scholarly journals Correction to: Does integrated medical insurance system alleviate the difficulty of using cross-region health care for the migrant parents in China-- evidence from the China migrants dynamic survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chao Ma ◽  
Shutong Huo ◽  
Hao Chen
Keyword(s):  
Health Care ◽  
Medical Insurance ◽  
Insurance System ◽  
Migrant Parents

Does Integrated Medical Insurance System (IMIS) Alleviate the Difficulty of Using Cross-Region Health Care for the Migrant Parents in China

2021 ◽  
Author(s):  
Chao Ma ◽  
Shutong Huo ◽  
Hao Chen
Keyword(s):  
Health Care ◽  
Medical Insurance ◽  
Healthcare Services ◽  
Care Utilization ◽  
Inpatient Service ◽  
Medical Expense ◽  
Registration System ◽  
Rural And Urban ◽  
Urbanization In China ◽  
Migrant Parents

Abstract Background: A large number of internal immigrants in the process of urbanization in China is Migrant Parents, the aging group who move to urban area involuntarily to support their family. They are more vulnerable economically and physically than the younger migrants. However, the fragmentation of rural and urban health insurance schemes divided by “hukou” household registration system limit migrant’s access to healthcare services in their resident location. Some provinces have started to consolidate the Urban Resident Basic Medical Insurance and the New Rural Cooperative Medical Scheme as one Integrated Medical Insurance Schemes (IMIS) to reduce the disparity between different schemes and increase the health care utilization of migrants. Results: Using China Migrants Dynamic Survey, we used OLS for regression in models. We found that the migrant parents who are covered by the IMIS are more likely to choose inpatient service and to seek medical treatment in the migrant destination, by improving the convenience of medical expense reimbursement and relieving the economic pressure. Conclusions: The potential mechanisms of our results could be that IMIS alleviates the difficulty of seeking medical care in migrant destinations by improving the convenience of medical expense reimbursement and relieving the economic constrain.

scholarly journals Does Integrated Medical Insurance System (IMIS) Alleviate the Difficulty of Using Cross-Region Health Care for the Migrant Parents in China

2020 ◽  
Author(s):  
Chao Ma ◽  
Shutong Huo ◽  
Hao Chen
Keyword(s):  
Health Care ◽  
Medical Insurance ◽  
Healthcare Services ◽  
Care Utilization ◽  
Inpatient Service ◽  
Medical Expense ◽  
Registration System ◽  
Rural And Urban ◽  
Urbanization In China ◽  
Migrant Parents

Abstract Background A large number of internal immigrants in the process of urbanization in China is Migrant Parents, the aging group who move to urban area involuntarily to support their family. They are more vulnerable economically and physically than the younger migrants. However, the fragmentation of rural and urban health insurance schemes divided by “hukou” household registration system limit migrant’s access to healthcare services in their resident location. Some provinces have started to consolidate the Urban Resident Basic Medical Insurance and the New Rural Cooperative Medical Scheme as one Integrated Medical Insurance Schemes (IMIS) to reduce the disparity between different schemes and increate the health care utilization of migrants. Methods Using China Migrants Dynamic Survey, we used OLS for regression in models. Results We found that the migrant parents who are covered by the IMIS are more likely to choose inpatient service and to seek medical treatment in the migrant destination, by improving the convenience of medical expense reimbursement and relieving the economic pressure. Discussion The potential mechanisms of our results could be that IMIS alleviates the difficulty of seeking medical care in migrant destination by improving the convenience of medical expense reimbursement and relieving the economic constrain.

scholarly journals Reform of health-care payments for Chinese medical insurancepractices in Luohu District, Shenzhen City, Guangdong Province

2019 ◽  
Author(s):  
Fangfang Gong ◽  
Xizhuo Sun ◽  
Wenhai Li ◽  
Zou Zhang ◽  
Yanan Li
Keyword(s):  
Health Care ◽  
Medical Service ◽  
Service Providers ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Hospitalization Rate ◽  
Health Maintenance ◽  
Insurance System ◽  
Shenzhen City ◽  
Medical Health Care

Abstract Background Following the implementation of the Healthy China 2030 strategy, China’s health-care system must shift from being disease-centered to health-centered. Medical insurance funds are the main economic resource for medical health-care service providers in China; therefore, the Chinese medical insurance system has become an important economic lever for adjusting the behavior of medical health-care providers. In the new round of medical reform, substantial progress has been made in the construction of a medical treatment insurance system. The world’s largest medical insurance network has been created in a relatively short period in China and basically achieves universal medical insurance coverage. However, this system mainly provides full coverage to the amount and has yet to fully achieve the principle of “health-care for all” proposed by the Healthy China 2020 strategy. China must promote reform in the medical insurance system and establish a medical insurance guidance mechanism to ensure that medical service providers consider and promote health care. Methods Using Luohu Hospital Group in Shenzhen City, Guangdong Province as the research object, the details of the health maintenance organization’s reform of its medical insurance payment patterns to be more health-oriented are introduced. Comparing the summarized characteristics of the health maintenance organization’s payment patterns, the relevant data for the medical insurance operation and health status of the insured before and after the reform were analyzed statistically. Results The data show that after the reform, the total hospitalization cost of the insured, number of inpatients, and hospitalization rate all decreased. The growth rate of expenditure in the medical insurance fund slowed and initial results were shown in preventive health-care work. The incidence of some infectious diseases and the hospitalization rate of patients with chronic diseases decreased. Conclusions The medical service providers form positive incentives and appropriate medical orientations, while patients demanding health care may form good habits of seeking medical treatment and healthy life, but not pursuing economic benefits through the medical insurance reform.

scholarly journals Does integrated medical insurance system alleviate the difficulty of using cross-region health Care for the Migrant Parents in China-- evidence from the China migrants dynamic survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chao Ma ◽  
Shutong Huo ◽  
Hao Chen
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Urban Areas ◽  
Medical Insurance ◽  
Healthcare Services ◽  
Ordinary Least Squares ◽  
Care Utilization ◽  
Medical Expense ◽  
Registration System ◽  
Migrant Parents

Abstract Background Many internal migrants during the urbanization process in China are Migrant Parents, the aging group who move to urban areas to support their family involuntarily. They are more vulnerable economically and physically than the younger migrants. However, the fragmentation of rural and urban health insurance schemes divided by “hukou” household registration system limit migrant’s access to healthcare services in their resident location. Some counties have started to consolidate the Urban Resident Basic Medical Insurance (URBMI) and the New Rural Cooperative Medical Scheme (NRCMS) as one Integrated Medical Insurance Schemes (IMIS) from 2008. The consolidation aimed to reduce the disparity between different schemes and increase the health care utilization of migrants. Results Using the inpatient sample of migrant parents from China Migrants Dynamic Survey in 2015, we used Ordinary Least Squares (OLS) for regression models. We found that the migrant parents covered by the IMIS are more likely to choose inpatient services and seek medical treatment in the migrant destination. We further subdivide Non-IMISs into NCMSs and URBMIs in the regression to alleviate the doubt about endogenous. The results revealed that the migrant parents in IMIS use more local medical services than both of them in URBMI and NCMS. Conclusions The potential mechanisms of our results could be that IMIS alleviates the difficulty of seeking medical care in migrant destinations by improving the convenience of medical expense reimbursement and enhancing health insurance benefits.

scholarly journals IMPLEMENTATION OF ESTONIAN MEDICAL INSURANCE EXPERIENCE IN UKRAINE

2018 ◽  
pp. 168-171
Author(s):  
Lesia Shupa
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Medical Insurance ◽  
Cultural Development ◽  
Health Insurance System ◽  
Cost Of Treatment ◽  
Insurance System ◽  
Compulsory Health Insurance ◽  
The Cost

Introduction. At the current stage, the state should pay considerable attention to the development of the social sphere, including health care. Ensuring sustainable and sufficient funding for development of health care is a guarantee of the normal functioning of the economy in any country. In addition, the establishment of effective public health institutions is one of the priority tasks of any state. This is due not only to the fact that the health of the nation is important for the sustainable social and cultural development of society. It is an important determinant of the country's economic development. Purpose. The article aims to characterize and identify the key features of the functioning of the health insurance system in Estonia and to introduce Estonian experience in compulsory health insurance in Ukraine. Results. The medical insurance in Estonia and in Ukraine have been described. The effectiveness of compulsory health insurance depends on the accepted concept of insurance medicine in the country. Currently, a mixed healthcare system operates in Ukraine, with a predominant source of budget funding. At the same time, nowadays there is a private health insurance takes a negligible share in the health care system. The public health insurance of Estonia covers the cost of treatment and disease prevention, finances the purchase of a wide range of medicines and medical devices, compensates for the income not received due to temporary disability, covers the cost of treatment and prosthetics of teeth. The article reveals positive and negative tendencies in the introduction of obligatory forms of health insurance. The benefit of the Estonian health insurance system has become the following fact: the health insurance system really works and its economic efficiency. The disadvantages of the Estonian health insurance system include queues and financial vulnerabilities. It is noted that the priority task for Ukraine is the adoption of the Law of Ukraine "On Compulsory Social Health Insurance", which will be supplemented by voluntary medical insurance. It will promote the increase of social standards, improvement of the health of the nation, the living standards of each citizen and achievement of the country's economic well-being.

scholarly journals P1490MONTHLY TREND AND SEASONALITY IN ACUTE AND CHRONIC HEMODIALYSIS; RESULT FROM NATIONWIDE DATABASE OF MEDICAL BILLS OF UNIVERSAL HEALTH CARE INSURANCE SYSTEM IN JAPAN

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ryoya Tsunoda ◽  
Hirayasu Kai ◽  
Masahide Kondo ◽  
Naohiro Mitsutake ◽  
Kunihiro Yamagata
Keyword(s):  
Health Care ◽  
Seasonal Variation ◽  
Chronic Hemodialysis ◽  
Universal Health Care ◽  
Health Care Insurance ◽  
Individual Data ◽  
Insurance System ◽  
Number Of Patients ◽  
Medical Bills ◽  
Universal Health

Abstract Background and Aims Although knowing the accurate number of patients of hemodialysis important, data collection is a hard task. Establishing a simplified and prompt method of data collection for perspective hemodialysis is strongly needed. In Japan, there is a universal health care insurance system that covers almost all population. This study aimed to know a seasonal variation of hemodialysis patients using the big database of medical bills in Japan. Method Japanese Ministry of Health, Labour and Welfare established a big database named National Database (NDB), that consists of medical bills data in Japan. All bills data were sent to the data server from The Examination and Payment Agency, the organization that receives all medical bills from each medical institution and judge validity for payment. Each record of the database consists of bill data of one patient of a month for each medical institution. All data were anonymized before saved in the server and gave virtual patient identification number (VPID) that is unique for each patient. VPID is a hash value calculated by patient’s individual data such as name, date of birth, so that the value cannot be duplicate. Calculation of VPID is executed by an irreversible way to make it difficult to decrypt VPID into patient’s individual data. This database includes all information about medical care of whole population in Japan except for patients not under the insurance system (patients under public assistance system, victims of the war, or any other specified people under the public medical expense). Using this database, we investigated monthly number of patients who were recorded to be undergone hemodialysis (HD, includes hemodiafiltration). We searched chronic HD patients who have undergone HD on the month and continued it for 3 months, and acute HD patients who have discontinued HD within 3 months. Results In NDB, the number of chronic HD patients under public insurance system who confirmed to have undergone HD in December 2014 was 284 433. In contrast, the number of HD patients identified from the year-end survey by Japanese Society of Dialysis Therapy in the same year was of 311 193, but this number includes patients not under insurance system. Incidence rate of acute HD in Japan was persisted at 30-39 per million per month. There is a reproducible seasonal variation in number of acute HD patients, that increases in every winter and decreasing in every summer. The significantly highest frequency was observed in February(38.5/million/month) compared with September(30.6/million/month), the lowest month of the year (p<0.01). Conclusion We could show the trend in number of HD patients using nationwide bills data. Seasonality in some clinical factors in patients under chronic hemodialysis such as blood pressure, intradialytic body weight gain, morbidity of congestive heart failure, and, mortality, has been reported in many observational studies. Also, there are a few former reports about seasonality in AKI. However, a report about acute RRT is few. From our knowledge, this is the first report that revealed monthly dynamics of HD in a whole nation and rising risk of acute HD in winter. The true mechanism of this seasonality remains unclear. We have to establish a method to collect clinical data such as prevalence of CKD, causative diseases of AKI, kinds of precedent operations, and medications in connection with billing data.

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