Patient Acceptance of Health Cards and Health Insurance Information Systems

2019 ◽  
pp. 233-246
Author(s):  
Markus Siepermann ◽  
Arbnesh Stadelhoff ◽  
Richard Lackes
Keyword(s):  
Health Insurance ◽  
Information Systems ◽  
Patient Acceptance

scholarly journals IT-Standards and Standardization Approaches in Healthcare

2008 ◽  
pp. 813-820 ◽  
Author(s):  
Ali Sunyaev ◽  
Jan Marco Leimeister ◽  
Andreas Schweiger ◽  
Helmut Krcmar
Keyword(s):  
Health Insurance ◽  
Information Systems ◽  
Healthcare System ◽  
Integrated Treatment ◽  
Insurance Companies ◽  
The Internet ◽  
Healthcare Information ◽  
Systems Research ◽  
Information Systems Research ◽  
Health Insurance Companies

E-health basically comprises health services and information delivered or enhanced through the Internet and related technologies (Eysenbach, 2001). The future healthcare system and its services, enabling e-health, are based on the communication between all information systems of all participants of an integrated treatment. Connecting the elements of each healthcare system (general practitioners, hospitals, health insurance companies, pharmacies, and so on)—even across national boarders—is an important issue for information systems research in healthcare. Current developments, such as upcoming or already-deployed electronic healthcare chip cards (that are to be used across Europe), show the need for Europe-wide standards and norms (Schweiger, Sunyaev, Leimeister, & Krcmar, 2007). In this article, we first outline the advantages of the standards, and then describe their main characteristics. After the introduction of communication standards, we present their comparison with the aim to support the different functions in the healthcare information systems. Subsequently, we describe the documentation standards, and discuss the goals of existing standardization approaches. Implications conclude the article.

Analysis of introducing e-services: a case study of Health Insurance Fund of Macedonia

2016 ◽  
Vol 30 (3) ◽  
pp. 354-371 ◽  
Author(s):  
Goce Gavrilov ◽  
Elena Vlahu- Gjorgievska ◽  
Vladimir Trajkovik
Keyword(s):  
Health Insurance ◽  
Information Systems ◽  
Data Exchange ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Content Type ◽  
It Systems ◽  
The Impact

Purpose – Information systems play a significant role in the improving of health and healthcare, as well as in the planning and financing of health services. Fund’s Information System is an essential component of the information infrastructure that allows assessment of the impact of changes in health insurance and healthcare for the population. The purpose of this paper is to give a brief overview of the affection of e-services and electronic data exchange (between Fund’s information systems and other IT systems) at the quality of service for insured people and savings funds. Design/methodology/approach – The authors opted for an exploratory study using the e-services implemented in Health Insurance Fund (HIF) of Macedonia and data which were complemented by documentary analysis, including brand documents and descriptions of internal processes. In this paper is presented an analysis of the financial aspects of some e-services in HIF of Macedonia by using computer-based information systems and calculating the financial implications on insured people, companies and healthcare providers. Findings – The analysis conducted in this paper shows that the HIF’s e-services would have a positive impact for the insured people, healthcare providers and companies when fulfilling their administrative obligations and exercising their rights. Originality/value – The analysis presented in this paper can serve as a valuable input for the healthcare authorities in making decisions related to introducing e-services in healthcare. These enhanced e-services will improve the quality service of the HIF.

scholarly journals Emergency Department Patient Acceptance of Opt-in, Universal, Rapid HIV Screening

2008 ◽  
Vol 123 (3_suppl) ◽  
pp. 27-40 ◽  
Author(s):  
Roland C. Merchant ◽  
George R. Seage ◽  
Kenneth H. Mayer ◽  
Melissa A. Clark ◽  
Victor G. DeGruttola ◽  
...  
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Health Insurance ◽  
Regression Model ◽  
Hiv Testing ◽  
Regression Models ◽  
Private Health Insurance ◽  
Demographic Characteristics ◽  
Patient Acceptance ◽  
Hiv Screening

Objectives. We assessed emergency department (ED) patient acceptance of opt-in, rapid human immunodeficiency virus (HIV) screening and identified demographic characteristics and HIV testing-history factors associated with acceptance of screening. Methods. A random sample of 18- to 55-year-old ED patients was offered rapid HIV screening. Patient acceptance or decline of screening and the reasons for acceptance or decline were analyzed with multivariable regression models. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated for the logistic regression models. Results. Of the 2,099 participants, 39.3% accepted HIV screening. In a multinomial regression model, participants who were never married/not partnered, did not have private health insurance, and had 12 or fewer years of education were more likely to be screened due to concern about a possible HIV exposure. In a multivariable logistic regression model, the odds of accepting screening were greater among those who were younger than 40 years old (OR=1.61, 95% CI 1.32, 2.00), nonwhite (OR=1.28, 95% CI 1.04, 1.58), not married (OR=1.82, 95% CI 1.44, 2.28), lacking private health insurance (OR=1.40, 95% CI 1.13, 1.74), and who had 12 or fewer years of education (OR=1.43, 95% CI 1.16, 1.75). Despite use of a standardized protocol, patient acceptance of screening varied by which research assistant asked them to be screened. Patients not previously tested for HIV who were white, married, and 45 years or older and who had private health insurance were more likely to decline HIV screening. Conclusions. In an opt-in, universal, ED HIV screening program, patient acceptance of screening varied by demography, which indicates that the impact of such screening programs will not be universal. Future research will need to determine methods of increasing uptake of ED HIV screening that transcend patient demographic characteristics, HIV testing history, and motivation for testing.

Internists Call for Health Insurance Mandate

2008 ◽  
Vol 39 (2) ◽  
pp. 78
Author(s):  
JOHN R. BELL
Keyword(s):  
Health Insurance ◽  
Insurance Mandate
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