National Health Insurance, National Health Policy, and the National Health

1971 ◽  
Vol 71 (9) ◽  
pp. 1730-1734
Author(s):  
GEORGE A. SILVER
Keyword(s):  
Health Policy ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Policy

Introduction

2019 ◽  
pp. 1-5
Author(s):  
Alex Rajczi
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Insurance ◽  
National Health ◽  
National Health Policy ◽  
Universal Health Insurance ◽  
Insurance System ◽  
Access To Health ◽  
Fiscal Risk ◽  
Universal Health

Most Americans see the need for a national health policy that guarantees reasonable access to health insurance for all citizens, but some worry that a universal health insurance system would be inefficient, create excessive fiscal risk, or demand too much of them, either by increasing their taxes or by rendering their own health insurance unaffordable. After describing these three objections and the role they play in health care debates, the introduction outlines the contents of each chapter. It concludes with some remarks about how data will be handled in the book’s later chapters.

scholarly journals International Constructions of Social Security and Public Health: Policy Intersections 1920–1970

Gesnerus ◽  
2017 ◽  
Vol 74 (2) ◽  
pp. 205-215
Author(s):  
James A. Gillespie
Keyword(s):  
Health Policy ◽  
Health Insurance ◽  
Social Security ◽  
National Health Insurance ◽  
National Health ◽  
Social Insurance ◽  
Early Years ◽  
Health Security ◽  
Global Health Policy ◽  
The Social

The problems of national health insurance played a prominent, but shifting role in the formation of global health policy. This paper uses the work of Geneva based organizations from the end of the First World War to the 1970s to explore the crossing points between health policy and social security. From its formation the League of Nations Health Organisation had an uneasy dialogue with the social insurance and security approaches adopted by the International Labour Organization and the International Social Security Association. When the social insurance concerns of the interwar year broadened into ‘social security’, largely led by the ILO, this debate spilled over into conflicts over the leadership of global social policy and carried over into the early years of WHO. Conflicts centred on the difficult relationship between national health insurance and the other elements of what became the welfare state. The paper identifies the difficulties of constructing a global policy space for action on health security.

scholarly journals Public engagement in the development of the National Health Insurance: a study involving patients from a central hospital in South Africa.

2020 ◽  
Author(s):  
Lizeka Amanda Tandwa ◽  
Ames Dhai
Keyword(s):  
South Africa ◽  
Health Policy ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Policy Process ◽  
Policy Making ◽  
Structured Interview ◽  
P Value ◽  
Policy Making Process

Abstract Background The National Health Insurance (NHI) is a proposed health policy in South Africa that aims to change the structure of the health system. Public involvement in the legislation development process is a constitutional requirement in South Africa. Patients are key stakeholders in health policy processes and should to be engaged in NHI policy processes. In order for patients to be engaged, they need to be provided with relevant information and an opportunity to be involved in the policy-making process. Methods This was cross sectional study. Two hundred and forty-four patients from the follow-up clinics at the Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital in the Gauteng Province, South Africa. The patients were interviewed using a structured interview process, using a questionnaire. Descriptive statistics and logistic regression analyses were run. Results The majority (79.51%) of the participants were not aware of the proposed National Health Insurance (NHI) in South Africa even though the NHI policy process commenced in 2011. Most of the participants (86%) who were aware of the NHI responded that they had not been provided with an opportunity to be involved in the policy making process of the NHI. The odds of awareness were higher for male (OR: 2.08, 95% CI: 1.11 – 3.9, p value: 0.02) than female participants. The odds of awareness were higher for White (OR: 2.36, 95% CI: 1.06 – 5.26, p value: 0.04) and Indian (OR: 2.76, 95% CI: 0.10 – 7.60, p value: 0.05) participants when compared to Black participants. The odds of awareness were higher for retired (OR: 3.13, 95% CI: 1.35 – 7.25, p value: 0.008) than unemployed participants. Conclusions The South African Department of Health cannot claim that they have met the constitutional requirement to involve the public in the setting of this study, since majority of the patients in this study were not aware of the NHI. This requirement is essential to the validity of the NHI policy process. Without the awareness and information about the NHI, patients are not equipped and cannot be involved in the NHI policy process in a meaningful way.

National Health Insurance in Finland: Its Impact and Evaluation

1973 ◽  
Vol 3 (1) ◽  
pp. 69-80 ◽  
Author(s):  
T. Purola ◽  
E. Kalimo ◽  
K. Nyman ◽  
K. Sievers
Keyword(s):  
Health Policy ◽  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
Evaluation Study ◽  
Services Research ◽  
Major Health ◽  
Interview Survey ◽  
Financial Arrangements

Relationships between medical services research and health policy are examined in the light of a study evaluating a major health policy measure in Finland, the national health insurance scheme introduced in 1964. A nationwide health interview survey was made immediately prior to introduction of the scheme and again four years later. The results show that the ratio between care obtained and care needed had become more uniform among various population groups after the inception of national health insurance than previously. Only a small increase was found in the overall utilization rates of most types of health services. Also, the number of restricted activity days did not increase with the introduction of daily sickness allowances. In spite of minor deficiencies, the changes caused by the implementation of the national health insurance seem to have been in accordance with its main objectives. However, the results suggest that financial arrangements, i.e., health insurance, must be accompanied by other measures (in Finland an increase in the supply of ambulatory health services) if the objectives of health policy are to be obtained on a more satisfactory scale. The applicability of this evaluation study to the planning of other health activities is also discussed.

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