Subscriber continuity in health insurance plans: factors associated with re-enrollment and coverage changes

2020 ◽  
Vol 23 (9) ◽  
pp. 940-951
Author(s):  
Melissa H. Roberts ◽  
Xuanhao He ◽  
Claudia Díaz Fuentes ◽  
Nicholas Edwardson
Keyword(s):  
Health Insurance ◽  
Factors Associated

scholarly journals Correlates of health care access problems among reproductive age women in Ethiopia: In-depth analysis of 2016 Ethiopia demographic Health Survey

2019 ◽  
Author(s):  
koku Tamirat ◽  
Zemenu Tadesse Tessema ◽  
Fentahun Bikale Kebede
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Reproductive Age ◽  
Rural Residence ◽  
Factors Associated ◽  
Care Access ◽  
Reproductive Age Women

Abstract Background Health care access is timely use of personal health services to achieve best health outcomes. Difficulties to access health care among reproductive age women may led to different negative health outcomes to death and disability. Therefore, this study aimed to assess factors associated with problems of accessing health care among reproductive age women in Ethiopia.Method This study was based on 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of problem of accessing health care were created from four questions used to rate problem of accessing health care among reproductive age women. Generalized estimating equation (GEE) model was fitted to identify factors associated with problem of accessing health care. Crude and Adjusted odds ratio with a 95%CI computed to assess the strength of association between independent and outcome variables.Result In this study the magnitude of problem in accessing health care among reproductive age women was 69.9% of with 95%CI (69.3 to 70.7). Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), women age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), married/live together (AOR= 0.72, 95%CI: 0.64 to 0.81), had health insurance coverage (AOR=0.83, 95%CI: 0.70 to 0.95), wealth index [middle (AOR=0.75,95%CI: 0.66 to 0.85) and rich (AOR=0.47,95%CI:0.42 to 0.53)], primary education(AOR= 0.80, 95%CI: 0.73 to 0.88), secondary education (AOR= 0.57, 95%CI:0.50 to 0.64) and diploma and higher education (AOR= 0.43, 95%CI: 0.37 to 0.50) were factors associated with problem of health care access among reproductive age women.Conclusion Despite better coverage of health system, problems of health care access among reproductive age women were considerably high. Health insurance coverage, middle and rich wealth, primary and above educational level were negatively associated with problems health care access. In contrast, older age and rural residence were positively associated with problems of health care access among reproductive age women. This suggests that further interventions are necessary to increase universal reproductive health care access for the achievement of sustainable development goals.

Factors Associated With Health Insurance Literacy

2019 ◽  
Vol 64 (2) ◽  
pp. 79-89 ◽  
Author(s):  
Omolola Adepoju ◽  
Andrew Mask ◽  
Alexander McLeod
Keyword(s):  
Health Insurance ◽  
Factors Associated ◽  
Health Insurance Literacy

scholarly journals Associated Factors of Quality of Life in Prison Officers, Brazil

2020 ◽  
Vol 17 (10) ◽  
pp. 3508
Author(s):  
Cristiane S. C. Araújo ◽  
Ruth Minamisava ◽  
Marcos A. Matos ◽  
Camila C. F. Vieira ◽  
Priscila V. O. Vitorino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Insurance ◽  
Sex Work ◽  
Work Experience ◽  
Private Health Insurance ◽  
Factors Associated ◽  
Female Sex ◽  
History Of ◽  
Female Sex Work

This study analyzed factors associated with the quality of life (QoL) of prison officers (POs) in the Midwest Region of Brazil. POs in five penitentiary units participated in this cross-sectional study. Sociodemographic data were obtained through face to face interview and a World Health Organization Quality of Life abbreviated version (WHOQOL-BREF) questionnaire was applied to assess QoL. Student’s t-test or ANOVA were used for bivariate analysis and multiple linear regression was applied for adjusted analysis. The domains used for outcomes were: physical, psychological, social relations, and the environment. The lowest score among WHOQOL-BREF domains was environment (59.9; 95%CI 58.0–61.5). After adjustment, the factors associated with the physical domain were ‘female sex’ and ‘no history of workplace PO-PO violence’; factors associated with the psychological domain were ‘female sex’, ‘without spouse’, and ‘no history of inmate-PO violence’; factors associated with the social relationships domain were ‘female sex’, ‘work experience in years’, ‘no higher education’, ‘no private health insurance’, and ‘no history of inmate-PO violence’; and factors associated with environment domain were ‘female sex’, ‘work experience in years’, ‘no private health insurance’, and ‘no history of PO-PO violence’. This study showed that female workers and those with a history of violence at work had worse QoL scores. This investigation highlights the importance of prison management in promoting QoL of POs, as well as support and development of strategies to prevent workplace violence.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN MENJADI PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI WILAYAH PUSKESMAS KEMBANG SERI BENGKULU TENGAH

2019 ◽  
Vol 26 (2) ◽  
pp. 39-52
Author(s):  
Vike Pebri Giena ◽  
Nikki Sulastry ◽  
Buyung Keraman
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Social Security ◽  
Significant Relationship ◽  
Education Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Social ◽  
Contingency Coefficient

The Factors Associated with Participation of Being Member of National Health Insurance in Working Area of Kembang Seri Public Health Center      Bengkulu TengahABSTRAKJaminan Kesehatan Nasional (JKN) merupakan bagian dari Sistem Jaminan Sosial Nasional (SJSN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) dengan tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh Pemerintah. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan keikutsertaan menjadi peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. Desain penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini adalah seluruh warga yang berada di wilayah Puskesmas Kembang Seri sebanyak 8436 orang. Sampel diambil menggunakan teknik Accidental Sampling berdasarakan kriteria inklusi dan eksklusi besar sampel 96 orang. Teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan uji Chi-Square dan uji Contingency Coefficient. Hasil uji penelitian ini didapatkan 80 orang (83,3%) ikut serta dalam JKN, 16 orang (16,7%) tidak ikut serta dalam JKN, ada hubungan antara tingkat pendidikan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan antara pengetahuan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pekerjaan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pendapatan dengan keikutsertaan Jaminan Kesehatan Nasional dengan  keeratan lemah. Diharapkan Badan Penyelenggara Jaminan Sosial (BPJS) untuk meningkatkan pengawasan dan kerjasama dengan pihak Puskesmas guna meningkatkan pengetahuan masyarakat tentang Jaminan Kesehatan Nasional (JKN). Kata Kunci : JKN, pekerjaan, pendapatan, pengetahuan, tingkat pendidikan ABSTRACTNational Health Insurance (JKN) is part of the Social Security System National (SJSN) organized by the Social Security Organizing Agency (BPJS) with the goal of meeting the basic needs of proper public health given to each people who have paid contributions or whose contributions have been paid by the Government.  The aim of this study was to determine factors associated with participation of being member of Nasional Health Insurance in Area of Puskesmas Kembang Seri Bengkulu Tengah. This study used Cross Sectional design. Populasi in this study were all residents in Area of Puskesmas Kembang Seri with the amount of 8436 people. Sampling technique in this study used Accidental Sampling base on inclusion and exclusion criteria with the amount samples of 96 people. Data analysis in this study used univariate analysis and bivariate analysis with Chi-Square test and Contingency Coefficient test. The results of this study found 80 people (83,3%) participated in JKN, 16 people (16,7%) did not participated in JKN, there is significant relationship between education level with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between knowledge with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between occupations with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between incomes with participation of being member of Nasional Health Insurance with weak category relationship. It is expected that the Social Security Organizing Agency (BPJS) will increase supervision and collaboration with the Puskesmas to increase public knowledge about the National Health Insurance (JKN). Keywords: education level, income, JKN, knowledge, occupation

scholarly journals Use of Palliative Radiotherapy Among Patients With Metastatic Non-small-cell Lung Cancer in Puerto Rico

2021 ◽  
Author(s):  
Valerie Quinones-Avila ◽  
Karen J. Ortiz-Ortiz ◽  
Ruth Ríos-Motta ◽  
Heriberto Marín-Centeno ◽  
Guillermo Tortolero-Luna
Keyword(s):  
Lung Cancer ◽  
Puerto Rico ◽  
Health Insurance ◽  
Small Cell Lung Cancer ◽  
Palliative Radiotherapy ◽  
Small Cell ◽  
Small Cell Lung ◽  
Factors Associated ◽  
Metastatic Nsclc ◽  
Nsclc Patients

Abstract Background: Palliative radiotherapy (RT) represents an important treatment opportunity for improving the quality of life in metastatic non-small cell lung cancer (NSCLC) patients through the management of symptoms within the course of the illness. This study examines the patient and clinical factors associated with palliative RT use among metastatic NSCLC patients in Puerto Rico. Methods: A retrospective cohort study was performed using secondary data analysis from 2009-2015 from the Puerto Rico Central Cancer Registry–Health Insurance Linkage Database (PRCCR-HILD). A logistic regression model was used to examine factors associated with palliative RT. Results: Among the 929 patients identified with metastatic NSCLC, 33.80% received palliative RT within the first year after diagnosis. After adjusting for other covariates, receipt of chemotherapy (ORAdj = 3.90; 95% CI = 2.91-5.45; P < 0.001) and presence of symptoms (ORAdj =1.41; 95% CI =1.00-1.98; P = 0.045) were associated with increased odds of palliative RT use. Although marginally significant, patients with private health insurance had increased odds of palliative RT use (ORAdj = 1.50; 95% CI = 0.98-2.29; P = 0.061) when compared to beneficiaries of Medicaid, after adjusting by other covariates. Conclusions: The results of this study reveal concerning underuse of palliative RT among patients with metastatic NSCLC in Puerto Rico. Additional research is necessary to further understand the barriers to using palliative RT on the island.

scholarly journals Factors associated with self-medication in users of drugstores and pharmacies in Peru: an analysis of the National Survey on User Satisfaction of Health Services, ENSUSALUD 2015

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 23
Author(s):  
Diego Urrunaga-Pastor ◽  
Vicente A. Benites-Zapata ◽  
Edward Mezones-Holguín
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Health System ◽  
National Survey ◽  
User Satisfaction ◽  
Multinomial Logistic Regression ◽  
Secondary Data ◽  
Male Gender ◽  
Self Medication ◽  
Factors Associated

Background: Irresponsible self-medication is a problem for health systems in developing countries. We aimed to estimate the frequency of self-medication and associated factors in users of drugstores and pharmacies in Peru. Methods: We performed a secondary data analysis of the 2015 National Survey on User Satisfaction of Health Services (ENSUSALUD), a two-stage probabilistic sample of all regions of Peru. Non self-medication (NSM), responsible self-medication (RSM) and irresponsible self-medication (ISM) were defined as the outcome categories. Demographic, social, cultural and health system variables were included as covariates. We calculated relative prevalence ratios (RPR) with their 95% confidence intervals (95%CI) using crude and adjusted multinomial logistic regression models for complex samples with NSM as the referent category. Results: 2582 participants were included. The average age was 41.4 years and the frequencies of NSM, RSM and ISM were 25.2%, 23.8% and 51.0%; respectively. The factors associated with RSM were male gender (RPR: 1.35; 95%CI: 1.06-1.72), being between 40 and 59 years old (RPR: 0.53; 95%IC: 0.39-0.72), being 60 or older (RPR: 0.39; 95%IC: 0.25-0.59), not having health insurance (RPR: 1.89; 95%CI: 1.31-2.71) and living in the Highlands region (RPR: 2.27; 95%CI: 1.23-4.21). The factors associated with ISM were male gender (RPR: 1.41; 95%CI: 1.16-1.72), being between 40 and 59 years old (RPR: 0.68; 95%IC: 0.53-0.88), being 60 or older (RPR: 0.65; 95%IC: 0.48-0.88) and not having health insurance (RPR: 2.03; 95%CI: 1.46-2.83). Conclusion: Around half of the population practiced ISM, which was associated with demographic and health system factors. These outcomes are the preliminary evidence that could contribute to the development of health policies in Peru.

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