Have individual medical savings accounts accumulated meaningful balances after 10 years of enrolment? Empirical evidence from China

2017 ◽  
Vol 22 (3) ◽  
pp. 155-161
Author(s):  
Hao Yu ◽  
Jiaying Chen
Keyword(s):  
Medical Care ◽  
Healthcare Reform ◽  
Outpatient Visit ◽  
Decision Makers ◽  
Factors Associated ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
Tertiary Hospitals ◽  
Personal Savings ◽  
Medical Savings Account

Objectives To examine whether medical savings accounts in China have achieved the intended goal of promoting individual savings for medical care. Method Longitudinal data were obtained from one of the first Chinese cities that implemented medical savings accounts. The sample includes 246,681 enrolees with participation of at least 10 years by the end of 2010. We conducted descriptive analyses of medical savings account balances and a series of multivariate logistic analyses of risk factors for having low medical savings account accumulation. Results Medical savings account accumulation was low, with 41% of the enrolees having a balance below the average cost per outpatient visit, and the proportion increased to 54% and 58% when the deductible for inpatient care at secondary and tertiary hospitals was used as the threshold, respectively. Factors associated with having low medical savings account accumulation include female, old age, below high school education, retired and having a lower salary. Conclusion Medical savings accounts have not achieved the intended goal of encouraging personal savings for medical care. Given the low medical savings account accumulation, China’s decision-makers need to adjust policies, especially during the current healthcare reform.

COMPARATIVE ANALYSIS OF FINANCING AND ORGANIZATION OF MEDICAL CARE IN SINGAPORE AND RUSSIA

2020 ◽  
Vol 1 (10) ◽  
pp. 128-133
Author(s):  
E. V. SOKOLOV ◽  
◽  
D. A. GRECHKIN ◽  
Keyword(s):  
Health Insurance ◽  
Comparative Analysis ◽  
Medical Care ◽  
Labor Productivity ◽  
Healthy Lifestyle ◽  
Insurance Companies ◽  
Increase Labor Productivity ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
Compulsory Health Insurance

The article analyzes the financing and organization of medical services for the population in Singapore and Russia. The main difference is revealed, which is that in Singapore funds transferred within the framework of compulsory health insurance by enterprises for medical care of citizen’s workings for them go not to funds and insurance companies, as in Russia, but to personal medical savings accounts of citizens. Interest is charged on them, and these funds are inherited, which motivates citizens to increase labor productivity and a healthy lifestyle.

ORGANIZING THE TRANSITION OF RUSSIAN CITIZENS TO MEDICAL SAVINGS ACCOUNTS

2020 ◽  
Vol 1 (8) ◽  
pp. 55-71
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Medical Care ◽  
Chronic Diseases ◽  
Russian Federation ◽  
Medical Personnel ◽  
Financial Resources ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Russian Federation

The paper shows the principles of organizing the transition of Russian citizens to medical savings accounts (MSA). A simulation of the accumulation of financial resources on the MSA of all categories of citizens of the Russian Federation was performed, taking into account the need for a significant increase in the salary of medical personnel, namely: in accordance with the “may” Decrees of 2012, V. V. Putin, to bring the salary of doctors to a level twice higher than the average for the region by 2018. It is proved that for all categories of Russian citizens, including citizens, have chronic diseases, the funds accumulated on their personal MSA, will be sufficient to cover the costs of medical care given the salaries of medical personnel established in the “may” decrees of the President of the Russian Federation.

Yoga Therapy and the U.S. Tax Code: Policy and Practical Considerations

2001 ◽  
Vol 11 (1) ◽  
pp. 103-105
Author(s):  
John Kepner
Keyword(s):  
Medical Care ◽  
General Health ◽  
Internal Revenue Service ◽  
Business Practices ◽  
Medical Purpose ◽  
Yoga Therapy ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Individual ◽  
The U.S

Expenses for "Yoga therapy" should be deductible if they are specifically for medical care (as broadly defined by the U.S. Internal Revenue Service, or "IRS") and not merely for the general health of the individual. Moreover, the deductibility of payments depends on the nature of the services rendered and not the experience, qualification, or title of the person rendering the service. Proof of medical purpose, however, remains with the taxpayer. The profession itself and the informal business practices of some Yoga therapists may not offer the taxpayer much documentation support. In addition, due to the high percentage threshold, tax deductibility is of limited practical benefit for most taxpayers, with the exception of those using Medical Savings Accounts (MSAs).

ORGANIZING THE TRANSITION OF SVERDLOVSK REGION CITIZENS TO MEDICAL SAVINGS ACCOUNTS

2020 ◽  
Vol 1 (12) ◽  
pp. 39-60
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Chronic Diseases ◽  
Financial Resources ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
Financing Health Care

The paper shows the principles of organizing the transition of Sverdlovsk region citizens to medical savings accounts (MSA). A scheme for financing health care in the Sverdlovsk region based on MSA has been developed. A simulation of the accumulation of financial resources on the MSA of all categories of citizens of the Sverdlovsk region was performed. It is proved that for all categories of Sverdlovsk region citizens, including citizens, have chronic diseases, the funds accumulated on their personal MSA, will be sufficient to cover the costs of medical care.

EVALUATING THE EFFECTIVENESS OF USING FINANCIAL RESOURCES OF MEDICAL ORGANIZATIONS

2020 ◽  
Vol 2 (7) ◽  
pp. 32-38
Author(s):  
S. S. BUDARIN ◽  
◽  
Yu. V. EL’BEK ◽  
V. O. VATOLIN ◽  
◽  
...  
Keyword(s):  
Resource Management ◽  
Medical Care ◽  
Healthcare Reform ◽  
Health Sector ◽  
Financial Resources ◽  
Medical Organization ◽  
Resources Management ◽  
Material Resources ◽  
Public Resources

In the context of the Moscow healthcare reform that has been carried out in recent years, the issues of evaluating the effectiveness of financing the healthcare system and the performance of medical organizations in providing medical care to the population are particularly relevant. Given the limited public resources allocated to the health sector, the quality of management of available financial, human and material resources is becoming more important. The article considers the application of the method of assessing the quality of resource management, introduced in Moscow since 2016, and its results in terms of evaluating the effectiveness of financial resources. It is revealed that the effectiveness of financial resources management is influenced by certain indicators that characterize the organization of management of the main activities of a medical organization.

MEDICAL SAVINGS ACCOUNTS AS A TOOL FOR INCREASING DOCTORS ' SALARIES AND MOTIVATING RUSSIAN CITIZENS TO HIGH-PERFORMANCE WORK AND A HEALTHY LIFESTYLE

2020 ◽  
Vol 2 (7) ◽  
pp. 24-31
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Labor Productivity ◽  
Russian Federation ◽  
High Performance ◽  
Healthy Lifestyle ◽  
Medical Personnel ◽  
Increase Labor Productivity ◽  
Healthcare Financing ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Russian Federation

The article proves that it is impossible to achieve a significant increase in the salary of medical personnel within the existing system of healthcare financing of the Russian Federation, namely, in accordance with the “may” Decrees of 2012 by V. V. Putin, to bring the salary of doctors to a level twice higher than the average for the region by 2018. It is proved that to achieve the necessary results in terms of increasing doctors’ salaries and motivating citizens to increase labor productivity and a healthy lifestyle, it is necessary to transfer the system of healthcare financing within the framework of obligatory medical insurance to medical savings accounts.

scholarly journals Use of Folk Therapy in Taiwan: A Nationwide Cross-Sectional Survey of Prevalence and Associated Factors

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Chun-Chuan Shih ◽  
Lu-Hsiang Huang ◽  
Hsin-Long Lane ◽  
Chin-Chuan Tsai ◽  
Jaung-Geng Lin ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Medical Care ◽  
National Health ◽  
Associated Factors ◽  
Medical Utilization ◽  
Care Utilization ◽  
Research Database ◽  
Unhealthy Lifestyle ◽  
Cross Sectional Survey ◽  
Factors Associated

Background. This study investigates the prevalence of and factors associated with users of folk therapy in Taiwan.Methods. Using data from the 2005 National Health Interview Survey and the National Health Insurance Research Database, we identified 16,750 adults aged 20 years and older. Sociodemographic factors, lifestyle, medical utilization, and health behaviors were compared between people using and not using folk therapy. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of factors associated with folk therapy were analyzed.Results. The one-month prevalence of folk therapy use was 6.8%, which was significantly associated with ages of 30–59 years (OR = 1.98, 95% CI = 1.49–2.63), women (OR = 1.63, 95% CI = 1.40–1.90), nonindigenous population (OR = 1.90, 95% CI = 1.14–3.17), having two or more unhealthy lifestyle habits (OR = 1.51, 95% CI = 1.26–1.81), high density of traditional Chinese medicine (TCM) physicians (OR = 1.40, 95% CI = 1.20–1.62), and being ill without receiving medical care in past six months (OR = 2.11, 95% CI = 1.76–2.53). Medical care utilization of TCM and Western medicine were also associated factors for folk therapy.Conclusions. The use of folk therapy is correlated with sociodemographics, lifestyle and health behaviors.

scholarly journals Factors associated with using the internet for medical information based on the doctor-patient trust model: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Fu ◽  
Tianwei Tang ◽  
Junhao Long ◽  
Bohuai Lin ◽  
Jiayue Li ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Medical Care ◽  
Medical Information ◽  
Cross Sectional Study ◽  
Behavioural Intention ◽  
Total Effect ◽  
Patient Trust ◽  
Cross Sectional ◽  
Factors Associated ◽  
Personal Trust

Abstract Background Internet medical care has been advancing steadily, especially during the coronavirus disease 2019 pandemic, the development momentum of Internet medical care in China is more vigorous. This study aimed to explore the factors associated with using the Internet for medical information, to examine the popularisation and implementation of Internet medical treatment and feasible strategies, and promote the further development of Internet medical treatment. Methods A cross-sectional study was conducted on 408 medical patients who had used online medical services. The one-way analysis of variance or independent samples t-test was used to compare the differences in the influence of demographic characteristics on behavioural intentions of different people seeking medical care. Pearson’s correlation was used to evaluate the correlation between different measurement variables. A mediation regression analysis was used to explore the mediating role of trust in Internet medical care. Results The difference in the influence of Internet medical use frequency on the behavioural intention of different participants was statistically significant (F = 3.311, P = 0.038). Among the influencing factors, personal trust propensity (r = 0.387, P < 0.01), website credibility (r = 0.662, P < 0.01), hospital credibility (r = 0.629, P < 0.01), doctor’s credibility (r = 0.746, P < 0.01), and online patient trust (r = 0.874, P < 0.01) were positively correlated with patients’ behavioural intentions. In the analysis of intermediary factors, the total effect of the credibility of the diagnosis and treatment website on the behavioural intention of patients was 0.344. The total effect of the credibility of the diagnosis and treatment hospital on the behavioural intention of patients was 0.312; the total effect of the service doctor’s credibility on the patient’s behavioural intention was 0.385; the total effect of the personal trust tendency on the patient’s behavioural intention was 0.296. Conclusions This study found defects in various factors that produce distrust in Internet medical treatment. It also reveals the positive effect of trust factors on the development and implementation of Internet medical treatment and provides some ideas for improving the use of Internet medical treatment by the masses.

scholarly journals Trend and Factors Associated with Repeat Computed Tomography Examinations in Tertiary Hospitals: Linked Health Administrative Data in Western Australia

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Ninh Ha
Keyword(s):  
Ct Scan ◽  
Western Australia ◽  
Age Groups ◽  
Ct Scanning ◽  
Major Surgery ◽  
Factors Associated ◽  
Inappropriate Use ◽  
Tertiary Hospitals ◽  
Picture Archiving And Communication ◽  
Hospital Morbidity

IntroductionComputed tomography (CT) has become an essential part of clinical practice. However, repeat CT scans has raised a concern about unnecessary exposure to ionising radiation and waste of health care resource. While substantial effort is underway to reduce inappropriate use of diagnostic imaging tests including CT, little evidence of any change in repeat CT use and its associated factors. Objectives and ApproachThis study aimed to measure trend in repeat CT use and identify factors associated with repeat CT use in tertiary hospitals in Western Australia (WA). This study used WA linked administrative records from hospital morbidity, emergency department presentations, and picture archiving and communication system datasets to capture all tertiary hospitalisations and number of CT use during the admission from 2003 to 2015. Multivariate logistic regression was used to examine trend and determine characteristics associated with repeat CT, for admissions with and without major surgery during hospitalisation. ResultsAmong 303,439 admissions with CT scan 11.9% had repeat CT scan in the same anatomic areas. While the probability of repeat CT among admission with surgery remained unchanged over the study period, its counterpart significantly reduced about 4% per year. Regardless of surgical status, repeat CT scanning was significantly lower among females, Indigenous and older age groups but higher among people living in rural and remote areas. We found that admissions for circulatory conditions, injuries, cancer or multimorbidity had significantly higher probability of having repeat CT. Conclusion / ImplicationsThis study indicates that clinical factors such as cancer, injury and multimorbidity are factors contributing to repeat CT. A reduction of repeat CT over the study period among admissions without surgical procedure suggests a potential reduction of unnecessary CT scan, although further study is needed to fully capture whether this is an actual change in practice.

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