Charter of the Kazan Society of Physicians for the provision of medical care to participants in the sickness funds established by law on June 3, 1912

1913 ◽  
Vol 13 (2) ◽  
pp. 91-110
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Medical Assistance ◽  
Medical Aid ◽  
Insurance Funds ◽  
The Law ◽  
Health Insurance Funds ◽  
The City

The Kazan Society of Physicians for the Provision of Medical Aid to the Participants of the Health Insurance Funds Established on the Basis of the Law of June 23, 1912 "has the goal of providing medical assistance to the participants of the Health Insurance Fund established on the basis of the Law of June 23, 1912 in the city of Kazan and its environs.

scholarly journals Is there Health Insurance in Greece outside EOPYY? Feasibility analysis of creating an independent, private Health Fund for Employees of the Banking Sector

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Kyriakos Souliotis Souliotis ◽  
Petros Tsantilas ◽  
Xenophon Contiades
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
Banking Sector ◽  
Feasibility Analysis ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
State Budget ◽  
Insurance Funds ◽  
Private Entity ◽  
Health Insurance Funds

Τhe funding impasse and the operational malfunction of the new organization (EOPOYY) in 2011 necessitated the provision for an exemption from this rule, applicable to health insurance funds which could prove their sustainability outside EOPYY. The objective of this paper is to assess the feasibility and viability of the creation of an independent health insurance fund for<br />employees of the banking sector, which would operate as a private entity and would not burden the state budget with its deficits. The paper aims to develop a paradigm for further analyses as we move towards the establishment of a new, national, health insurance structure.

From the Commission for the Organization of Medical Care for Participants of the Health Insurance Funds, established by law on June 23, 1912

1913 ◽  
Vol 13 (1) ◽  
pp. 63-68
Author(s):  
V P Pervushyn
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Factory Workers ◽  
Insurance Funds ◽  
Health Insurance Funds

Before proceeding with the presentation of the factual side of the matter, I will allow myself to remind those present about the purpose and under what conditions the Society of Physicians allocated the "Commission for the organization of medical care for factory workers based on the laws of June 23, 1912", which represents today Report to society about its work.

scholarly journals On the slow implementation of pilot projects: Suspected causes from the perspective of statutory health insurance funds / Zur zögerlichen Umsetzung von Modellvorhaben: vermutete Ursachen aus Sicht der gesetzlichen Krankenkassen

2018 ◽  
Vol 5 (1) ◽  
pp. 64-71
Author(s):  
Michael Wessels ◽  
Dorith Geuen
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Statutory Health Insurance ◽  
Insurance Companies ◽  
Care Providers ◽  
Pilot Projects ◽  
Insurance Funds ◽  
Health Insurance Companies ◽  
The Law ◽  
Health Insurance Funds

Abstract Background The system of nursing care in Germany is currently changing. For years, a further development of cooperation in the health care sector has been discussed. And thus a change in the distribution of tasks between health care professions. In 2008, the legislature introduced the introduction of pilot projects for the transfer of medicinal tasks to nurses according to § 63 para. 3c Social Code V. The implementation is very sluggish. The aim of the study was to analyze the reasons for this sluggish implementation from the perspective of the statutory health insurance funds. Methods Quantitative survey of all statutory health insurance funds (n=124) in Germany. Results To ensure supply, 94 % of health insurance companies consider the transfer of medical tasks to non-medical care providers as a sensible approach. Also 96 % consider this to be very important in order to ensure care. Although 96 % of health insurance funds support the implementation of pilot projects, only 8 % are in fact involved in such contracts; 71 % do not plan own pilot projects for the future. In the view of the statutory health insurance funds, legal obstacles (90 %), resistance by medical representatives (84 %), unresolved financing (74 %) and liability issues (70 %) as well as non-applicable regulations in G-BA-directive (79 %) and the law (85 %). Less than half (46 %) of the health insurance companies suspect high costs causing the slow implementation. Discussion The amendments adopted by the legislature in the current reform of the law on care professions can be described as appropriate; in particular the fact that statutory health insurance funds should implement and carry out appropriate pilot projects by 31 December 2020.

Lipid-lowering therapy and patient adherence in the MULTI GAP 2013 trial

2014 ◽  
Vol 155 (17) ◽  
pp. 669-675
Author(s):  
Gábor Simonyi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Ldl Cholesterol ◽  
Patient Adherence ◽  
Lipid Lowering ◽  
Insurance Fund ◽  
Lipid Lowering Therapy ◽  
Health Insurance Fund ◽  
National Health Insurance Fund

Introduction: Dyslipidemia is a well-known cardiovascular risk factor. To achieve lipid targets patient adherence is a particularly important issue. Aim: To assess adherence and persistence to statin therapy in patients with atherosclerotic disease who participated in the MULTI Goal Attainment Problem 2013 (MULTI GAP 2013) study. Patient adherence was assessed using estimation by the physicians in charge and analysis of pick up rate of prescribed statins in 319 patients based on data of National Health Insurance Fund Administration of Hungary. Method: In the MULTI GAP 2013 study, data from standard and structured questionnaires of 1519 patients were processed. Serum lipid values of patients treated by different healthcare professionals (general practitioners, cardiologists, diabetologists, neurologists, and internists), treatment adherence of patients assessed by doctors and treatment adherence based on data of National Health Insurance Fund Administration of Hungary were analysed. Satisfaction of doctors with results of statin therapy and the relationship between the level of adherence and serum lipid values were also evaluated. Results: Considering the last seven years of survey data, the use of more effective statins became more prevalent with an about 70% increase of prescriptions of atorvastatin and rosuvastatin from 49% to 83%. Patients with LDL-cholesterol level below 2.5 mmol/l had 8 prescriptions per year. In contrast, patients who had LDL-cholesterol levels above 2.5 mmol/l had only 5.3–6.3 prescriptions per year. Patients who picked up their statins 10–12 or 7–9 times per year had significantly lower LDL-cholesterol level than those who had no or 1–3 pick up. The 100% persistence assessed by doctors was significantly lower (74%) based on data from the National Health Insurance Fund Administration of Hungary. About half of the patients were considered to display 100% adherence to lipid-lowering therapy by their doctors, while data from the National Health Insurance Fund Administration of Hungary showed only 36%. In patients with better adherence (90–100%) LDL-cholesterol levels below 2.5 mmol/l were more frequent (59.5%) compared to those with worse adherence. Satisfaction of doctors with lipid targets achieved was 69–80% in patients with total cholesterol between 4.5 and 6 mmol/l, and satisfaction with higher cholesterol values was also high (53–54%). Conclusions: The results show that doctors may overestimate patient adherence to lipid-lowering treatment. Based on data from the National Health Insurance Fund Administration of Hungary, satisfaction of doctors with high lipid level appears to be high. There is a need to optimize not only patient adherence, but adherence of doctors to lipid guidelines too.

Prävention – Lohnt sich Prävention für die gesetzlichen - Krankenkassen in Deutschland?

2020 ◽  
Vol 25 (03) ◽  
pp. 128-129
Keyword(s):  
Health Insurance ◽  
Disease Prevention ◽  
Economic Impact ◽  
Statutory Health Insurance ◽  
Insurance Fund ◽  
Chronische Erkrankungen ◽  
Health Insurance Fund ◽  
Health Econ ◽  
Financing System ◽  
Statutory Health Insurance Fund

Weinhold et al. Economic impact of disease prevention in a morbidity-based financing system: does prevention pay off for a statutory health insurance fund in Germany? Eur J Health Econ 2019; 20 (8): 1181–1193 Das deutsche Gesundheitssystem wird durch vermeidbare chronische Erkrankungen in besonderem Maße belastet. Die Finanzierung geeigneter Präventionsmaßnahmen obliegt den Krankenkassen. Weinhold et al. untersuchten in einer retrospektiven Studie die ökonomischen Auswirkungen von Prävention für die GKV.

Drug Prescription Patterns in Schizophrenia Outpatients: Analysis of Data from a German Health Insurance Fund

2009 ◽  
Vol 42 (02) ◽  
pp. 66-71 ◽  
Author(s):  
S. Weinbrenner ◽  
H.-J. Assion ◽  
T. Stargardt ◽  
R. Busse ◽  
G. Juckel ◽  
...  
Keyword(s):  
Health Insurance ◽  
Drug Prescription ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Prescription Patterns ◽  
German Health

Health related costs of smoking from the viewpoint of the Health Insurance Fund in Hungary

2012 ◽  
Vol 153 (9) ◽  
pp. 344-350 ◽  
Author(s):  
Miklós Gresz ◽  
Júlia Nagy ◽  
Petra Freyler
Keyword(s):  
Lung Cancer ◽  
Health Insurance ◽  
Product Distribution ◽  
Tobacco Product ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Life Years ◽  
Health Related ◽  
Hungarian Population ◽  
The Individual

In recent times, the topic of smoking has been extensively debated in Hungary. A new Act has been issued for the protection of non-smokers and for the regulation of tobacco product distribution. Aims: The aim of the authors was to examine the economic burden of smoking on the society. Methods: According to wildly accepted estimates, 30% of the Hungarian population smokes. Smoking leads to the development of several diseases, for example, it is responsible for 90% of lung cancer cases. Results: 17.2% of the curative–preventive costs and 15% of the pharmaceutic costs are estimated to be spent on the health damages caused by smoking. In 2009, the Health Insurance Fund had to spend approximately 174.6 billion HUF for health damages including sick leave costs caused by smoking. Working days lost (patients on sick list) as a consequence of smoking decreased the GDP of Hungary by around 95 billion HUF in the same year. Literature suggests that smoking leads to a loss of approximately seven life years. Shortened life span might cause 594.9 billion HUF loss to the Hungarian economy not to mention the economical and emotional loss of the individual families. Conclusions: The authors estimated a total of 864.4 billion HUF loss to the Hungarian economy due to smoking. Orv. Hetil., 2012, 153, 344–350.

scholarly journals Deficit of the Hungarian Health Insurance Fund Between 1994-2014

2018 ◽  
Vol 21 ◽  
pp. S104
Author(s):  
D Endrei ◽  
A Sebestyén ◽  
I Ágoston ◽  
T Csákvári ◽  
G Kovács ◽  
...  
Keyword(s):  
Health Insurance ◽  
Insurance Fund ◽  
Health Insurance Fund

scholarly journals Information Needs of Patients Undergoing Bariatric Surgery in Germany: A Qualitative Interview Study

2021 ◽  
Author(s):  
Jessica Breuing ◽  
Nadja Könsgen ◽  
Katharina Doni ◽  
Annika Lena Neuhaus ◽  
Dawid Pieper
Keyword(s):  
Bariatric Surgery ◽  
Health Insurance ◽  
Support Groups ◽  
Information Needs ◽  
Information Dissemination ◽  
Information Provision ◽  
Nutritional Counseling ◽  
Qualitative Interview Study ◽  
Insurance Funds ◽  
Health Insurance Funds

Abstract BackgroundObesity is a worldwide problem with different treatment options. Bariatric surgery is an effective treatment for severe obesity; however, it leads to drastic changes (e.g., changes in everyday life and eating behavior) for patients, which may lead to information needs. Our aim was to identify the information needs of patients undergoing bariatric surgery and to explore the information provision within the healthcare process of bariatric surgery in Germany.MethodsWe conducted n=14 semi-structured telephone interviews between April 2018 and April 2019. The interview guide was designed prior to the interviews and consisted of 4 main sections (demographic information, pre- and postoperative healthcare provision, information needs). The audio-recorded interviews were transcribed verbatim and analyzed using qualitative content analysis with MAXQDA software.ResultsThere were unmet information needs with two factors (time: pre/postoperative and categories of information: general/specific) to be considered. Due to the patients’ description of information, we categorized information into general (different surgical procedures, general nutritional information) and specific (occurring simultaneously with a problem) information. Most patients felt well informed concerning general information. However, it was pointed out that it was not possible to provide complete information preoperatively, as the need for information only arises when there are postoperative (specific) problems. In addition, there seems to be a high demand for specific postoperative information regarding nutrition and nutrition-related problems. However, patients stated that postoperative nutritional counseling is not reimbursed by health insurance funds. The information conveyed in support groups and the exchange of experiences are highly valued by patients. However, some patients describe the information provided within the support groups as unfiltered, frightening or exaggerated.ConclusionOverall, there were unmet information needs. Reimbursement by health insurance funds could increase the use of postoperative nutritional counseling and thus serve existing information needs. Support groups enable an exchange of experiences and therefore offer low-barrier access to information. Cooperation between support groups and healthcare professionals in information provision could be an approach to improving existing information needs or to avoiding the development of information gaps. Furthermore, the development and implementation of a digital solution for (postoperative) information dissemination could be helpful.

Belgium Healthcare System

2020 ◽  
pp. 65-73
Author(s):  
Elena Frolova
Keyword(s):  
Health Insurance ◽  
Healthcare System ◽  
Care Delivery ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Small Country ◽  
Public And Private ◽  
Private Healthcare ◽  
High Level ◽  
Very High

Belgium is a small country in northwestern Europe, with a population of 11.4 million people. The country has a very high level of urbanization; up to 97% of the population lives in cities and towns. About 10% of GDP is spent annually on the development of healthcare, which, technically, corresponds to the average European indicators. Based on the results of work in 2018, the Belgian medical care delivery system was recognized as the “most generous healthcare system in Europe”, however, it was rated much lower in terms of quality than the countries that took first places in the ranking. The country has a public and private healthcare system, and both of them are paid. 99% of the population is covered by medical insurance, and children under the age of 18 are covered by parental insurance. All officially employed Belgians and self-employed persons operating in the country must be registered and make contributions to the Belgian Health Insurance Fund. The amount of the monthly contribution to the Health Insurance Fund is fixed, it amounts to 7.35% of the salary.

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