Do Patients Have Responsibilities in a Free-Market System? a Personal Perspective

2008 ◽  
Vol 15 (2) ◽  
pp. 263-273 ◽  
Author(s):  
Murat Civaner ◽  
Berna Arda
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Social Insurance ◽  
Free Market ◽  
Personal Perspective ◽  
Current Debate ◽  
Market System ◽  
Care Services ◽  
System A ◽  
Free Market System

The current debate that surrounds the issue of patient rights and the transformation of health care, social insurance, and reimbursement systems has put the topic of patient responsibility on both the public and health care sectors' agenda. This climate of debate and transition provides an ideal time to rethink patient responsibilities, together with their underlying rationale, and to determine if they are properly represented when being called `patient' responsibilities. In this article we analyze the various types of patient responsibilities, identify the underlying motivations behind their creation, and conclude upon their sensibleness and merit. The range of patient responsibilities that have been proposed and implemented can be reclassified and placed into one of four groups, which are more accurate descriptors of the nature of these responsibilities. We suggest that, within the framework of a free-market system, where health care services are provided based on the ability to pay for them, none of these can properly be justified as a patient responsibility.

The Application of the Free-Market Economic Model in Chile and the Effects on the Population's Health Status

1983 ◽  
Vol 13 (3) ◽  
pp. 389-405 ◽  
Author(s):  
Clara S. Haignere
Keyword(s):  
Health Care ◽  
Health Status ◽  
Infant Mortality ◽  
Health Care Services ◽  
Free Market ◽  
State Intervention ◽  
Socioeconomic Conditions ◽  
Care Services ◽  
Market Economic ◽  
The Military

After the military coup in 1973, probably the most dogmatic application ever of free-market economic policies was implemented in Chile. The military junta has credited the drop in infant mortality since then to the free-market model. This article explores whether lower infant mortality rates are due to improvements in the socioeconomic conditions created by the free-market, or whether they are due to state-sponsored health care services. It concludes that the socioeconomic conditions since 1973 have generally deteriorated, while government supplemental feeding programs and maternal and child health care services have increased. It appears that the free-market has not been the primary determinant of the decline in infant mortality. Rather, state intervention appears to have been more important. Other morbidity statistics, however, indicate a decline in the population's health status since 1973.

scholarly journals Job Satisfaction in the Health Care Sector: Empirical Evidence from Medical Care in Greece

2016 ◽  
Vol 5 (1) ◽  
pp. 7 ◽  
Author(s):  
Alexandra Gkliati ◽  
Anna Saiti
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Medical Care ◽  
Health Care Services ◽  
Social Insurance ◽  
Health Care Expenditures ◽  
Health Care Sector ◽  
Public Hospitals ◽  
Care Providers ◽  
Care Services

It is extremely important for employees in every sector of an economy to be satisfied with their work since job satisfaction contributes significantly to improvements in their productiveness and performance. This paper deals with the very sensitive sector of health care in which medical staff provide citizens with health care services. The job satisfaction of these medical care providers is of particular importance when aiming to improve the quality of their services. Literature on job satisfaction among the providers of medical care is limited since researches have focused mainly on users’ satisfaction with the medical care services provided. In an era in which many countries worldwide are facing uncertainty and the social insurance systems are confronted with serious problems as they strive to respond to a number of changes, the Greek health care sector is no exception. With particular reference to the Greek reality, due to the heavy recession that the country has been facing for a number of years, health care expenditures have been cut dramatically and, as a result, the working conditions in public hospitals have been negatively influenced. Based on the above, the purpose of this paper is, through empirical investigation, to examine the levels of job satisfaction among Greek doctors who work in public hospitals and to determine the factors that may influence the satisfaction they gain from their work.

Social Welfare in Singapore and Sweden: Differences in Organisational Systems of Health Care, Social Security and Rehabilitation

2008 ◽  
Vol 3 (1) ◽  
pp. 30-38
Author(s):  
Inger Olsson ◽  
Patrick Millet ◽  
Stig Vinberg ◽  
Göran Olsson ◽  
Alf Bergroth ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Social Security ◽  
Social Welfare ◽  
Free Market ◽  
Welfare System ◽  
Market System ◽  
Public Control ◽  
And Control ◽  
Free Market System

AbstractThe aim of the study is to describe and compare the health care, social security and rehabilitation systems in Singapore and Sweden. Two fundamental differences can be identified. First, the system in Singapore are strongly oriented towards a free market system, while Sweden's demonstrates strong public control. Second, following from how the systems are oriented, Singaporeans are expected to have a higher degree of independence and control over their health care, social security and rehabilitation. It appears that Singapore has had greater success in attaining and maintaining a system of health promotion, which influences the three systems. However, the Swedish welfare system provides greater security to those who are in need of health care, social security and rehabilitation.

Population Ageing, Dependency and Healthcare Services Utilisation

2021 ◽  
Vol 26 (2) ◽  
pp. 1-30
Author(s):  
Jose Luis HernandezNavarro Espigares ◽  
Elisa Hernández Torres ◽  
Teresa García Muñoz
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Social Protection ◽  
The Elderly ◽  
Developed Countries ◽  
Current Debate ◽  
Term Care ◽  
Care Services ◽  
The Impact

The increase in the percentage of the elderly (the population 65 years or older) in developed countries is a cause for concern about the levels of health care services expenditures and the widening of long-term care services in these countries. The current debate includes the issue of establishing a system of protection for dependence as a new modality of social protection. The objective of this paper is to analyse the evolution of the degree of dependence in the Spanish population over 65 years during the period between 1997 and 2003, and to estimate the impact of dependence on health status and health care utilisation for the same period. An increasing trend of dependence prevalence as well as of the consumption of health care services has been found. A statistical association between the degree of dependence and the variables of health status, drug consumption and in-patient services has been observed. But this association is not significant in the case of medical consultations. The low degree of association between dependence and out-patient health care services strengthens the hypothesis that the elderly population presents specific necessities, oriented to assistance of dependence needs rather than ambulatory health care services.

scholarly journals Chronic Comorbidities Contribute to the Burden and Costs of Persistent Asthma

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Paula Kauppi ◽  
Miika Linna ◽  
Juha Jantunen ◽  
Jaana E. Martikainen ◽  
Tari Haahtela ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Social Insurance ◽  
Age Groups ◽  
Persistent Asthma ◽  
Health Care Use ◽  
Psychiatric Disease ◽  
Care Services ◽  
Asthma Patients ◽  
Chronic Comorbidities

Background. We aimed to study the prevalence of chronic comorbidities in asthma patients and the costs of health care use associated with asthma with comorbidities.Material and Methods. We analysed the prevalence of the four most common chronic diseases in asthma patients in 2008–2014 in Finland. Prevalence of coronary artery disease, diabetes and dyslipidaemia, hypertension, epilepsy, inflammatory bowel disease, rheumatic diseases, and severe psychiatric disease was studied by register of the Social Insurance Institution of Finland. The costs of health care services were collected from the registries maintained by the National Institute for Health and Welfare (THL).Results. Prevalence of asthma was 4.6% in 2014. Diabetes was among the four most common comorbidities in all the age groups. The other common comorbidities were hypertension (≥46 years; 12.9–37.6%), severe psychiatric disorders (age groups of 16–59 years; 1.4–3.5%), and ischaemic heart disease (≥60 years; 10–25%). In patients with both asthma and diabetes, the costs of hospitalization were approximately 169% compared with patients with asthma alone.Conclusions. Prevalence of asthma increases by tenfold when aging. The comorbidity diversity and rate are age-dependent. Prevalence of diabetes as comorbidity in asthma has increased. Costs of hospitalizations in asthma approximately double with chronic comorbidities.

Achievements and Challenges of Medicare in Canada: Are We There Yet? Are We on Course?

2005 ◽  
Vol 35 (3) ◽  
pp. 443-463 ◽  
Author(s):  
Stephen Birch ◽  
Amiram Gafni
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Policy ◽  
Care Delivery ◽  
Public Funding ◽  
Care Policy ◽  
Care Services ◽  
System A ◽  
Population Distributions ◽  
Policy Objectives

Health care policy in Canada is based on providing public funding for medically necessary physician and hospital-based services free at the point of delivery (“first-dollar public funding”). Studies consistently show that the introduction of public funding to support the provision of health care services free at the point of delivery is associated with increases in the proportionate share of services used by the poor and in population distributions of services that are independent of income. Claims about the success of Canada's health care policy tend to be based on these findings, without reference to medical necessity. This article adopts a needs-based perspective to reviewing the distribution of health care services. Despite the removal of user prices, significant barriers remain to services being distributed in accordance with need—the objective of needs-based access to services remains elusive. The increased fiscal pressures imposed on health care in the 1990s, together with the failure of health care policy to encompass the changing nature of health care delivery, seem to represent further departures from policy objectives. In addition, there is evidence of increasing public dissatisfaction with the performance of the system. A return to modest increases in public funding in the new millennium has not been sufficient to arrest these trends. Widespread support for first-dollar public funding needs to be accompanied by greater attention to the scope of the legislation and the adoption of a needs-based focus among health care policymakers.

Sign in / Sign up

Export Citation Format

Share Document