scholarly journals Authoritarian Regime Legitimacy and Health Care Provision: Survey Evidence from Contemporary China

2021 ◽  
Author(s):  
Jane Duckett ◽  
Neil Munro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Central Government ◽  
Authoritarian Regimes ◽  
Public Health Insurance ◽  
System Support ◽  
Health Care Provision ◽  
Care Provision ◽  
Regime Legitimacy

Abstract Context: Over the last two decades a growing body of research has shown authoritarian regimes trying to increase their legitimacy by providing public goods. But there has so far been very little research on whether or not these regimes are successful. Methods: This article analyzes data from a 2012–2013 nationally representative survey in China to examine whether health care provision bolsters the communist regime’s legitimacy. Using multivariate ordinal logistic regression, we test whether having public health insurance and being satisfied with the health care system are associated with separate measures of the People’s Republic of China’s regime legitimacy: support for “our form of government” (which we call “system support”) and political trust. Findings: Having public health insurance is positively associated with trust in the Chinese central government. Health care system satisfaction is positively associated with system support and trust in local government. Conclusions: Health care provision may bolster the legitimacy of authoritarian regimes, with the clearest evidence showing that concrete benefits may translate into trust in the central government. Further research is needed to understand the relationship between trends in provision and legitimacy over time and in other types of authoritarian regime.

scholarly journals How Structural Compensation Facilitates Health Care for the Homeless. A Comparative View on Four European Union Member States

2020 ◽  
Vol 17 (23) ◽  
pp. 9114
Author(s):  
Ursula Trummer ◽  
Sonja Novak-Zezula ◽  
Mariola Chrzanowska ◽  
Christos Michalakelis ◽  
Roido Mitoula ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Systems ◽  
Health Care Provision ◽  
Care Provision ◽  
Public Health Systems ◽  
Wide Range ◽  
Legal Frameworks ◽  
European Union Member States ◽  
Desk Research

There is robust evidence that homelessness and the associated life conditions of a homeless person may cause and exacerbate a wide range of health problems, while healthcare for the homeless is simultaneously limited in accessibility, availability, and appropriateness. This article investigates legal frameworks of health care provision, existing knowledge on numbers of homeless to be considered, and current means of health care provision for four EU countries with different economic and public health background: Austria, Greece, Poland, and Romania. National experts investigated the respective regulations and practices in place with desk research. The results show differences in national frameworks of inclusion into health care provision and knowledge on the number of people experiencing homelessness, but high similarity when it comes to main actors of actual health care provision for homeless populations. In all included countries, despite their differences in economic investments and universality of access to public health systems, it is mainly NGOs providing health care to those experiencing homelessness. This phenomenon fits into conceptual frameworks developed around service provision for vulnerable population groups, wherein it has been described as “structural compensation,” meaning that NGOs compensate a structural inappropriateness that can be observed within public health systems.

scholarly journals Does Public Health Insurance Coverage Lead to Better Health Outcomes? Evidence From Chinese Adults

2019 ◽  
Vol 56 ◽  
pp. 004695801984200 ◽  
Author(s):  
Hongli Fan ◽  
Qingyue Yan ◽  
Peter C. Coyte ◽  
Wenguang Yu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Health Effect ◽  
Public Health Insurance ◽  
Care Utilization ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Nutrition Survey ◽  
Positive Health

This article examines the impacts of public health insurance on the health of adults through use of data from the China Health and Nutrition Survey. We use the endogenous treatment effects model to infer the causal effects of public health insurance on health. We find that public health insurance significantly improves the physical and mental health status of health insurance beneficiaries after controlling for other covariates. Among the 2 types of voluntary public health insurance, the Urban Resident Basic Medical Insurance has the greater impact in improving health than the New Cooperative Medical Scheme. Moreover, the health effect appears to be stronger for middle-aged individuals, the elderly, and those with lower incomes than for their counterparts. The positive health effects may result from few channels, including the increase of health care utilization, the improvement of health-related behaviors, and the fact that individuals with public health insurance are more likely to use higher level care providers. This study provides implications on reforming China’s health care system.

scholarly journals A qualitative study on mixed experiences of discrimination and healthcare access among HIV-positive immigrants in Spain

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megi Gogishvili ◽  
Karen R. Flórez ◽  
Sergio A. Costa ◽  
Terry T.-K. Huang
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Healthcare System ◽  
Healthcare Services ◽  
Public Health Insurance ◽  
Hiv Positive ◽  
Royal Decree ◽  
Healthcare Needs ◽  
Insurance Card

Abstract Background Immigrants are disproportionally impacted by HIV infection in Europe and in Spain. Immigrants are also identified as a vulnerable population during economic crises. Various socioeconomic barriers hinder HIV-positive immigrants from accessing healthcare services in the host country. As a result of the 2008 financial crisis, Spain has implemented multiple austerity measures, one of which was the enactments of Royal Decree Law (RDL) 16/2012 and Royal Decree (RD) 1192/2012 which abolished universal healthcare coverage. In this context, this study examined: 1) Participants’ mixed experiences in accessing health care after the enactment of 2012 RDL and RD, and 2) Distress felt by the participants and their experiences as HIV-positive immigrants living in Spain. Methods Participants were recruited through a nongovernmental organization (NGO) during routine visits at the center. A total of 12 participants were interviewed to reach data saturation. Participants were HIV-positive immigrants living in Spain for 1 or more years, allowing for substantial experience with navigating the healthcare system. Thematic analysis was performed to identify common themes in participants’ experiences living as HIV-positive individuals in Spain and in accessing healthcare. Results Four primary themes were identified. The primary systemic barrier to accessing health care encountered by participants was the inability to fulfill the requirement of having proof of registration in an Autonomous Community for the required time period, thus not being able to apply for a public health insurance card and utilize free care services. Participants identified a positive impact of third party (NGO, social worker, friend/family member) guidance on their experience of applying for a public health insurance card. Participants expressed experiencing emotional or physical (eg, side effects of medication) distress in adapting to life as HIV-positive individuals. Participants also identified experiencing discrimination while living as HIV-positive immigrants in Spain. Conclusions HIV-positive immigrants are underserved in Spain. They encounter systemic barriers while accessing healthcare services, and experience fear and/or discrimination. The study underscores the role of NGOs in helping HIV-positive immigrants navigate the healthcare system. More research is needed on comprehensive approaches to address healthcare needs of HIV-positive immigrants in Spain.

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