A magánkiadások hatása a hazai egészségügyi diagnosztikai szolgáltatók pénzügyi helyzetére : The Impact of Private Healthcare Spending on the Hungarian Medical Diagnostic Companies

A magánfinanszírozás modellje a kilencvenes évek kezdete óta része a hazai egészségügynek. A 2000-es évektől azonban komolyan előtérbe kerültek ezek a csatornák, különösen a képalkotó diagnosztika és laborszolgáltatások területén, ami az itt szolgáltató vállalkozások közelebbi vizsgálatát teszi szükségessé. Elsőként az Ohlson-féle O csődkockázati mutatók által adott jelzéseket vizsgáljuk meg egy öt vállalkozásból álló mintán 2006 és 2017 között. Ezt követően az Ohlson-féle O csődkockázati mutató változásának magyarázhatóságát vizsgáljuk az egészségügyi finanszírozási környezet, a tőkepiaci helyzet és a technológiai környezetet lefedő modellek keretében, panelregressziós eljárásokkal. Megállapítható, hogy az egészségügyi finanszírozás GDP-arányos változása, illetve a kórházi ágyszám változásai gyakorolták a legkomolyabb hatást a mintában szereplő vállalatok pénzügyi helyzetének alakulására. The Hungarian healthcare services are partially financed on private basis since the 1990s. This channel gained increasing popularity in the 2000s especially on the fields of medical imaging and labour diagnostics – what motivates a deeper corporate analysis on annual report data between 2006 and 2017. Financial conditions were studied with the assumption of the Ohlson O bankruptcy ratio, and their changes were monitored trough three different panel regression models: one focused on general and public healthcare spending and hospital capacities, while the second contained the financial market-related variables as the third referred on the technological environment. The changes of healthcare funding to GDP ratios and hospital bed numbers surpassed all other variables on the financial conditions of the sample companies.

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The impact of the obstetrical risk insurance scheme in Mauritania on maternal healthcare utilization: a propensity score matching analysis

Health Policy and Planning ◽

10.1093/heapol/czz150 ◽

2020 ◽

Vol 35 (4) ◽

pp. 388-398 ◽

Cited By ~ 1

Author(s):

Marion Ravit ◽

Andrainolo Ravalihasy ◽

Martine Audibert ◽

Valéry Ridde ◽

Emmanuel Bonnet ◽

...

Keyword(s):

Propensity Score ◽

Propensity Score Matching ◽

Neonatal Mortality ◽

Estimation Method ◽

Healthcare Services ◽

Child Health Services ◽

Public Healthcare ◽

Payment Scheme ◽

Risk Insurance ◽

The Impact

Abstract In Mauritania, obstetrical risk insurance (ORI) has been progressively implemented at the health district level since 2002 and was available in 25% of public healthcare facilities in 2015. The ORI scheme is based on pre-payment scheme principles and focuses on increasing the quality of and access to both maternal and perinatal healthcare. Compared with many community-based health insurance schemes, the ORI scheme is original because it is not based on risk pooling. For a pre-payment of 16–18 USD, women are covered during their pregnancy for antenatal care, skilled delivery, emergency obstetrical care [including caesarean section (C-section) and transfer] and a postnatal visit. The objective of this study is to evaluate the impact of ORI enrolment on maternal and child health services using data from the Multiple Indicator Cluster Survey (MICS) conducted in 2015. A total of 4172 women who delivered within the last 2 years before the interview were analysed. The effect of ORI enrolment on the outcomes was estimated using a propensity score matching estimation method. Fifty-eight per cent of the studied women were aware of ORI, and among these women, more than two-thirds were enrolled. ORI had a beneficial effect among the enrolled women by increasing the probability of having at least one prenatal visit by 13%, the probability of having four or more visits by 11% and the probability of giving birth at a healthcare facility by 15%. However, we found no effect on postnatal care (PNC), C-section rates or neonatal mortality. This study provides evidence that a voluntary pre-payment scheme focusing on pregnant women improves healthcare services utilization during pregnancy and delivery. However, no effect was found on PNC or neonatal mortality. Some efforts should be exerted to improve communication and accessibility to ORI.

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Comparative study of prevalence and costs of depression and anxiety among elderly cancer patients.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.6595 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. 6595-6595

Author(s):

Stacey DaCosta Byfield ◽

Kae Tanudtanud ◽

John Rich Barrientos ◽

Kiesha Mae Lasquite ◽

Kierstin Catlett

Keyword(s):

Cancer Patients ◽

Healthcare Spending ◽

Healthcare Services ◽

Medical Professional ◽

Cancer Type ◽

Depression And Anxiety ◽

Cancer Breast ◽

Pharmacy Claims ◽

Cost Categories ◽

The Impact

6595 Background: Depression and anxiety are common among cancer patients and can worsen outcomes. We studied the occurrence of depression and anxiety in three common cancers to investigate whether healthcare costs were greater for cancer patients with two mental health disorders (MHD), depression and anxiety, compared to patients without MHD. Methods: This retrospective analysis used deidentified medical and pharmacy claims from a large national U.S. health insurer. Patients were Medicare Advantage enrollees ≥65 years diagnosed with breast, colorectal, or prostate cancer and continuously enrolled from 1/2018–12/2019. We determined statistically whether the annual prevalence of the two MHDs varied by cancer types. Total costs and costs exclusive of MHD-related expenses in five sub-categories were compared: inpatient, emergency room, non-inpatient medical, professional, and pharmacy. Costs from 2019 claims were presented as per-patient per-month (PPPM). Direct depression- and anxiety-related costs were from claims with depression/anxiety diagnoses or drugs. The impact of MHDs on 2019 healthcare spending was examined using multiple linear regression, controlling for demographic and clinical characteristics. LASSO was used for variable selection. Mann-Whitney U tests compared differences in costs by service types between patients with and without MHDs. Results: Of 19,304 study patients, 8,916 (46%) had coexisting depression or anxiety: (i) 4% depression only; (ii) 27% anxiety only; (iii) 7% depression and anxiety; and (iv) 8% were on antidepressant without MHDs diagnoses. There were significant differences in the rates of MHDs between the three cancer groups, with the highest frequency in breast cancer ( breast vs colorectal. 56% vs 49%, p < 0.0005 ; breast vs prostate. 56% vs 38%, p < 0.0005; colorectal vs prostate. 49% vs 38%, p < 0.0005). After excluding the MHDs-related costs (PPPM mean = $44), the monthly spending was 54% higher for patients with MHDs ($2,184 MHDs vs. $1,406 non-MHDs). After adjusting for covariates, the PPPM costs were 23%–58% higher for the MHD-cohort vs. the non-MHD cohort for each cancer type ( non-MHD vs. with depression only, CI 13%–34%, p < 0.0001; non-MHD vs. with anxiety only, CI 40%-52%, p < 0.0001; non-MHD vs. with depression and anxiety, CI 48%-70%, p < 0.0001; non-MHD vs. with antidepressant only, CI 28%-45%, p < 0.0001). Higher costs in MHD-cohort were observed in all cost categories (p < 0.0001). Conclusions: We found high prevalence of MHDs in patients diagnosed with cancer. Analyses showed that total spending was significantly higher in individuals with cancer and MHD for all cost categories. Explanations for higher costs are unclear, as costs remain high even after adjusting for MHD-related care costs. Research on specific healthcare services driving higher costs and the risk factors for depression and anxiety is needed to address broader MHDs to improve cancer care.

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Improving the continuum of care monitoring in Brazilian HIV healthcare services: An implementation science approach

PLoS ONE ◽

10.1371/journal.pone.0250060 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0250060

Author(s):

Ana Paula Loch ◽

Simone Queiroz Rocha ◽

Mylva Fonsi ◽

Joselita Maria de Magalhães Caraciolo ◽

Artur Olhovetchi Kalichman ◽

...

Keyword(s):

Implementation Science ◽

Virologic Failure ◽

Healthcare Services ◽

Continuum Of Care ◽

Public Healthcare ◽

Treatment Gap ◽

Positive Effects ◽

Number Of Patients ◽

The Impact ◽

The Continuum

Objective To evaluate the impact of an intervention improving the continuum of care monitoring (CCM) within HIV public healthcare services in São Paulo, Brazil, and implementing a clinical monitoring system. This system identified three patient groups prioritized for additional care engagement: (1) individuals diagnosed with HIV, but not receiving treatment (the treatment gap group); (2) individuals receiving treatment for >6 months with a detectable viral load (the virologic failure group); and (3) patients lost to follow-up (LTFU). Methods The implementation strategies included three training sessions, covering system logistics, case discussions, and development of maintenance goals. These strategies were conducted within 30 HIV public healthcare services (May 2019 to April 2020). After each training session, professionals shared their experiences with CCM at regional meetings. Before and after the intervention, providers were invited to answer 23 items from the normalization process theory questionnaire (online) to understand contextual factors. The mean item scores were compared using the Mann–Whitney U test. The RE-AIM implementation science framework (evaluating reach, effectiveness, adoption, implementation, and maintenance) was used to evaluate the integration of the CCM. Results In the study, 47 (19.3%) of 243 patients with a treatment gap initiated treatment, 456 (49.1%) of 928 patients with virologic failure achieved suppression, and 700 of 1552 (45.1%) LTFU patients restarted treatment. Strategies for the search and reengagement of patients were developed and shared. Providers recognized the positive effects of CCM on their work and how it modified existing activities (3.7 vs. 4.4, p<0.0001, and 3.9 vs. 4.1, p<0.05); 27 (90%) centers developed plans to sustain routine CCM. Conclusion Implementing CCM helped identify patients requiring more intensive attention. This intervention led to changes in providers’ perceptions of CCM and care and management processes, which increased the number of patients engaged across the care continuum and improved outcomes.

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The worthiness of corporate governance in public sector the case of public healthcare sector in Greece

Corporate Ownership and Control ◽

10.22495/cocv12i1c5p4 ◽

2014 ◽

Vol 12 (1) ◽

pp. 490-501

Author(s):

Georgios K. Papachristou ◽

Michail K. Papachristou

Keyword(s):

Corporate Governance ◽

Control System ◽

Public Sector ◽

Healthcare Services ◽

Public Hospitals ◽

Healthcare Sector ◽

Public Healthcare ◽

Corporate Governance Code ◽

Public Healthcare Sector ◽

The Impact

The objective of this paper is to measure the worthiness which the compliance of governance norms will provide to public organizations. We introduce the principles of corporate governance that should characterize the function of public sector and our analysis focuses on public hospitals. Sending appropriate designed questionnaires to an adequate sample of Greek public hospitals, we measure and analyze the impact that the implementation of a corporate governance code would have to hospitals’ administration, control system and communication with stakeholders. According to research’s results the implementation of a corporate governance code by public hospitals could add value to the provided healthcare services.

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THE OWNERSHIP STRUCTURE, BOARD OF DIRECTORS, DIVERSIFICATION, AND DISCLOSURE OF ANTI-CORRUPTION POLICIES

Assets Jurnal Akuntansi dan Pendidikan ◽

10.25273/jap.v9i2.5660 ◽

2020 ◽

Vol 9 (2) ◽

pp. 121

Author(s):

Octavianus Digdo Hartomo ◽

Santanando Hermanto Pranatio Hutomo

Keyword(s):

Board Of Directors ◽

Ownership Structure ◽

Annual Report ◽

Board Independence ◽

Managerial Ownership ◽

Government Ownership ◽

Negative Effect ◽

Report Data ◽

Block Holders ◽

The Impact

ABSTRACTAnti-corruption disclosures reflect the company's commitment to prevent and combat corruption. This study examines the impact of managerial ownership, block holder ownership, government ownership, diversification, board independence, the board of commissioners' size, and diversification on anti-corruption disclosures. The object of this research is IDX listed companies from 2013 to 2017. Data obtained from the company's annual report Data analysis is multiple linear regression. The results showed that the managerial ownership, government ownership, board independence, and board size positively affected anti-corruption disclosures, block holders ownership had a negative effect, and diversification positively affected anti-corruption disclosures.ABSTRAKPengungkapan anti-korupsi menunjukkan komitmen perusahaan untuk mencegah dan memberantas korupsi. Penelitian ini menguji dampak kepemilikan manajerial, kepemilikan pemegang blok, kepemilikan pemerintah, diversifikasi, independensi dewan komisaris, dan ukuran dewan komisaris terhadap pengungkapan anti korupsi. Objek penelitian ini adalah perusahaan yang terdaftar di Bursa Efek Indonesia tahun 2013 -2017. Data diperoleh dari laporan tahunan perusahaan Analisis data yang digunakan adalah regresi linier berganda. Hasil penelitian menunjukkan bahwa struktur kepemilikan manajerial, struktur kepemilikan pemerintah, independensi dewan komisaris dan ukuran dewan komisaris berpengaruh positif terhadap pengungkapan anti korupsi, sedangkan struktur kepemilikan blockholder berpengaruh negatif dan diversifikasi berpengaruh positif pada pengungkapan anti korupsi.

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International Remittances and Private Healthcare in Kerala, India

MIGRATION LETTERS ◽

10.33182/ml.v17i3.778 ◽

2020 ◽

Vol 17 (3) ◽

pp. 445-460

Author(s):

Mohd Imran Khan ◽

Valatheeswaran C.

Keyword(s):

Instrumental Variable ◽

Capital Investment ◽

Healthcare Expenditure ◽

Healthcare Services ◽

Private Healthcare ◽

International Remittances ◽

Variable Approach ◽

Using Data ◽

The Impact ◽

Instrumental Variable Approach

The inflow of international remittances to Kerala has been increasing over the last three decades. It has increased the income of recipient households and enabled them to spend more on human capital investment. Using data from the Kerala Migration Survey-2010, this study analyses the impact of remittance receipts on the households’ healthcare expenditure and access to private healthcare in Kerala. This study employs an instrumental variable approach to account for the endogeneity of remittances receipts. The empirical results show that remittance income has a positive and significant impact on households’ healthcare expenditure and access to private healthcare services. After disaggregating the sample into different heterogeneous groups, this study found that remittances have a greater effect on lower-income households and Other Backward Class (OBC) households but not Scheduled Caste (SC) and Scheduled Tribe (ST) households, which remain excluded from reaping the benefit of international migration and remittances.

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Healthcare System in the Arctic Zone of Russia. Known and Emerging Issues and Solutions to Them

Russian Economic Journal ◽

10.33983/0130-9757-2019-4-3-20 ◽

2019 ◽

pp. 3-20

Author(s):

V.N. Leksin

Keyword(s):

Metallurgical Industry ◽

Healthcare Services ◽

The Arctic ◽

Russian Arctic ◽

Arctic Zone ◽

Shift Workers ◽

The North ◽

Medical Institutions ◽

Emerging Issues ◽

The Impact

The impact on healthcare organization on the territory of Russian Arctic of unique natural and climatic, demographic, ethnic, settlement and professional factors of influencing the health of population, constantly or temporarily living on this territory is studied. The necessity is substantiated of various forms and resource provision with healthcare services such real and potential patients of Arctic medical institutions, as representatives of indigenous small peoples of the North, workers of mining and metallurgical industry, military personnel, sailors and shift workers. In this connection a correction of a number of All-Russian normative acts is proposed.

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FAKTOR DETERMINAN PENYALURAN KREDIT BANK PERSERO

Journal of Business Economics ◽

10.35760/eb.2018.v23i1.1812 ◽

2018 ◽

Vol 23 (1) ◽

pp. 60-71

Author(s):

Wigiyanti Masodah

Keyword(s):

Interest Rate ◽

Linear Regression ◽

Interest Rates ◽

Regression Models ◽

Linear Regression Models ◽

Negative Impacts ◽

Main Activity ◽

The Impact ◽

The Given ◽

Multiple Linear Regression Models

Offering credit is the main activity of a Bank. There are some considerations when a bank offers credit, that includes Interest Rates, Inflation, and NPL. This study aims to find out the impact of Variable Interest Rates, Inflation variables and NPL variables on credit disbursed. The object in this study is state-owned banks. The method of analysis in this study uses multiple linear regression models. The results of the study have shown that Interest Rates and NPL gave some negative impacts on the given credit. Meanwhile, Inflation variable does not have a significant effect on credit given. Keywords: Interest Rate, Inflation, NPL, offered Credit.

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The impact of SPY angiography on intraoperative decision making and outcomes for post-mastectomy reconstruction

Journal of Cancer Science and Therapeutics ◽

10.36879/jcst.19.000109 ◽

2019 ◽

pp. 1-5

Keyword(s):

Decision Making ◽

Logistic Regression ◽

Skin Necrosis ◽

Regression Models ◽

Multivariable Analysis ◽

P Value ◽

Flap Necrosis ◽

Single Institution ◽

Logistic Regression Models ◽

The Impact

Objective: While the use of intraoperative laser angiography (SPY) is increasing in mastectomy patients, its impact in the operating room to change the type of reconstruction performed has not been well described. The purpose of this study is to investigate whether SPY angiography influences post-mastectomy reconstruction decisions and outcomes. Methods and materials: A retrospective analysis of mastectomy patients with reconstruction at a single institution was performed from 2015-2017.All patients underwent intraoperative SPY after mastectomy but prior to reconstruction. SPY results were defined as ‘good’, ‘questionable’, ‘bad’, or ‘had skin excised’. Complications within 60 days of surgery were compared between those whose SPY results did not change the type of reconstruction done versus those who did. Preoperative and intraoperative variables were entered into multivariable logistic regression models if significant at the univariate level. A p-value <0.05 was considered significant. Results: 267 mastectomies were identified, 42 underwent a change in the type of planned reconstruction due to intraoperative SPY results. Of the 42 breasts that underwent a change in reconstruction, 6 had a ‘good’ SPY result, 10 ‘questionable’, 25 ‘bad’, and 2 ‘had areas excised’ (p<0.01). After multivariable analysis, predictors of skin necrosis included patients with ‘questionable’ SPY results (p<0.01, OR: 8.1, 95%CI: 2.06 – 32.2) and smokers (p<0.01, OR:5.7, 95%CI: 1.5 – 21.2). Predictors of any complication included a change in reconstruction (p<0.05, OR:4.5, 95%CI: 1.4-14.9) and ‘questionable’ SPY result (p<0.01, OR: 4.4, 95%CI: 1.6-14.9). Conclusion: SPY angiography results strongly influence intraoperative surgical decisions regarding the type of reconstruction performed. Patients most at risk for flap necrosis and complication post-mastectomy are those with questionable SPY results.

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The Impact of Mobile Phone Technology in Bridging the Gaps in The Health Care Service Delivery in Kenya: A Case of Nairobi County. (Preprint)

10.2196/preprints.15728 ◽

2019 ◽

Author(s):

Alice Ndwiga

Keyword(s):

Service Delivery ◽

Mobile Phone ◽

Care Service ◽

Health Care Service ◽

Informal Settlements ◽

Healthcare Services ◽

P Value ◽

Delivery Of Healthcare ◽

Mobile Phone Technology ◽

The Impact

BACKGROUND INTRODUCTION: The Kenyan constitution seeks to guarantee every citizen the right to quality healthcare services. Quite often this delivery is hampered by geographical location, socio-economic statuses among other factors. The country has a high mobile phone penetration rate. Digitalization of the healthcare sector is a vital aspect that contributes to effective delivery of care services. This study set out to assess the impact of mobile technology in closing the gaps within the health care service delivery. The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. OBJECTIVE The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. METHODS The target population were patients visiting Médecins Sans Frontières (MSF) clinic in Kibera informal settlements. A cross-sectional study design was employed. Purposive and simple random sampling method was used to select the study sample of 210 participants and 3 healthcare providers. Data were collected using survey questionnaire that was provider-administered and Data were analyzed using SPSS version. RESULTS The characteristics of the respondents were general (mean age, education level, social economic status) to only patients who visited the clinics for HIV tests and other related services such as going for ARVs. The main findings showed that 66.12% of the respondents (14.29% strongly agreed + 55.24% agreed) that the use of mobile phone technology improved their access to healthcare services. Using chi square, there was a statistical difference due to the positive impact of mobile technology on healthcare delivery (p=0.05). CONCLUSIONS The study findings showed that 66.12% of the respondents agreed that the use of mobile phone technology and SMS improved their access to healthcare services. The results hypothesis also proved that use of mobile phone technology positively impacts the delivery of healthcare services.

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