scholarly journals Casemix adjustment for outpatient service: a tool for resource allocation of social security population in Thailand

2007 ◽  
Vol 7 (S1) ◽  
Author(s):  
Nilawan Upakdee ◽  
Supasit Pannarunothai ◽  
Thaworn Sakunphanit ◽  
Rangsima Preechachard
Keyword(s):  
Resource Allocation ◽  
Social Security ◽  
Outpatient Service ◽  
Casemix Adjustment

“Delegation and Then Intervention”: The 2009 Decision to Create the New Rural Pension

2017 ◽  
Vol 233 ◽  
pp. 64-84
Author(s):  
Eun Kyong Choi
Keyword(s):  
Decision Making ◽  
Resource Allocation ◽  
Social Security ◽  
Rural Elderly ◽  
Bureaucratic Politics ◽  
Decision Making Process ◽  
Core Beliefs ◽  
Policy Initiative ◽  
Ministry Of Finance ◽  
The Creation

AbstractThis article reviews the decision-making process behind the creation of a new rural pension between the early 2000s and 2009. It finds that although policymaking was initially delegated to the bureaucratic level and hence involved a protracted bureaucratic struggle, the issue was resolved by a fiat imposed by top leaders rather than by bureaucratic compromise as a bureaucratic politics model would suggest. I call this policymaking process “delegation and then intervention.” Although the Ministry of Labour and Social Security (MOLSS) persistently argued in favour of creating the new rural pension, the Ministry of Finance obstinately objected to it. This study finds that when bureaucratic organizations are in conflict because of their core beliefs, rather than resource allocation, they are less likely to reach a consensus. Faced with a prolonged bureaucratic deadlock, top leaders decided in favour of the MOLSS policy initiative, thereby adopting a progressive measure that would provide a completely subsidized basic pension for the rural elderly.

scholarly journals Development and implementation of health technology assessment in Argentina: Two steps forward and one step back

2009 ◽  
Vol 25 (S1) ◽  
pp. 260-269 ◽  
Author(s):  
Adolfo Rubinstein ◽  
Andrés Pichon-Riviere ◽  
Federico Augustovski
Keyword(s):  
Resource Allocation ◽  
Health Policy ◽  
Social Security ◽  
Healthcare System ◽  
Latin American ◽  
Local Population ◽  
Developed Countries ◽  
Health Technologies ◽  
Allocation Process ◽  
Formal Tool

Objectives: The objectives of this study are to review the financing and organization of the Argentine healthcare system, the licensing and drug price setting mechanisms, the benefit packages and coverage policies of pharmaceuticals and other medical technologies, as well as the development of HTA in Argentina, and the role of the Institute of Clinical Effectiveness and Health Policy (IECS) as an HTA agency. Finally, the perspectives and future of HTA as a tool to make resource-allocation decisions and priority setting in Argentina is discussed.Methods: The study is a discussion/review based largely on the experiences of the authors, but supported by available literature.Results: Argentina is an upper-middle income country with major healthcare problems related to both equity and efficiency. Its healthcare system consists of a multitier system divided in three large sectors: public, social security, and private, where the federal Ministry of Health has a rather limited role in national health policy stewardship. Many of Argentina's shortcomings are due in part to its pluralistic and fragmented healthcare system. In the past decade, Argentina, like many other Latin American countries, has undergone a profound reform of its healthcare system. Whereas some of the objectives of the reforms were specific to each country, a common issue among all of them was to establish a mechanism that ensured a more efficient allocation of scarce resources, and guaranteed a wider provision of healthcare services on the basis of the local population needs and equity. Although some signals from the national government and congress show that there are plans to formally incorporate HTA to inform reimbursement policies, these signals are still very weak. Paradoxically, even though Argentina was the first country in the region to require formal health economic evidence for the adoption of technologies into the mandatory benefit package of the social security, this “fourth hurdle” is no longer required. Nevertheless, there is an increasing interest and demand for a more explicit and transparent resource-allocation process that include HTA as a formal tool to inform decision making, in most of Argentine healthcare stakeholders.Conclusions: In conclusion, what is needed in Argentina is a clear political will to push forward for a national agency of HTA that, similar to other developed countries, advance the regulation on the adoption of new health technologies to improve not only technical or allocative efficiency, but also health equity. Until this milestone is accomplished, the HTA production and use to inform healthcare coverage policies will continue to mirror the current fragmented healthcare system.

scholarly journals Respiratory healthcare resource allocation in rural hospitals in Hunan, China: a cross-sectional study

2019 ◽  
Author(s):  
Juan Jiang ◽  
Ruoxi He ◽  
Huiming Yin ◽  
Shizhong Li ◽  
Yuanyuan Li ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Health Service ◽  
Healthcare Resource ◽  
Respiratory Health ◽  
Outpatient Service ◽  
Rural Hospitals ◽  
Political Support ◽  
Hunan Province ◽  
Respiratory Medicine ◽  
Healthcare Resource Allocation

Abstract Background Rural hospitals in China provide respiratory health service for about 600 million people, but the current situation of respiratory healthcare resource allocation in rural hospitals has never been reported.Methods In the present study, we designed a survey questionnaire, and collected information from 48 rural hospitals in Hunan Province, focusing on their respiratory medicine specialty, basic facilities and equipment, clinical staffing and available medical techniques.Results The results showed that 58.3% of rural hospitals established an independent department of respiratory medicine, 50% provided specialized outpatient service, and 12.5% had an independent respiratory intensive care unit. Among these hospitals, 72.9% were equipped with pulmonary function test laboratories, 54.2% had bronchoscopy rooms, 64.6% had non-invasive ventilators, 43.8% had invasive ventilators, while less than 15% had set up sleep laboratories and atomization therapeutic rooms. The overall physician-to-bed ratio and nurse-to-bed ratio were 1:11.1 and 1:13.6, respectively. Mechanical ventilation, diagnostic bronchoscopy, therapeutic bronchoscopy, thoracoscopy, percutaneous lung biopsy, transbronchial needle aspiration and bronchial artery embolism were applicable in 66.7%, 47.9%, 6.3%, 18.8%, 20.8%, 8.3% and 8.3% of rural hospitals, respectively. Rural hospitals without an independent department of respiratory medicine showed significant disadvantages in facilities and equipment, clinical staffing and medical techniques over the other hospitals.Conclusions Respiratory healthcare system in rural areas of China are facing great challenges, including a serious shortage of basic facilities and equipment, necessary medical techniques and high-quality workforce. Besides, disparity of respiratory healthcare resources has been increasing among rural hospitals. More financial and political support from the government are needed to improve the access to and the quality of respiratory health service for rural residents.

Folk-economic beliefs as moral intuitions

2018 ◽  
Vol 41 ◽  
Author(s):  
Neil Malhotra
Keyword(s):  
Resource Allocation ◽  
Moral Intuitions ◽  
Economic Beliefs ◽  
Evolutionary Explanations

AbstractAlthough Boyer & Petersen's (B&P's) cataloguing of and evolutionary explanations for folk-economic beliefs is important and valuable, the authors fail to connect their theories to existing explanations for why people do not think like economists. For instance, people often have moral intuitions akin to principles of fairness and justice that conflict with utilitarian approaches to resource allocation.

What benefits will self-employed doctors receive under social security?

JAMA ◽  
1966 ◽  
Vol 197 (6) ◽  
pp. 413-416
Author(s):  
R. J. Myers
Keyword(s):  
Social Security ◽  
Will Self

Social Security

1986 ◽  
Author(s):  
W. Andrew Achenbaum
Keyword(s):  
Social Security

Mother or Wife?

2012 ◽  
Vol 43 (4) ◽  
pp. 232-242 ◽  
Author(s):  
Phia S. Salter ◽  
Glenn Adams
Keyword(s):  
United States ◽  
Resource Allocation ◽  
Cultural Psychology ◽  
The United States ◽  
Personal Relationship ◽  
Three Dimensions ◽  
Church Membership ◽  
Cultural Dynamics ◽  
Psychology Perspective ◽  
Cultural Ecological

Inspired by “Mother or Wife” African dilemma tales, the present research utilizes a cultural psychology perspective to explore the dynamic, mutual constitution of personal relationship tendencies and cultural-ecological affordances for neoliberal subjectivity and abstracted independence. We administered a resource allocation task in Ghana and the United States to assess the prioritization of conjugal/nuclear relationships over consanguine/kin relationships along three dimensions of sociocultural variation: nation (American and Ghanaian), residence (urban and rural), and church membership (Pentecostal Charismatic and Traditional Western Mission). Results show that tendencies to prioritize nuclear over kin relationships – especially spouses over parents – were greater among participants in the first compared to the second of each pair. Discussion considers issues for a cultural psychology of cultural dynamics.

Application of Information Introduced to Dynamic Message Processing and Enjoyment

2018 ◽  
Vol 30 (4) ◽  
pp. 196-206 ◽  
Author(s):  
Byungho Park ◽  
Rachel L. Bailey
Keyword(s):  
Resource Allocation ◽  
Recognition Memory ◽  
Emotional Processing ◽  
Orienting Response ◽  
Structural Features ◽  
Cognitive Resources ◽  
Coding System ◽  
Message Complexity ◽  
Cognitive Resource ◽  
Cognitive Overload

Abstract. In an effort to quantify message complexity in such a way that predictions regarding the moment-to-moment cognitive and emotional processing of viewers would be made, Lang and her colleagues devised the coding system information introduced (or ii). This coding system quantifies the number of structural features that are known to consume cognitive resources and considers it in combination with the number of camera changes (cc) in the video, which supply additional cognitive resources owing to their elicitation of an orienting response. This study further validates ii using psychophysiological responses that index cognitive resource allocation and recognition memory. We also pose two novel hypotheses regarding the confluence of controlled and automatic processing and the effect of cognitive overload on enjoyment of messages. Thirty television advertisements were selected from a pool of 172 (all 20 s in length) based on their ii/cc ratio and ratings for their arousing content. Heart rate change over time showed significant deceleration (indicative of increased cognitive resource allocation) for messages with greater ii/cc ratios. Further, recognition memory worsened as ii/cc increased. It was also found that message complexity increases both automatic and controlled allocations to processing, and that the most complex messages may have created a state of cognitive overload, which was received as enjoyable by the participants in this television context.

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