Rural‐urban disparity in risk exposure to involuntary social health insurance transition in China: An investigation of chronic disease patients' mental health problems

2019 ◽  
Vol 34 (4) ◽  
Author(s):  
Jiannan Li ◽  
Bocong Yuan
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Chronic Disease ◽  
Mental Health Problems ◽  
Social Health Insurance ◽  
Health Problems ◽  
Social Health ◽  
Risk Exposure ◽  
Chronic Disease Patients

scholarly journals Catastrophic Health Expenditures and Mental Health in Older Chinese People: The Role of Social Health Insurance

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 121-121
Author(s):  
Wei Yang ◽  
Bo Hu
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Fixed Effects ◽  
Mental Health Problems ◽  
Social Health Insurance ◽  
Health Financing ◽  
Catastrophic Health Expenditure ◽  
Social Health ◽  
Protective Effects ◽  
Healthcare Needs

Abstract Catastrophic health expenditure (CHE) has considerable effects on household living standards, but little is known regarding the impacts of CHE on people’s mental health. Using China as an example, this study examines the association between CHE and mental health and investigates whether and to what extent social health insurance (SHI) can lessen the impacts of CHE on mental health among older people aged over 60 in China. The data come from three waves of the China Health and Retirement Longitudinal Study (CHARLS 2011, 2013, and 2015, N = 13,166). We built fixed-effects quantile regression models to analyse the data. We found that incurring CHE has significantly detrimental effects on older people’s mental health, whereas the SHI demonstrates a protective effect. The observed protective effects of SHI are the strongest among those with relatively mild mental health problems, i.e., people whose CES-D scores are below the 50th percentile. Our findings provide empirical evidence that encourages the integration of psychologically informed approaches in health services. We also urge governments in low- and middle-income countries to consider more generous health financing mechanisms for those with higher healthcare needs.

scholarly journals Does the self-employment status affect the rural migrants’ health in China: the transmission channel of social health insurance?

2020 ◽  
Author(s):  
Zicheng Wang ◽  
Qiushi Wu ◽  
Juan Ming
Keyword(s):  
Health Insurance ◽  
Chronic Disease ◽  
Health Status ◽  
Causal Effect ◽  
Social Health Insurance ◽  
The Self ◽  
Social Health ◽  
Transmission Channel ◽  
Rural Migrants ◽  
Self Employment

Abstract Background There are growing attentions paid on rural migrants’ health. Previous studies found that rural migrants are more exposed to disease risks. The present study aims to explore the causal effect of self-employment behavior on the rural migrants’ health status, two issues are addressed to discuss: Does self-employment status affect the health of rural migrants? What is the potential mechanism linking the self-employment behavior and health status? Methods The dataset from the 2017 National Migrants Population Dynamic Monitoring Survey (NMPDMS-2017) is applied to explore the causal effect; the Logit regression is performed to make baseline estimation, while the IV-LPM estimation is applied to correct the endogeneity of self-employment. Additionally, the Logit regression is conducted to explore the transmission channel. Results The self-employed are more susceptible to sub-health status (OR= 1.042; 95% CI= 1.001, 1.084) and chronic disease (OR= 1.394; 95% CI= 1.317, 1.476), even when correcting the endogeneity, the causal effect estimation also demonstrates that the self-employed are more vulnerable to suffer sub-health status (Coefficient= 0.067; 95% CI= 0.050, 0.084) and chronic disease (Coefficient= 0.020; 95% CI= 0.008, 0.032). The self-employed are less likely to participate in social health insurance (OR= 0.057; 95% CI= 0.053, 0.061). Conclusion The self-employed are more likely to suffer sub-health status and chronic disease, the self-employment behavior take harmful effect on the rural migrants’ health. Social health insurance may serve as transmission channel linking self-employment and rural migrants’ health, that is, the self-employed are less prone to participate in the urban health insurance program, which induce to an insufficient health service to maintain health.

scholarly journals Effect of self-employment on the sub-health status and chronic disease of rural migrants in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jian Zhou ◽  
Qiushi Wu ◽  
Zicheng Wang
Keyword(s):  
Health Insurance ◽  
Chronic Disease ◽  
Health Status ◽  
Causal Effect ◽  
Social Health Insurance ◽  
Social Health ◽  
Transmission Channel ◽  
Rural Migrants ◽  
Logit Regression ◽  
Self Employment

Abstract Background Rural migrants usually suffer from major disease risks, but little attention had been paid toward the relationship between self-employment behavior and health status of rural migrants in China. Present study aims to explore the causal effect of self-employment behavior on rural migrants’ sub-health status and chronic disease. Two research questions are addressed: does self-employment status affect the sub-health status and chronic disease of rural migrants? What is potential mechanism that links self-employment behavior and health status among rural migrants in China? Methods The dataset from the 2017 National Migrants Population Dynamic Monitoring Survey (NMPDMS-2017) was used to explore the causal effect. Logit regression was performed for the baseline estimation, and linear probability model with instrument variable estimation (IV-LPM) was applied to correct the endogeneity of self-employment. Additionally, logit regression was conducted to explore the transmission channel. Results Self-employed migrants were more susceptible to sub-health status and chronic disease, even when correcting for endogeneity. Moreover, self-employed migrants were less likely to enroll in social health insurance than their wage-employed counterparts in urban destinations. Conclusion Self-employed migrants were more likely to suffer from sub-health status and chronic disease; thus, their self-employment behavior exerted a harmful effect on rural migrants’ health. Social health insurance may serve as a transmission channel linking self-employment and rural migrants’ health status. That is, self-employed migrants were less prone to participate in an urban health insurance program, a situation which leaded to insufficient health service to maintain health.

Effect of a 24/7 nursing presence in a police watch house on police presentations to the emergency department

2020 ◽  
Vol 44 (6) ◽  
pp. 924
Author(s):  
Julia Crilly ◽  
Cathy Lincoln ◽  
Paul Scuffham ◽  
Josh Byrnes ◽  
Jo Timms ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Chronic Disease ◽  
Emergency Care ◽  
Substance Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Needs ◽  
Police Custody ◽  
Nursing Presence

ObjectivePeople detained in police custody are a vulnerable population with complex health needs, sometimes requiring emergency care. This study evaluated the effect of a 24/7 nursing presence in a police watch house on police presentations to the emergency department (ED). MethodsThis was a retrospective observational study conducted in a regional ED in Queensland. Equal time periods of 66 days before (T1), during (T2) and after (T3) the pilot service was trialled in 2013 were compared to determine changes in patient and service delivery outcomes. The time to see a doctor in the ED, ED length of stay, hospital admission rate, number of transfers from the watch house to the ED and associated costs were measured. The nature of health care delivered by nurses to detainees in the watch house during the pilot was also examined. ResultsFewer detainees were transferred from the police watch house to the ED during the pilot period (T1, n=40; T2, n=29; T3, n=34). Cost reductions associated with reduced police and ambulance attendance, as well as hospitalisations, outweighed the watch house nursing costs, with cost savings estimated at AUD7800 per week (60% benefiting police; 40% benefiting the health service). The most common health problems addressed during the 1313 healthcare delivery episodes provided to 351 detainees in the watch house during the pilot related to substance misuse, chronic disease and mental health problems. ConclusionFewer transfers from the police watch house to the ED were noted when there was a 24/7 nursing presence in the watch house. This model appears to be economically efficient, but further research is required. What is known about the topic?People detained in police custody are a vulnerable population with complex health needs, sometimes requiring emergency care. What does this paper add?Transfers from the police watch house to the ED were fewer when there was a 24/7 nursing presence in the police watch house (an economically efficient model). Nursing care provided to detainees in the watch house setting predominantly related to substance misuse, chronic disease and mental health problems. What are the implications for practitioners?With a 24/7 nursing presence in the police watch house, transfer to the ED was avoided for some detainees. Similar strategies that respond to coronial recommendations advocating for enhancements in police–health collaboration warrant evaluation.

Evaluating Student Extended Health Insurance Programs in Postsecondary Institutions: Limited Support for Students with Mental Health Problems

2012 ◽  
Author(s):  
Meagan De Jong ◽  
John Walker ◽  
Tara Syed ◽  
Monica Nunes ◽  
Jack Ferrari ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Mental Health Problems ◽  
Health Problems ◽  
Postsecondary Institutions ◽  
Limited Support

A national survey of student extended health insurance programs in postsecondary institutions in Canada: Limited support for students with mental health problems.

2014 ◽  
Vol 55 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Monica Nunes ◽  
◽  
John R. Walker ◽  
Tarannum Syed ◽  
Meagan De Jong ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
National Survey ◽  
Mental Health Problems ◽  
Health Problems ◽  
Postsecondary Institutions ◽  
Limited Support ◽  
Canada Limited

scholarly journals Increased Risk of Musculoskeletal Disorders and Mental Health Problems in Retired Professional Jockeys: A Cross-Sectional Study

2019 ◽  
Vol 40 (11) ◽  
pp. 732-738 ◽  
Author(s):  
Anna-Louise Mackinnon ◽  
Kate Jackson ◽  
Kerry Kuznik ◽  
Alison Turner ◽  
Jerry Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
General Population ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Reference Population ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional

AbstractTo examine the prevalence of chronic disease and mental health problems in retired professional, male jockeys compared to an age-matched reference population. A cross-sectional study comparing data from a cohort of retired professional jockeys with an age-matched general population sample. Male participants (age range: 50–89 years old) were used to compare health outcomes of self-reported physician-diagnosed conditions: heart disease, stroke, diabetes, hypertension, osteoporosis, osteoarthritis, depression and anxiety between study populations. Conditional logistic regression models were used to estimate associations between study groups and health outcome. In total, 810 participants (135 retired professional male jockeys and 675 participants from the reference population) were included, with an average age of 64.7±9.9 years old. Increased odds of having osteoporosis (OR=6.5, 95%CI 2.1–20.5), osteoarthritis (OR=7.5, 95%CI 4.6–12.2), anxiety (OR=2.8, 95%CI 1.3–5.9) and depression (OR=2.6, 95%CI 1.3–5.7) were seen in the retired professional jockeys. No differences were found for the remaining health outcomes. Retired professional jockeys had increased odds of musculoskeletal disease and mental health problems compared to the general population. Understanding the prevalence of chronic disease and mental health problems in retired professional jockeys will help inform screening and intervention strategies for jockeys.

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