintaining human health care.

scholarly journals Impacts of the type of social health insurance on health service utilisation and expenditures: implications for a unified system in China

2018 ◽  
Vol 14 (4) ◽  
pp. 468-486 ◽  
Author(s):  
Si Ying Tan ◽  
Xun Wu ◽  
Wei Yang
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Social Health Insurance ◽  
Rapid Expansion ◽  
Social Health ◽  
Service Utilisation ◽  
Provider Payment ◽  
Out Of Pocket Payments ◽  
The Impact

AbstractWhile moving towards unified social health insurance (SHI) is often a politically popular policy reform in countries where rapid expansion in health insurance coverage has given rise to the segmentation of SHI systems as different SHI schemes were rolled out to serve different populations, the potential impacts of reform on service utilisation and health costs have not been systematically studied. Using data from the Chinese Health and Retirement Longitudinal Study (CHARLS), we compared the mean costs incurred for both inpatient and outpatient care under different health insurance schemes, and the impact of different SHI schemes on treatment utilisation and health care costs using a two-part model. Our results show that Urban Employee Medical Insurance, which offers the most generous benefits, incurs the highest total costs prior to reimbursement when compared to other SHI schemes. Our analysis also shows that utilisation of SHI did not show significant reduction in out-of-pocket payments for outpatients. We argue that, unless effective measures are introduced to deal with perverse provider payment incentives, the move towards a unified system with more generous benefits may usher in a new wave of cost escalation for health care systems in China.

Sign in / Sign up

Export Citation Format

Share Document