scholarly journals VII International scientific and practical conference «Assessment of healthcare technologies: innovations in the program of state guarantees of free medical care to the citizens and compulsory health insurance system»

2020 ◽  
Vol 42 (4) ◽  
pp. 9
Author(s):  
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Health Insurance System ◽  
Insurance System ◽  
Compulsory Health Insurance ◽  
Healthcare Technologies ◽  
Practical Conference

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.

The Effect of Copayments and Income on the Utilization of Medical Care by Subscribers to Japan's National Health Insurance System

1995 ◽  
Vol 25 (2) ◽  
pp. 295-312 ◽  
Author(s):  
Scott A. Kupor ◽  
Yong-Chuan Liu ◽  
Jungwoo Lee ◽  
Aki Yoshikawa
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
National Health Insurance ◽  
National Health ◽  
Capita Income ◽  
Health Insurance System ◽  
Per Capita Income ◽  
National Health Insurance System ◽  
Insurance System ◽  
Per Capita

This study uses cross-sectional data from Japan's 47 prefectures covering subscribers to Japan's National Health Insurance system to analyze the effects of income and copayment levels on the utilization of medical care. Multivariate regression models were run for the years 1984 and 1989, with the utilization ratio (number of health insurance claims per 100 insurance subscribers) for total, inpatient, outpatient, and dental services as the dependent variable. Independent variables included copayment per patient day, deflated per capita income, population density, percentage of subscribers over age 65, number of beds and clinics per 1,000 persons, and number of doctors and dentists per 1,000 persons. The data were then stratified according to per capita income and percentage of insurance subscribers over the age of 65 in each prefecture. The copayment amount exhibited a small, but significant negative effect on the utilization of all medical services. Utilization of outpatient care was most sensitive to the copayment rate. The per capita income stratification models revealed the greatest copayment effect on inpatient care for the lowest income group. The results of the age stratification models support popular notions about the use of hospitals by the elderly as substitutes for elderly care facilities. The effects of copayments and income vary not only among the type of medical care (inpatient, outpatient, and dental) but also among the income and age stratifications of groups in the National Health Insurance system.

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.

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