scholarly journals Making the Transition to Prepaid Medicare

2000 ◽  
Vol 14 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Thomas R Saving
Keyword(s):  
Health Care ◽  
Financial Crisis ◽  
Baby Boomers ◽  
Capital Stock ◽  
Health Care Services ◽  
Status Quo ◽  
Contribution Rate ◽  
Care Services ◽  
Long Run ◽  
The Status

The Medicare system is facing a financial crisis brought on by the combination of rapidly rising consumption of health care services by beneficiaries and financing based on generation transfers. This paper simulates a transition to prepaid Medicare where each generation puts aside funds for the health care it will demand later in life. By prepaying Medicare we increase the nation's capital stock which in the long run will allow the nation to enjoy greater consumption for both working and retired generations and we achieve immunity from generation size shocks. By transferring the baby boomers and younger generations into a prepaid system we can complete the transition in less than fifty years and achieve an ultimate contribution rate of 1.26% of taxable payroll instead of the more than 12% of taxable payroll that will be required if we remain in the status quo.

scholarly journals Financial Crisis in Portugal: Effects in the Health Care Sector

2019 ◽  
Vol 49 (2) ◽  
pp. 237-259 ◽  
Author(s):  
Alexandre Morais Nunes ◽  
Diogo Cunha Ferreira ◽  
Adalberto Campos Fernandes
Keyword(s):  
Health Care ◽  
Financial Crisis ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Sector ◽  
Public Health Care ◽  
Positive Effects ◽  
Care Services ◽  
Access To Health ◽  
Care System

Portugal has faced an economic and financial crisis that began circa FY2009 and whose effects are still ongoing. In FY2011, the Portuguese state and the European triumvirate – composed of the European Commission, the International Monetary Fund, and the European Central Bank – signed the Memoranda of Understanding. This troika agreement aimed to improve the operational efficiency of public services. This crisis had a considerable impact on the Portuguese citizens’ life and productivity, as well as on the public health care system. Cuts over public expenditures have been made to reduce the risk of noncompliance with budgetary targets, despite their potential impact on quality and access to health care services. We analyzed the main policies and measures undertaken by the Portuguese Ministry of Health with respect to the bailout program associated with the troika agreement. Then, we focused on the budgetary cuts–related risks over the social performance of the care system. Evidence suggests that structural reforms in the health care sector in the troika period had positive effects in terms of drugs administration and consumption, on the one hand, and secondary care expenditures reduction, on the other hand. Nonetheless, we observed some divestitures on infrastructures and the worsening of access to health care services.

scholarly journals HEALTHCARE IN UKRAINE DURING THE EPIDEMIC: DIFFICULTIES, CHALLENGES AND SOLUTIONS

2021 ◽  
Vol 74 (5) ◽  
pp. 1256-1261
Author(s):  
Anna R. Ivats-Chabina ◽  
Olena L. Korolchuk ◽  
Alexandr Yu. Kachur ◽  
Vladyslav A. Smiianov
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quality Care ◽  
Prevention Measures ◽  
Care Services ◽  
Long Run ◽  
Medical Institutions ◽  
The Individual ◽  
The Impact

The aim: Of this research was to investigate the impact of quarantine restrictions on the health care system in Ukraine, quality of providing and accessibility of health care services for population during quarantine; analyze the influence of economic and social outcomes of epidemy on state of health care. Materials and methods: For this paper was made a retrospective analysis of COVID-19 morbidity statistics, economic indicators and governmental decrees aimed at resolving the problem of the spreading of coronavirus and ensuring the proper work of medical institutions at all levels of health care. This work includes analysis of data for the period since the beginning of quarantine on the territory of Ukraine in March 2020 till present time. Conclusions: The complexity of the socio-political and economic situation in Ukraine and the conduct of hostilities in the east of the country have significantly complicated the fight against the spread of coronavirus in the country. Negative changes in the indicators of hospital security were observed both at the secondary level – treatment of patients with COVID-19, and the primary level – primary contact with the patient, primary care, prevention measures. In the long run, this will have significant implications for the individual health of those who have not been able to receive quality care, as well as for public health in general.

scholarly journals The status of maternal and newborn health care services in Zanzibar

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Bakar Fakih ◽  
Azzah A. S. Nofly ◽  
Ali O. Ali ◽  
Abdallah Mkopi ◽  
Ali Hassan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Care Services ◽  
The Status ◽  
Maternal And Newborn

scholarly journals ‘n ondersoek na die werksbevrediging by die verpleegkundiges van die RSA

Curationis ◽  
1990 ◽  
Vol 13 (1/2) ◽  
Author(s):  
A.S. Koorts ◽  
A.J. Marais
Keyword(s):  
Health Care ◽  
Career Paths ◽  
Health Care Services ◽  
Care Services ◽  
Long Run ◽  
Nursing Services ◽  
Managerial Attention ◽  
Admission Requirements ◽  
The Government ◽  
Nursing Training

The purpose of this study was to determine whether changes had occurred in the work satisfaction of nursing services after the establishment of private initiative in health care due to the deregulation program currently conducted by the government. In a survey conducted in the latter part of 1988 700 questionnaires were sent out of which 213 were returned which gives a response of 30,43 percent. The analysis was based on this data. The attitudes of the members of the nursing services ranged from antipathy to lively enthusiasm. It was, however, clear from the response that there exists a strong negative view amongst the nursing profession regarding remuneration, communication, training and promotion. These are tendencies that can harm the profession as a whole on the long run and should therefore receive special managerial attention. Recommendations include market related remuneration, continued nursing training, and planned career paths, as well as an appeal that only minimum admission requirements should be accepted as preconditions to training in order to cope with the growing Third World demands on health care services.

scholarly journals The Status of Whistle-blowing in Bio-Medical/Nursing Ethics

1969 ◽  
Vol 11 (3) ◽  
pp. 175-178
Author(s):  
Muhammad Suliman ◽  
Haider Ali Khan ◽  
Obaid-ur-Rehman
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Developed Countries ◽  
Nursing Ethics ◽  
Line Managers ◽  
Whistle Blowing ◽  
Care Services ◽  
The Status ◽  
Incident Reports ◽  
Made In

The paper is a commentary based on the ethical argumentations of the status of whistle-blowing practising in biomedical andnursing health care services. Whistle-blowingis a disclosure from a member of organization about some practice usually considersmisconduct, harmful, unethical or illegalin that organization.In nursing,the suggestion is made in favour of internaltype of whistleblowing,whichis reporting inside the channelto correct an obnoxious situation,common examples are incident reports,verbal andwritten reporting to channel of commands or line managers etc. The paper also highlighted the aftermath of reporting whistleblowing with examples of developed countries which already exists protection law for the whistle-blowers. In Pakistan, only theKhyber Pakhtunkhwa province has the distinction ofpassingthe whistle-blowing act in 2016.Keywords: Whistle-blowing, Bio-medical/nursing ethics, Law, Pakistan.

scholarly journals The status of neglected tropical diseases amidst COVID-19 in Africa: Current evidence and recommendations

2021 ◽  
Vol 11 (4) ◽  
pp. 430-433
Author(s):  
Rafiat Tolulope Akinokun ◽  
Esther Bosede Ilesanmi ◽  
Yusuff Adebayo Adebisi ◽  
Oluwadamilare Akingbade
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Neglected Tropical Diseases ◽  
Current Status ◽  
Current Evidence ◽  
Tropical Diseases ◽  
African Continent ◽  
Care Services ◽  
The Status ◽  
The Impact

Health care services and programs directed towards combating the neglected tropical diseases (NTDs) have been disrupted because of the impact of the coronavirus disease 2019 (COVID-19). The African continent because of its staggering health care system and poor economy disproportionately bears the burden of these diseases. While successes have been recorded in controlling and eliminating the NTDs, policymakers in Africa should consider the potential of the COVID-19 to dwindle these successes an issue of high priority. This commentary seeks to discuss the current status of NTDs in Africa and proffer recommendations to help combat these diseases at this period. It is worthy to say that similar dedication directed towards fighting the COVID-19 should also be deployed into eliminating other diseases like the NTDs which often, are neglected.

Health care infrastructure amenities – an empirical examination of Indian perspective

2014 ◽  
Vol 9 (3) ◽  
pp. 245-262
Author(s):  
Atul Gupta ◽  
Ipseeta Satpathy ◽  
B. Chandra Mohan Patnaik ◽  
Niharika Patel
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
The State ◽  
Empirical Examination ◽  
Content Type ◽  
Peace Of Mind ◽  
Care Services ◽  
Care Facilities ◽  
The Status

Purpose – Health is an important issue in our life. A person with good health will have peace of mind and will be able to contribute to nation-building. We cannot expect performance from an ill person with a low morale. In the present paper, the authors tried to understand the ground realities of health-care facilities provided in India and more specifically in Odisha, India. Design/methodology/approach – This empirical paper used a non-experimental design to test a proposed model based on a review of relevant literature. In this paper, an initial pilot study was conducted by taking 44 various variables; however, after the study and taking the expert opinion, the variables were restricted to only 30. For the purpose of study, only state-sponsored hospitals were considered on a random sampling method. Findings – The analysis of data is conducted on a simple percentage method with closed-end options. It is found that even after 67 years of independence, people do not have access to basic medical care facilities in the rural areas and to some extent in semi-urban areas also. The major stumbling block is inadequate infrastructure in these hospitals. Research limitations/implications – While this study offers some insight into the status of healthcare infrastructure in rural India, the sample was limited to respondents in state-sponsored hospitals, which may not represent the views about private hospitals. Practical implications – It seems that in some interior areas of Odisha, people rely more on their fate than then these health-care services. Social implications – Various governments claim that they are spending millions of rupees on health-care service, but the benefits are not being felt by the masses. We are sure that our attempt to highlight the scenario of health-care services in the state of Odisha will be an eye opener and will compel the various stake holders to introspect their involvement in the health-care services provided in these areas. Originality/value – A considerable amount of research has been done evaluating the status of healthcare in India, but this is the first empirical research study to date based on respondents from the rural parts of the state of Odisha in India. Some of these areas are not reachable to researchers due to the poor infrastructure. This contribution is also of special importance amid the recent criticism of the healthcare infrastructure in India by prominent management scholars.

scholarly journals Evaluation of Adolescents' Status of The First-Step Health Services Use and Healthy Nutrition Behaviors

2021 ◽  
Vol 10 (2) ◽  
pp. 92-99
Author(s):  
Burcu Kayhan Tetik ◽  
Isilay Gedik Tekinemre ◽  
Osman Kurt
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Family Physicians ◽  
Health Services Use ◽  
Care Services ◽  
Primary Health ◽  
Healthy Nutrition ◽  
Primary Health Care Services ◽  
The Status

Aim: This study aimed to evaluate the status of the first-step health services use, healthy nutrition behaviors in adolescents and investigate their relationships with each other. Methods: One hundred and forty-six adolescents between the ages of 10 and 18 were included in this descriptive study. A survey of 15 questions about the participants' healthy nutritional behaviors, the status of knowing their family physicians, and going to their family physicians for the examination was applied. The obtained data were analyzed using the SPSS 22 package program, and p Results: Of the participants, 85.6% went to their family physicians for the examination, the mean age was 16.4±1.6, and 58.9% were girls. Girls' mean scores of healthy nutritional behavior and going to their family physicians for the examination were significantly higher than boys'. In those who were obese and overweight, the rate of knowing their family physicians, the mean score of going to their family physicians for the examination, and healthy nutritional behavior were lower than normal weight. Conclusion: In our study, lower obesity and overweight rates and having a healthier diet were seen in adolescents using primary health care services more. We believe that to eliminate obesity, which has been a significant public health problem today, increasing the rate of using primary health care services for adolescent individuals needs to be increased. We hope that our comments raised herein will encourage other physicians to be more sensitive about this issue and direct patients to primary care more often to receive such services. Keywords: adolescents, nutrition behavior, primary health care

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