Willingness to pay for health insurance among the elderly population in Germany

2014 ◽  
Vol 17 (2) ◽  
pp. 149-158 ◽  
Author(s):  
Jens-Oliver Bock ◽  
Dirk Heider ◽  
Herbert Matschinger ◽  
Hermann Brenner ◽  
Kai-Uwe Saum ◽  
...  
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Elderly Population ◽  
The Elderly

New Directions in Health Insurance Design: Implications for Public Policy and Practice

2003 ◽  
Vol 31 (S4) ◽  
pp. 60-62
Author(s):  
Karen Pollitz ◽  
Donna Imhoff ◽  
Charles Scott ◽  
Sara Rosenbaum
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Elderly Population ◽  
United States Public Health ◽  
Healthcare Spending ◽  
The Elderly ◽  
The United States ◽  
Policy And Practice ◽  
Insurance System

This is a volatile time for health insurance policy. Medicare and Medicaid are in turmoil, as is the private health insurance market. Public and private health insurance costs constitute eighty percent of healthcare spending in the United States. Public health professionals depend on the insurance system to behave in ways that are responsive to public health in prevention and crisis management.Seventy-five percent of the American population, excluding the elderly, has coverage through the private health insurance system. Ninety percent of this group receives their insurance through employer-sponsored programs, and the remaining ten percent buy their own coverage. Approximately ten percent of the non-elderly population has insurance through a government program, and fifteen percent of the non-elderly population, almost forty-one million Americans, is uninsured.

scholarly journals Decoupling of Elderly Healthcare Demand and Expenditure in China

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1346
Author(s):  
Shangguang Yang ◽  
Danyang Wang ◽  
Wenhui Li ◽  
Chunlan Wang ◽  
Xi Yang ◽  
...  
Keyword(s):  
Health Insurance ◽  
Elderly Population ◽  
The Elderly ◽  
Health Condition ◽  
Medical Expenditure ◽  
Linear Regression Models ◽  
Healthy Longevity ◽  
The Government ◽  
Elderly Healthcare ◽  
Significant Factors

This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.

scholarly journals ANALISIS KURVA ROC PADA MODEL LOGIT DALAM PEMODELAN DETERMINAN LANSIA BEKERJA DI KAWASAN TIMUR INDONESIA

2020 ◽  
Vol 4 (1) ◽  
pp. 116-135
Author(s):  
Muhammad Rizqi Fachrian Nur ◽  
Siskarossa Ika Oktora
Keyword(s):  
Logistic Regression ◽  
Health Insurance ◽  
Elderly Population ◽  
Descriptive Analysis ◽  
Binary Logistic Regression ◽  
The Elderly ◽  
Family Status ◽  
Explanatory Variables ◽  
The Status ◽  
Elementary School Education

Binary logistic regression is used for probability modeling or to predict binary response variables (Success / Failure) from one or more explanatory variables that are continuous or categorical. In carrying out this analysis, there are several ways to test the suitability of the resulting model, and one of them is the area under the ROC curve. The application of the analysis method in this study is the determinant of the elderly population to work. The population of the elderly in Indonesia is increasing every year. Many views that the elderly depend on other residents, especially in terms of the economy. However, if seen from the percentage of elderly working in Indonesia, it is increasing, including the elderly in KTI. The purpose of this study is to determine the characteristics of the elderly in KTI, know the factors that influence the decision of the elderly population to work in KTI and find out the tendency of variables that affect the decision of the elderly to work in KTI. The data used are raw data from Badan Pusat Statistik (BPS) was Survei Sosial Ekonomi Nasional (Susenas) Kor March 2018. This study using descriptive analysis methods and binary logistic regression. The results are that the variables that significantly influence the decisions of the elderly to work are residence, gender, age, education, family status, marital status, health complaints, and health insurance. Elderly who has characteristics residing in rural, male sex, classified as young elderly (60-69 years old), has the highest level of elementary school education, has the status of KRT in his family, is married, has no complaints health, and not having health insurance will have a greater tendency to decide to work.  

scholarly journals Willingness to Pay for Seasonal Influenza Vaccination among Children, Chronic Disease Patients, and the Elderly in China: A National Cross-Sectional Survey

Vaccines ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 405
Author(s):  
Xiaozhen Lai ◽  
Hongguo Rong ◽  
Xiaochen Ma ◽  
Zhiyuan Hou ◽  
Shunping Li ◽  
...  
Keyword(s):  
Health Insurance ◽  
Chronic Disease ◽  
Willingness To Pay ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
The Elderly ◽  
Vaccine Uptake ◽  
Tobit Regression ◽  
Chronic Disease Patients ◽  
The Cost

Background: The disease burden of seasonal influenza is substantial in China, while the vaccination rate is extremely low, and most people have to pay 100% for vaccination. This study aims to examine willingness to pay (WTP) and recommended financing sources for influenza vaccination among children, chronic disease patients, and the elderly in China and determine feasible measures to expand vaccination coverage. Methods: From August to October 2019, 6668 children’s caregivers, 1735 chronic disease patients, and 3849 elderly people were recruited from 10 provinces in China. An on-site survey was conducted via a especially designed PAD system. Tobit regression was adopted to predict the influencing factors of WTP. Results: The average WTP was 127.5 yuan (USD18.0) for children, 96.5 yuan (USD13.7) for chronic disease patients, and 88.1 yuan (USD12.5) for the elderly. Most participants in the three groups thought government subsidies (94.8%, 95.8%, and 95.5%) or health insurance (94.3%, 95.3%, and 94.5%) should cover part of the cost, and nearly four-fifths (80.1%, 79.5%, and 76.8%) believed that individuals should also pay for part. Tobit regression showed that a higher perceived importance of vaccination, knowing about priority groups, and considering that individuals should co-pay were promoters of WTP, while considering price as a hindrance lowered WTP. Conclusions: The WTP for influenza vaccination among children, chronic disease patients, and the elderly in China is fairly high, suggesting that price is not the primary hindrance and there is room to expand immunization. Most participants expected the government and/or health insurance to pay part of the cost, and such supportive funding could act as a promotive policy “signal” to improve vaccine uptake. Influenza-related health education is also needed to expand vaccine coverage.

Differences in prescribing psychotropic drugs for elderly with depression

2016 ◽  
Vol 28 (5) ◽  
pp. 296-303 ◽  
Author(s):  
Yu-Chi Huang ◽  
Liang-Jen Wang ◽  
Mian-Yoon Chong
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Psychotropic Drugs ◽  
Random Sampling ◽  
Elderly Population ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Tricyclic Antidepressants ◽  
The Elderly ◽  
Ageing Population ◽  
Prescribing Pattern

ObjectiveThe escalating tendency of elderly population aged 65 and over, which grown up to 9% since 2001 in Taiwan, remarks the important issue of mental health among ageing population. Depression in the elderly is frequently undetected or inadequately treated. This study aimed to investigate the pharmacotherapy of elderly patients with depression by comparing the patterns of prescribing psychotropic drugs (psychotropics) of psychiatrists and non-psychiatrists.MethodsA random sampling of 5% of inpatients from the National Health Insurance (NHI) database in Taiwan from 2001 to 2003 was selected. In all, 1058 (0.9%) inpatients aged 65 and older with a diagnosis of any depressive disorder were included. The psychotropic prescribing pattern and the dosages used were analysed and compared. Physician specialties were based on the record of NHI database. Non-psychiatrists were defined by physicians other than psychiatry.ResultsA total of 88% of elderly depressed inpatients had two or more comorbid physical illnesses. The most commonly prescribed psychotropics were: antidepressants (71.4%), anxiolytics (62.6%) and hypnotics (51.4%). Psychiatrists had a higher rate of prescribing psychotropics, except anxiolytics, than non-psychiatrists. Although selective serotonin reuptake inhibitors were commonly prescribed, non-psychiatrists preferred the use of tricyclic antidepressants and moclobemide. Trazodone was the most preferred antidepressant, but was generally used in low dosages.ConclusionPsychiatrists generally utilised higher dosages of newer antidepressants than non-psychiatrists. Differences in the prescribing pattern of psychotropics existed between physician specialties. Further investigations are warranted to determine how the selection and dosing of drugs influence the outcome of depression on the elderly.

Validity and Reliability of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 145-151
Author(s):  
Mahshid Foroughan ◽  
Zahra Jafari ◽  
Ida Ghaemmagham Farahani ◽  
Vahid Rashedi
Keyword(s):  
Psychometric Properties ◽  
Elderly Population ◽  
Formal Education ◽  
The Elderly ◽  
Cognitive State ◽  
Validity And Reliability ◽  
Internal Reliability ◽  
Dsm Iv ◽  
Test Retest Reliability ◽  
Farsi Version

Abstract. This study examines the psychometric properties of the IQCODE and its applicability in the Iranian elderly population. A group of 95 elderly patients with at least 4 years of formal education who fulfilled the criteria of DSM-IV-TR for dementia were examined by the MMSE and the AMTs. The Farsi version of the IQCODE was subsequently administered to their primary caregivers. Results showed a significant correlation ( p = .01) between the score of the questionnaire and the results of the MMSE ( r = −0.647) and AMTs ( r = −0.641). A high internal reliability of the questionnaire was confirmed by Cronbach’s alpha coefficient (α = 0.927) and test-retest reliability by correlation coefficient ( r = 0.81). This study found that the IQCODE has acceptable psychometric properties and can be used for evaluating the cognitive state in the elderly population of Iran.

Spontaneous Intracerebral Hemorrhage in the Elderly Population

2018 ◽  
Author(s):  
S. Sommaruga ◽  
R. Beekman ◽  
S. Chu ◽  
Z. King ◽  
C. Matouk ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Elderly Population ◽  
The Elderly ◽  
Spontaneous Intracerebral Hemorrhage

Percutaneous Sacroplasty for Sacral Insufficiency Fractures: Case Series and Review of Presentation, Diagnosis, and Treatment

2019 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Andrew C. Clark ◽  
Devang Butani
Keyword(s):  
Low Back Pain ◽  
Elderly Population ◽  
Case Series ◽  
The Elderly ◽  
Treatment Method ◽  
Open Reduction Internal Fixation ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Invasive Treatment ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fractures (SIFs) are a cause of debilitating low back pain that is often difficult to diagnosis and manage. The diagnosis of SIF is often delayed due to inaccurately attributing symptoms to spondylosis, which is a commonly present in the elderly population where SIFs are most prevalent. Historically, treatment consisted of medical management and open reduction internal fixation reserved for severe cases. However, percutaneous sacroplasty has emerged as a minimally invasive treatment option which provides early pain relief without significant complications. The objective of this article is to raise awareness of SIFs and percutaneous sacroplasty as an effective and safe treatment method.

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