Factors affecting Medicare affordability

2004 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Hal Swerissen ◽  
Lucinda Jordan

The Commonwealth Government, currently, does not have a primary health care policy. Instead, policy is heavily focused on general practitioners (GPs) and, in particular, on payment arrangements. Since 2000 bulk-billing rates have declined significantly in Australia, raising concerns about affordability and access to health care. This paper examines the relationship between affordability, health need, the supply of GPs, and capacity to pay. Bulk-billing and per capita consultation rates are likely to be higher and co-payments lower in areas where GP supply is higher, health needs are high and capacity to pay is low. Implications for the Commonwealth Government?s new MedicarePlus package are also discussed in light of the findings.

2021 ◽  
pp. 0094582X2110081
Author(s):  
Natalia Picaroni Sobrado ◽  
Sebastián Medina Gay ◽  
José Osvaldo Vásquez Reyes

The current entanglement of intercultural health and küme mongen (good health or good life) in the Williche territory of Chile is an unstable and contradictory construction that emerged as an ideological and utopian response to three simultaneous processes: the neoliberal acceleration of dispossession and eco-social degradation, the neoliberal implementation of a special health care policy for indigenous peoples, and various forms of lack of access to health care. El entrelazamiento actual de la salud intercultural y el küme mongen (buena salud o buena vida) en el territorio williche de Chile es una construcción inestable y contradictoria que surgió como una respuesta ideológica y utópica a tres procesos simultáneos: la aceleración neoliberal del despojo y la degradación ecosocial, la implementación neoliberal de una política especial de atención de la salud para los pueblos indígenas, y diversas manifestaciones de falta de acceso a la atención médica.


2012 ◽  
Author(s):  
Mary P. Finlayson ◽  
Nicolette F. Sheridan ◽  
Jacqueline M. Cumming ◽  
Sandra Fowler

1996 ◽  
Vol 2 (3) ◽  
pp. 38 ◽  
Author(s):  
Brigid McCoppin ◽  
Christine Birrell

Amalgamation of community health centres has become a fairly common response to Victorian government changes in primary health care policy (both Labor and Coalition). This is a study of one such amalgamation and of its effects. The amalgamation brought staff and management many difficulties of adjustment, but it has produced a larger organisation which, while it has some residual problems, appears well fitted to withstand the pressure of today's policy directions and to meet future demands.


Author(s):  
Veronika Krůtilová

Provision of access to health care is a desirable feature of health care systems. Access to health care is caused to be restricted whether out‑of‑pocket burden is too high. The paper focuses on the European elderly with restricted access to health care and evaluates their health care burden and determines factors affecting the burden. The data from the Survey of Health, Ageing and Retirement in Europe from the fifth wave is used. The methods of descriptive and multivariate analysis are applied. A linear regression model with a bootstrapped method is used. The results showed that inequalities in access to health care exist. Unmet need is a critical issue in Estonia and Italy. The highest burden is found in Estonia, Italy and Belgium. Chronic diseases and limitation in activities significantly contributes to health care burden. Expenditure on drugs, outpatient and nursing care have a significant effect on the burden. The effect is found to be insignificant for inpatient care. Income and the employment status is a preventing factor.


Author(s):  
Joseph Asumah Braimah ◽  
Yujiro Sano ◽  
Kilian Nasung Atuoye ◽  
Isaac Luginaah

AbstractBackground:Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic health care services.Aim:The aim of this paper is to understand the contribution of Ghana’s CHPS policy to women’s access to PHC services in the Upper West Region (UWR) of Ghana.Methods:A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR.Findings:We found that women who resided in CHPS zones (OR = 1.612;P ≤0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings.


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