scholarly journals Constraints on Universal Health Care in the Russian Federation: Inequality, Informality and the Failures of Mandatory Health Insurance Reforms

2017 ◽  
pp. 269-296 ◽  
Author(s):  
Linda J. Cook
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Russian Federation ◽  
Universal Health Care ◽  
Mandatory Health Insurance ◽  
The Russian Federation ◽  
Universal Health

scholarly journals CURRENT ISSUES CONCERNING EVACUATION OF SICK AND INJURED PEOPLE FROM SEACRAFTS

2020 ◽  
Vol 6 (3) ◽  
pp. 84-89
Author(s):  
O. K. Bumay ◽  
G. S. Torshin ◽  
S. V. Malinina
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Absolute Number ◽  
Universal Health Care ◽  
Health Maintenance ◽  
Medical Evacuation ◽  
Legal Documents ◽  
The Russian Federation ◽  
Far Eastern ◽  
Universal Health

Purpose: to analyze information on cases of evacuation of seafarers from seacrafts for medical reasons and make proposals on improvement of health maintenance for personnel of sea and river crafts.Materials and methods: the analysis of information on cases of evacuation of seafarers from seacrafts for medical reasons for the period from 2014 to 2019 was carried out. Results and discussion: increase in mean annual rate of evacuation and absolute number of evacuated seafarers for the period from 2014 to 2019 in comparison with previous period from 2009 to 2013 was revealed. Maximum number of evacuated seafarers among five sea basins for the period from 2014 to 2019 was observed in Far Eastern and Northern sea basins and is equal to 40% and 21% of the total number of evacuated seafarers. The formation of universal health care for sick and injured people at seacrafts in the Russian Federation as well as adoption of joint normative legal documents of Ministry of Labour and Ministry of Health of the Russian Federation on issues relating to organization of medical evacuation and application of telemedicine technologies is required.

BPJS Kesehatan Memberikan Jaminan Kesehatan Terhadap Pasien Atau Masyarakat

2021 ◽  
Vol 7 (2) ◽  
pp. 146-154
Author(s):  
Aidha Puteri Mustikasari
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Services ◽  
Social Security ◽  
The State ◽  
Universal Health Care ◽  
Universal Health Insurance ◽  
Universal Health ◽  
Provide Health Insurance

Abstrak. Kepesertaan BPJS Kesehatan pada tahun 2020 tidak akan mencakup 90% penduduk Indonesia, namun rencana Universal Health Care Implementation (UHC) telah direncanakan sejak tahun sebelumnya. Di masa pandemi Covid, sejumlah besar status kepesertaan BPJS Kesehatan  dicabut karena terlambat, padahal masyarakat membutuhkan layanan kesehatan dan asuransi dengan kondisi yang ada. Kajian ini bersifat norma deskriptif , dibahas dalam konteks kepesertaan BPJS kesehatan, dan cukup  menggunakan prinsip asuransi dengan hanya memberikan jaminan kepada peserta, tetapi negara mengikuti kewajiban UUD 1945 yaitu memberikan jaminan kesehatan dan pelayanan kepada warga negara. Untuk mendukung keberadaan jaminan kesehatan universal, Indonesia perlu menerapkan formulir kepesertaan dan  sanksi untuk ketentuan wajib  peserta jaminan sosial yang efektif dan efisien. Abstract. BPJS Health membership in 2020 will not cover 90% of Indonesia's population, but the Universal Health Care Implementation (UHC) plan has been planned since the previous year. During the Covid pandemic, a large number of BPJS Health membership statuses were revoked because they were late, even though people needed health services and insurance with the existing conditions. This study is descriptive in nature, discussed in the context of BPJS health participation, and it is sufficient to use the insurance principle by only providing guarantees to participants, but the state follows the obligations of the 1945 Constitution, namely to provide health insurance and services to citizens. To support the existence of universal health insurance, Indonesia needs to implement an effective and efficient membership form and sanctions for mandatory provisions for social security participants.

scholarly journals Development of voluntary medical insurance in the Russian Federation

2019 ◽  
Vol 100 (5) ◽  
pp. 796-801
Author(s):  
E V Arsentyev
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Medical Care ◽  
Russian Federation ◽  
Medical Insurance ◽  
Insurance Policy ◽  
Labor Migrants ◽  
Voluntary Health Insurance ◽  
Legislative Framework ◽  
The Russian Federation

Aim. To analyze the dynamics of the development of voluntary medical insurance in the Russian Federation. To identify the factors hindering the development of this insurance sector in modern conditions. Methods. In the course of the study, analysis was conducted of the legislative framework for organizing medical care for the population of the Russian Federation in the system of voluntary medical insurance. The problem-chronological, systematic, and analytical research methods were used. Results. It has been established that, despite the development of voluntary medical insurance system over the past 25 years, the availability of this type of insurance for citizens of the Russian Federation still remains very low. The policy of voluntary medical insurance is mainly available only to working citizens, and only in those large enterprises where the employer is interested in preserving and protecting the health of its employees. For most citizens of the Russian Federation, the voluntary health insurance policy remains inaccessible due to the high cost of the policy, as well as due to relatively low incomes. At the same time, a voluntary health insurance policy is required by law for labor migrants to obtain a patent for employment in the Russian Federation. However due to the absence of legislative framework for voluntary health insurance, organization of medical care for labor migrants is not always standardized. Conclusion. For the further development of voluntary medical insurance, it is necessary to develop the measures for decreasing the cost and increasing the availability of a voluntary medical insurance policy for citizens of the Russian Federation; to optimize organization of health care for labor migrants it is necessary to primarily develop regulatory framework of emergency health care.

A European late starter: lessons from the history of reform in Irish health care

2017 ◽  
Vol 14 (03) ◽  
pp. 355-373 ◽  
Author(s):  
Maev-Ann Wren ◽  
Sheelah Connolly
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Hospital Care ◽  
Political Support ◽  
Universal Health Care ◽  
Universal Health Care System ◽  
Universal Health ◽  
Late Starter ◽  
Care System

AbstractThe Irish health care system is unusual within Europe in not providing universal, equitable access to either primary or acute hospital care. The majority of the population pays out-of-pocket fees to access primary health care. Due to long waits for public hospital care, many purchase private health insurance, which facilitates faster access to public and private hospital services. The system has been the subject of much criticism and repeated reform attempts. Proposals in 2011 to develop a universal health care system, funded by Universal Health Insurance, were abandoned in 2015 largely due to cost concerns. Despite this experience, there remains strong political support for developing a universal health care system. By applying an historical institutionalist approach, the paper develops an understanding of why Ireland has been a European outlier. The aim of the paper is to identify and discuss issues that may arise in introducing a universal healthcare system to Ireland informed by an understanding of previous unsuccessful reform proposals. Challenges in system design faced by a late-starter country like Ireland, including overcoming stakeholder resistance, achieving clarity in the definition of universality and avoiding barriers to access, may be shared by countries whose universal systems have been compromised in the period of austerity.

Symbols, Rationality, and Justice: Rationing Health Care

1992 ◽  
Vol 18 (1-2) ◽  
pp. 1-13 ◽  
Author(s):  
Daniel Callahan
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
The United States ◽  
Universal Health Care ◽  
Universal Health Insurance ◽  
Ration Health Care ◽  
Universal Health ◽  
Care System

Proposals to ration health care in the United States meet a number of objections, symbolic and literal. Nonetheless, an acceptance of the idea of rationing is a necessary first step toward universal health insurance. It must be understood that universal health care requires an acceptance of rationing, and that such an acceptance must precede enactment of a program, if it is to be economically sound and politically feasible. Commentators have argued that reform of the health care system should come before any effort to ration. On the contrary, rationing and reform cannot be separated. The former is the key to the latter, just as rationing is the key to universal health insurance.

scholarly journals Factors affecting community based health insurance utilization in Ethiopia: A systematic review

2019 ◽  
Author(s):  
Ewunetie Mekashaw Bayked ◽  
Mesfin Haile Kahissay ◽  
Birhanu Demeke Workneh
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Service ◽  
Universal Health Care ◽  
Community Based ◽  
Health Care Coverage ◽  
Community Based Health Insurance ◽  
Education Community ◽  
Universal Health Care Coverage ◽  
Universal Health

Abstract Background: The goal of health care financing in Ethiopia has been to achieve universal health care coverage by minimizing the catastrophic out of pocket health service expenditure. Even though the performance was not as planned, the promising strategy to achieve universal health care coverage in the informal sector was community based health insurance which was expected to cover more than 83 % of the population. So, we systematically reviewed determinants of community based health insurance utilization in Ethiopia. Methods: We searched DOAJ, EconBiz, ERIC, Google Scholar, Oxford Journals, PubMed, SpringerLink, Europe PMC, Microsoft Academic Search, OAIster and AJ including various relevant websites by March 9 to 10, 2019. We included articles regardless of their publication status with both quantitative and qualitative approaches. Results: The factors determining community based health insurance utilization in Ethiopia were found to be associated with supply side, health facility, demographic and socioeconomic predictors. Among demographic and socio-economic factors, the report of the studies regarding to gender and age was not consistent. However income, education, community participation, marriage, occupation and family size were found to be significant predictors and were positively related with the scheme’s utilization. With respect to health status and health service related factors; illness experience, benefit package, awareness level, previous out of pocket expenditure for health care service and health service status (quality, adequacy, efficiency and coverage) were significantly and positively related but premium amount, self-rated health status and bureaucratic complexity were found to be negative predictors. Conclusion: To achieve universal health care coverage through community based health insurance, it is advisable that special attention should be given to income level, education, community participation, marriage, family size, benefit package, awareness level and health service quality, premium amount and bureaucratic or governance issue.

scholarly journals Good Governance and Anti-Corruption: Responsibility to Protect Universal Health Care in Indonesia

2018 ◽  
Vol 4 (2) ◽  
pp. 162 ◽  
Author(s):  
Ratna Juwita
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Insurance ◽  
International Law ◽  
Good Governance ◽  
Universal Health Care ◽  
Insurance Fund ◽  
Universal Health Insurance ◽  
Quality Health Care ◽  
Universal Health

The establishment of universal health care marks a new momentum for the progressive realization of the right to health in Indonesia. The problem of corruption in health sector endangers the sustainability of effective and quality health care, therefore, Indonesia established an anti-fraud system to protect the universal health insurance fund. This research seeks to analyze the current anti-fraud system in universal health insurance through the lens of international law and principles of good governance. The sociolegal approach is chosen to study the relationship between the State party obligations to international law and the implementation of international law concerning universal health care and anti-corruption in the designated anti-fraud system. Good governance principles are essential in designing an effective anti-fraud system due to the correlation between human rights and anti-corruption that both areas emphasize good governance principles as guiding principles for the realization of human rights and the making of potent anti-corruption strategy.

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