Patient cost-sharing and insurance arrangements are associated with hospital readmissions after abdominal surgery: Implications for access and quality health care

Surgery ◽  
2016 ◽  
Vol 159 (3) ◽  
pp. 919-929 ◽  
Author(s):  
Bora Youn ◽  
Marina Soley-Bori ◽  
Rene Soria-Saucedo ◽  
Colleen M. Ryan ◽  
Jeffrey C. Schneider ◽  
...  
2019 ◽  
pp. 301-314
Author(s):  
Peter Long ◽  
Brittany Imwalle

This chapter presents a case study from the Blue Shield of California Foundation (BSCF) which in 2016 achieved considerable success in its work to expand access to high-quality health care and to end domestic violence in California. The case of BSCF demonstrates how to integrate disparate health care services, such as primary care and specialty care, and behavioral health and primary care, to improve access and quality while potentially lowering costs. BSCF created networks of established leaders within the health care and domestic violence safety nets in California and influenced safety net systems in California to think and act differently. However, despite these notable successes, BSCF struggled to sustain, scale, and spread these innovations to other organizations and systems or to embed them into policy changes. The chapter analyses why.


2019 ◽  
Vol 20 (8) ◽  
pp. 1271-1280 ◽  
Author(s):  
Naimi Johansson ◽  
Niklas Jakobsson ◽  
Mikael Svensson

AbstractWe estimate the price sensitivity in health care among adolescents and young adults, and assess how it varies across income groups and gender, using a regression discontinuity design. We use the age differential cost-sharing in Swedish primary care as our identification strategy. At the 20th birthday, the copayment increases from €0 to approx. €10 per primary care physician visit and close to this threshold the copayment faced by each person is distributed almost as good as if randomized. The analysis is performed using high-quality health care and economic register data of 73,000 individuals aged 18–22. Our results show that the copayment decreases the average number of visits by 7%. Among women visits are reduced by 9%, for low-income individuals by 11%, and for low-income women by 14%. In conclusion, modest copayments have significant utilization effects, and even in a policy context with relatively low income inequalities, the effect is substantially larger in low-income groups and among women.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S105-S109
Author(s):  
Bianca Princeton ◽  
Preetha Santhakumar ◽  
Lavanya Prathap

Abstract Objectives Coronavirus disease is an infectious disease caused by a newly discovered coronavirus. This virus primarily spreads through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. This virus was named after its shape, which takes the form of a crown with protrusions around it. The World Health Organization has recommended personal protective equipments (PPE) to doctors and health care workers attending COVID-19 patients. PPE generally includes masks, goggles, respirators, gloves, face shields, and isolation gowns. The principle aim of this study is to create awareness among dental students about the preventive measures taken by health care professionals while attending patients affected with COVID-19. Materials & Methods A questionnaire comprising 15 questions was created using an online Google forms website and was circulated among 100 dental students. The survey was conducted within a week in the months of April to May 2020. The results and observations were recorded in the form of pie charts. Results Ninety-three percent of the participants have stated that health care professionals must clean their hands often, cover their nose and mouth, and maintain safe distance from everyone in order to prevent the virus from affecting them. Sixty-three percent of the participants are familiar with the term PPE. Majority assume that health care professionals are given enough safety precautions while treating a patient with coronavirus. Conclusion Hence, to conclude, health care professionals play a vital role in improving access and quality health care for the population, and hence, they must be protected as well. Since dental students treat patients, they are vulnerable to infection as well, and must take proper safety measures.


2012 ◽  
Author(s):  
Marquia Blackmon ◽  
Sherry C. Eaton ◽  
Linda M. Burton ◽  
Whitney Welsh ◽  
Dwayne Brandon ◽  
...  

Author(s):  
Joia S. Mukherjee

This chapter explores the seminal topic of Universal Health Coverage (UHC), an objective within the Sustainable Development goals. It reviews the theory and definitions that shape the current conversation on UHC. The movement from selective primary health care to UHC demonstrates a global commitment to the progressive realization of the right to health. However, access to UHC is limited by barriers to care, inadequate provision of care, and poor-quality services. To deliver UHC, it is critical to align inputs in the health system with the burden of disease. Quality of care must also be improved. Steady, sufficient financing is needed to achieve the laudable goal of UHC.This chapter highlights some important steps taken by countries to expand access to quality health care. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.


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