Truman Asks for Compulsory Health Insurance System in Special Message to Congress

1945 ◽  
Vol 32 (22) ◽  
pp. 1491-1497
Keyword(s):  
Health Insurance ◽  
Health Insurance System ◽  
Insurance System ◽  
Compulsory Health Insurance

THE ROLE OF SELF-HELP IN PATIENTS SOLIDAR RESPONSIBILITY TO OWN HEALTH

Vestnik ◽  
2021 ◽  
pp. 328-331
Author(s):  
С.К. Молдабаев ◽  
С.А. Мамырбекова ◽  
Д.Н. Маханбеткулова
Keyword(s):  
Health Insurance ◽  
The State ◽  
Shared Responsibility ◽  
Self Management ◽  
Health Insurance System ◽  
Insurance System ◽  
Self Help ◽  
Compulsory Health Insurance ◽  
The Republic

Согласно Концепции Государственной программы улучшения здоровья населения на 2020-2025 годы в рамках дальнейшего внедрения системы ОСМС в РК одним из основных задач госудаства является повышение солидарной ответственности граждан за свое здоровье. Существующая солидарная ответственность должна побуждать пациентов развивать навыки самопомощи/самоменеджмента с целью лучшего управления собственным здоровьем. Цель исследования. Анализ роли самоменеджмента пациентов в системе солидарной ответственности за свое здоровье. Материал и методы. Данный обзор основывается на материалах ВОЗ и статей зарубежных и отечественных исследователей. Выводы. На сегодняшний день, в системе здравоохранения Казахстана одним из основных моментов является солидарная ответственность государства, пациента и работодателя. Ведь каждый гражданин должен принимать важные решения, которые оказывают существенное влияние на состояние его здоровья. Поэтому стратегии по повышению грамотности пациентов, их вовлеченность в процесс принятия решений и развитие самоменеджмента должны быть одними из фундаментальных стержней существующей системы ОСМС и политики здравоохранения. According to the Concept of the State Program for improving the health of the population for 2020-2025, as part of the further implementation of the compulsory health insurance system in the Republic of Kazakhstan, one of the main tasks of the state is to increase the joint responsibility of citizens for their health. The existing shared responsibility should encourage patients to develop self-help / self-management skills in order to better manage their own health. Purpose of the study. Analysis of the role of patients' self-management in the system of joint responsibility for their health. Material and methods. This review is based on WHO materials and articles of foreign and domestic researchers. Findings. Today, in the health care system of Kazakhstan, one of the main points is the joint responsibility of the state, the patient and the employer. After all, every citizen must make important decisions that have a significant impact on his health. Therefore, strategies to improve patient literacy, their involvement in the decision-making process and the development of self-management should be one of the fundamental pillars of the existing compulsory health insurance system and health policy.

scholarly journals IMPROVEMENT OF MANAGEMENT PROCESS TO PROVIDE DENTAL SERVICES IN THE COMPULSORY HEALTH INSURANCE SYSTEM

2018 ◽  
Vol 22 (6) ◽  
pp. 301-304
Author(s):  
M. V Zuev ◽  
Valentina Gavrilovna Butova ◽  
T. I Vlasova
Keyword(s):  
Health Insurance ◽  
Statistical Analysis ◽  
Institutional Changes ◽  
Fiscal Deficit ◽  
Management Process ◽  
Effective Management ◽  
Health Insurance System ◽  
Dental Services ◽  
Insurance System ◽  
Compulsory Health Insurance

The conducted comprehensive medical, economic and statistical analysis indicates the need to develop more effective management decisions aimed at monitoring, coordination and improvement of the provision of dental services and the activities of medical organizations in the implementation of the program of state guarantees. The fiscal deficit in the compulsory health insurance system in 2017, 1.36% of all expenditures allocated for the implementation of the CHI in the field of dentistry. This fact directly indicates that the stated guarantees of free medical care are implemented in insufficient volume and quality. Current scenarios of institutional changes in the CHI system are initiated at macro, meso and micro levels. And at each of them the priority is to create an appropriate regulatory framework.

Belgium

2021 ◽  
pp. 590-609
Author(s):  
Julia Lynch ◽  
Christiaan Vermorken
Keyword(s):  
Health Insurance ◽  
Patient Choice ◽  
European Court Of Justice ◽  
Mutual Aid ◽  
Health Insurance System ◽  
Health Politics ◽  
Insurance System ◽  
European Court ◽  
French Speaking ◽  
Compulsory Health Insurance

This chapter offers an in-depth look at health politics and the mutualism-based compulsory health insurance system in Belgium. It traces the development of the Belgian healthcare system, characterized by its very generous coverage and few restrictions on patient choice. Since 1980, the process of federalization of the Belgian state—which has been propelled by the divide between the Flemish-speaking North and the French-speaking South—has increasingly challenged the national basis of the Belgian health insurance system. Other healthcare issues have been cost containment and the privileged position of the mutual aid societies in health insurance provision which was subject to a European Court of Justice challenge.

scholarly journals Analysis of the Current Situation after the Introduction of Compulsory Social Health Insurance System іn Kazakhstan

2021 ◽  
Vol 1 (41) ◽  
pp. 82-92
Author(s):  
Azamat Umertayev ◽  
◽  
Gulnar Kurenkeyeva ◽  
◽  
Keyword(s):  
Health Insurance ◽  
Service Providers ◽  
Social Health Insurance ◽  
Social Health ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Health Insurance System ◽  
Insurance System ◽  
Social Health Insurance System ◽  
Compulsory Health Insurance

The aim of the study: To assess the current state, the balance of functions and development trends of Social Health Insurance Fund NJSC. Methods. In order to study the level of awareness of the population about the implementation of the compulsory social health insurance system (CSHI), a mass survey was conducted twice during 2019 (in May and September) with a total sample of 2,150 respondents, including all regions of Kazakhstan. Also, within the framework of the study, such indicators of the activity of the Social Health Insurance Fund as the availability of funding for 2019-2020, the amount of funding by service providers, and coverage of the population were analyzed. Results. There is a positive trend in the compulsory health insurance system: awareness of the population is growing; the population positively assesses the changes in the provision of health services; there is a twofold increase in PHC visits; the share of private spending on health is twice the ceiling recommended by WHO; the level of coverage of the population with the compulsory health insurance system is quite high - 84%. However, about 3 million of the country's citizens remain uncovered. Conclusions. It is necessary to create a system for monitoring the effectiveness of the implementation of compulsory health insurance on the basis of information systems with the further adoption of managerial decisions both at the regional level and at the republican level. The introduction of mechanisms for proactive monitoring of the quality of medical care will protect the rights of patients, as well as improve feedback with them. Key words: Compulsory social health insurance, Medical services, Health care financing, Kazakhstan

North Macedonia

2021 ◽  
pp. 939-947
Author(s):  
Simonida Kacarska ◽  
Neda Milevska Kostova
Keyword(s):  
Health Insurance ◽  
Free Market ◽  
Reform Process ◽  
Health Insurance System ◽  
Local Public Health ◽  
Health Politics ◽  
The Public ◽  
Insurance System ◽  
The North ◽  
Compulsory Health Insurance

This chapter offers an in-depth look at health politics and the compulsory health insurance system in North Macedonia. It traces the development of the North Macedonian healthcare system, characterized by the establishment of decentralized free-for-all-at-point-of-delivery health system during communism, which served as a basis for the current system. Since the early 1990s, when North Macedonia declared independence and started a transition towards democracy and a free market economy, North Macedonian health politics focused on permitting private provision, establishing a compulsory health insurance system, and integrating private services in the public insurance. Despite support from international organizations, the reform process was hampered by economic difficulties, inter-ethnic conflict, and the conflict with Greece regarding North Macedonia. As highlighted in the chapter, the main healthcare challenges have been to ensure the insurance system’s fiscal solvency, the conversion of primary care provision from local public health centers into private practices, and, since 2012, the integration of higher level private hospital services into the public system in order to reduce out-of-pocket payments and ensure equal geographical access.

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