Public and private sectors under national health insuracne

1975 ◽  
Vol 135 (7) ◽  
pp. 910-915
Author(s):  
W. J. McNerney
Keyword(s):  
National Health ◽  
Public And Private

Moving Beyond Capitalism for Our Health

2020 ◽  
Vol 50 (4) ◽  
pp. 458-462
Author(s):  
Howard Waitzkin
Keyword(s):  
Health Care ◽  
National Health ◽  
Medical Profession ◽  
Universal Access ◽  
Private Insurance ◽  
The United States ◽  
Health Programs ◽  
National Health Programs ◽  
Public And Private ◽  
Private Profit

Deepening crises now affect not only the capitalist health system in the United States, but also the national health programs of countries that have achieved universal access to services. In our recent collaborative book, Health Care Under the Knife: Moving Beyond Capitalism for Our Health, we analyze these changing structural conditions and argue that the struggle toward viable national health programs now must become part of a struggle to move beyond capitalism. Privatization, cutbacks in public-sector services and institutions, and public subsidization of private profit-making through transfer of tax revenues into private insurance corporations have worsened under neoliberal policies. Financialization of capitalist economies includes the increasingly oligopolistic and financialized character of health insurance, both public and private. Those struggling for just and accessible health systems now need to confront the shifting social class position of health professionals. Due to loss of control over the work process and a reduced ability to generate high incomes compared to other professional workers, the medical profession has become proletarianized. To achieve national health programs that will remain viable over a long term, a much more fundamental transformation needs to reshape not just health care, but also the capitalist state and capitalist society.

Healthcare Providers in the English National Health Service

2013 ◽  
pp. 106-123
Author(s):  
Pauline Allen ◽  
Will Bartlett ◽  
Virginie Pérotin ◽  
Greenwell Matchaya ◽  
Simon Turner ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Social Control ◽  
National Health ◽  
Healthcare Providers ◽  
Three Dimensions ◽  
Public And Private ◽  
Private Providers ◽  
English National Health ◽  
English National Health Service

In recent years it has been noted that boundaries between public and private providers of many types of welfare have become blurred. This paper uses three dimensions of publicness to analyse this blurring of boundaries in relation to providers of healthcare in England. The authors find that, although most care is still funded and provided by the state, there are significant additional factors in respect of ownership and social control which indicate that many English healthcare providers are better understood as hybrids. Furthermore, the authors raise concerns about the possible deleterious effects of diminishing aspects of publicness on English healthcare. The most important of these is a decrease in accountability.

PRIME MINISTER'S NATIONAL HEALTH PROGRAMME (PMNHP): A COST COMPARISON ANALYSIS

2018 ◽  
Vol 8 (1) ◽  
pp. 37-42
Author(s):  
Shaikh Hussain ◽  
Rubina Hussain ◽  
Assad Hafeez ◽  
Adnan Khan
Keyword(s):  
Health Insurance ◽  
National Health ◽  
Healthcare Providers ◽  
Caesarian Section ◽  
Insurance Companies ◽  
Public And Private ◽  
Normal Delivery ◽  
Private Healthcare ◽  
Significant Difference ◽  
Health Programme

Background: Prime Minister's National Health Programme (PMNHP) is a publically funded cashless scheme at point of service, which was initiated in December 2015 to provide access to universal healthcare to people living below poverty line for indoor secondary and tertiary healthcare services for priority diseases in Pakistan. Objective: Our study aimed to compare prices of PMNHP districts packages, compare PMNHP with average payments made to healthcare providers by various health insurance companies, and compare prices among PMNHP itself, public sector not supported by the programme, and private healthcare not supported by the programme in Islamabad Methods: We conducted this comparative descriptive cross sectional study. For first two objectives, we collected secondary data, and for the third objective, we did convenient sampling of the treated patient (n-158) from PMNHP, public and private hospitals for selected diseases. Results: PMNHP district comparisons showed no significant difference among districts except Normal Delivery (NVD) at Rahim Yar Khan had lowest cost (mean=10111.11). For Diabetes Mellitus, Muzaffarabad had lowest (mean=1733.33), and Quetta had highest (mean=5300). Average price paid to healthcare providers by various insurance companies are on higher side as compared to PMMHP. Price differences were significant among PMNHP, Public Out of Pocket Spending (OOPS) and Private For NVD, [F(2, 27)=3364, p=0.000] with PMNHP (mean=15.000, SD=0.000) Public (OOPS) (mean=2.127, SD=0.221) and Private (mean=14.702, SD=0.658) For caesarian section [F(2,27)=2850, p=0.000], and Cholecystectomy, [F(2, 28)=221, p=0.000]. While in comparison with Private, PMNHP were cost beneficial for caesarian section (mean=32.016, SD=1.31) and Cholecystectomy (m=43.133, SD=6.648). Conclusion: PMNHP district wise packages are almost same among and for all the districts. Program is fairly and competitively priced against public and private healthcare providers, and private health insurance healthcare provider payments. PMNHP design features may be used to extend program in other districts.  

TRENDS IN HEALTH LEGISLATION AND ADMINISTRATION

PEDIATRICS ◽  
1948 ◽  
Vol 1 (4) ◽  
pp. 565-567
Keyword(s):  
National Health ◽  
Medical Schools ◽  
Community Action ◽  
Local Health ◽  
Federal Aid ◽  
Public And Private ◽  
The Difference ◽  
State And Local ◽  
To Come ◽  
Health Legislation

THE pace has been a fast one during February in federal planning for the nation's health. So much has happened that only a few of the significant developments can be reviewed briefly: National Health Assembly In January, President Truman addressed a letter to Mr. Oscar Ewing, Federal Security Administrator, calling for a ten-year health plan. Following closely upon the receipt of this letter Mr. Ewing announced at a press conference on February 13th, that a "National Health Assembly" will be held in Washington, May 1st to 4th, "to see what we have; to know accurately the health facilities and personnel of the nation and of each community; to determine what we need—the difference between the two showing us our health deficits; to devise feasible methods of meeting these deficits." The immediate benefits to come out of the Assembly were described as "a guide to community action for local health improvements; a detailed practical pattern of cooperation among all organizations operating in the health field—public and private, national, state and local; and a more detailed and specific knowledge of our present health picture and of the job that has to be done to improve it." (Note: It seems timely to point out that the Academy, first through its Study, and now through its Committee for Improvement of Child Health, is already out in front with respect to very similar objectives.) Federal Aid to Medical Schools On February 17th, Mr. Ewing first made public the intention of the FSA to develop a federal aid program for medical education. Nine days earlier the Executive Board of the Academy unanimously voiced its own approval of an Academy proposal for federal aid for pediatric education with unrestricted grants made directly to medical schools to be used as directed by the head of the department of pediatrics for the purpose of giving more adequate training to physicians in the medical care and health supervision of children.

scholarly journals La gestión sanitaria en España: necesidad de un nuevo modelo de financiación y provisión de las prestaciones sanitarias

2019 ◽  
pp. 391
Author(s):  
José Jerez Iglesias
Keyword(s):  
Health Care ◽  
Health System ◽  
National Health ◽  
Health Management ◽  
Health Benefits ◽  
National Health System ◽  
Right To Health ◽  
Public And Private ◽  
Right To Health Care ◽  
The Right

La cuestión de la gestión sanitaria en España planteainterrogantes sobre cómo abordar las causas que inciden en sussíntomas de falta de sostenibilidad y como resolver sus ineficienciasmás significativas, es decir, cómo encontrar modelos más eficientesde gestión de las prestaciones sanitarias para hacer sostenible el derechoa la prestación sanitaria de los ciudadanos.Se propone una reforma del Sistema Nacional de Salud (SNS)con un modelo alternativo de financiación y provisión de las prestacionessanitarias, basado en los principios de competencia, eficacia,eficiencia y libre elección de los asegurados entre centros concertadospúblicos y privados.The issue of health management in Spain raises questionsabout how to address the causes that affect its symptoms oflack of sustainability and how to solve its most significant inefficiencies,that is, how to find more efficient models of health benefitsmanagement to make sustainable the right to health care for citizens.A reform of the National Health System is proposed with an alternativemodel of financing and provision of health benefits, basedon the principles of competence, effectiveness, efficiency and freechoice of insured persons between public and private contractedcenters.

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