ЕNSURING AVAILABILITY OF HI-TECH MEDICAL CARE TO POPULATION OF THE SIBERIAN FEDERAL DISTRICT REGIONS AT THE FEDERAL LEVEL HEALTH CARE FACILITIES WITHIN THE SYSTEM OF COMPULSORY HEALTH INSURANCE

2016 ◽  
Vol 52 (6) ◽  
pp. 3
Author(s):  
L.S. Shalygina ◽  
◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Medical Care ◽  
Federal District ◽  
Health Care Facilities ◽  
Siberian Federal District ◽  
Federal Level ◽  
Care Facilities ◽  
Compulsory Health Insurance

scholarly journals TINJAUAN PELAKSANAAN NILAI GUNA REKAM MEDIS BAGI PASIEN DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2018

2020 ◽  
Vol 5 (1) ◽  
pp. 80-84
Author(s):  
Johanna Christy ◽  
Afni Efani Putri S
Keyword(s):  
Health Care ◽  
Medical Care ◽  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Health Care Facilities ◽  
Use Value ◽  
Care Facilities ◽  
Conducting Research

ABSTRAK Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik.   Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis                                             ABSTRACT   Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the value of the medical record and the filling of the medical record better.

Kajian Kebijakan Jaminan Kesehatan Masyarakat

2010 ◽  
Vol 13 (2) ◽  
pp. 98-104
Author(s):  
Imami Nur Rachmawati
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Public Service ◽  
Living Environment ◽  
Health Care Facilities ◽  
The State ◽  
Human Right ◽  
Care Facilities ◽  
Community Health Insurance ◽  
Good Living

AbstrakKesehatan adalah hak asasi manusia. Sesuai dengan Pancasila dan amanat UUD 1945 yaitu pasal 28H ayat (1) yang mengatakan bahwa setiap orang berhak hidup sejahtera lahir dan batin, bertempat tinggal, dan mendapatkan lingkungan hidup yang baik dan sehat serta berhak memperoleh pelayanan kesehatan dan pasal 34 ayat (1) yang mengatakan bahwa Negara mengembangkan sistem jaminan sosial bagi seluruh rakyat dan memberdayakan masyarakat yang lemah dan tidak mampu sesuai dengan martabat kemanusiaan dan ayat (2) yang menetapkan bahwa Negara bertanggung jawab atas penyediaan fasilitas pelayanan kesehatan dan fasilitas pelayanan umum yang layak, maka sudah merupakan kewajiban negara untuk menjamin kesehatan warganya. Berbagai program telah dikembangkan oleh Negara termasuk Jaminan Kesehatan Masyarakat (Jamkesmas). Akan tetapi pada pelaksanaannya, Jamkesmas ini masih banyak menemui kendala. Makalah ini akan menjabarkan informasi terkait dengan pelaksanaan program Jamkesmas dan memberikan berbagai pemecahan masalah tersebut. AbstractHealth is a human right. In accordance with Pancasila and 1945 Constitution, namely Article 28H paragraph (1) which says that every person is entitled to live in prosperity and spiritual, living, and earn a good living environment and healthy and receive medical care and article 34 paragraph (1) the said that the State develop a system of social security for all citizens and to empower the weak and unable to human dignity and in accordance with paragraph (2) which provides that the State is responsible for the provision of health care facilities and public service facilities are decent, then it is the obligation of the state to ensure the health of its citizens. Various programs have been developed by the State including Community Health Insurance (Jamkesmas). However, in practice, this is still a lot of obstacles. This paper will describe the information related to the implementation of the program Jamkesmas and provide a variety of problem solving.

scholarly journals Targeting and Impact of National Health Insurance Program in Indonesia

2020 ◽  
Vol 9 (4) ◽  
pp. 468-481
Author(s):  
Galih Putri Yunistria
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Health Insurance ◽  
National Health Insurance ◽  
Logistic Regression Analysis ◽  
National Health ◽  
Health Care Facilities ◽  
National Health Insurance System ◽  
Care Facilities

National Health Insurance System (NHIS) program in Indonesia has been launched since 2014,and government spending to support the program has allocated nearly 40% of MoH budget,especially for the NHIS subsidies. This study examined the distribution of NHIS subsidizedbeneficiaries which associated with the household income distribution, and also studied about theutilization rate of health care facilities among the residents since the NHIS program has introducedto change citizens’ health seeking behaviour from traditional services to health facilities. Using the2016 Susenas data, this study employed the benefit incidence analysis method to measure thedistribution of NHIS-subsidized group, and logistic regression analysis to determine the health careseeking behavior. The result shows that households in higher income (quantile III-V) get benefitfrom government subsidy on NHIS program. It indicated there was a leakage on governmentbudget that not belong to the target (quantile I and II). Then, logistic regression analysis found thatpeople with higher income and having health insurance tend to visit health care facilities morefrequently than lower income group and uninsured people. This can be concluded that healthinsurance ownership is one of the important factors to influence people visiting health carefacilities.

scholarly journals Blockchain-Enabled iWellChain Framework Integration With the National Medical Referral System: Development and Usability Study (Preprint)

2019 ◽  
Author(s):  
Yu-Sheng Lo ◽  
Cheng-Yi Yang ◽  
Hsiung-Fei Chien ◽  
Shy-Shin Chang ◽  
Chung-Ying Lu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health ◽  
Health Care Facilities ◽  
Health Record ◽  
National Medical ◽  
Referral Service ◽  
Care Facilities ◽  
Access Logs ◽  
Medical Referral

BACKGROUND Medical referral is the transfer of a patient’s care from one physician to another upon request. This process involves multiple steps that require provider-to-provider and provider-to-patient communication. In Taiwan, the National Health Insurance Administration (NHIA) has implemented a national medical referral (NMR) system, which encourages physicians to refer their patients to different health care facilities to reduce unnecessary hospital visits and the financial stress on the national health insurance. However, the NHIA’s NMR system is a government-based electronic medical referral service, and its referral data access and exchange are limited to authorized clinical professionals using their national health smart cards over the NHIA virtual private network. Therefore, this system lacks scalability and flexibility and cannot establish trusting relationships among patients, family doctors, and specialists. OBJECTIVE To eliminate the existing restrictions of the NHIA’s NMR system, this study developed a scalable, flexible, and blockchain-enabled framework that leverages the NHIA’s NMR referral data to build an alliance-based medical referral service connecting health care facilities. METHODS We developed a blockchain-enabled framework that can integrate patient referral data from the NHIA’s NMR system with electronic medical record (EMR) and electronic health record (EHR) data of hospitals and community-based clinics to establish an alliance-based medical referral service serving patients, clinics, and hospitals and improve the trust in relationships and transaction security. We also developed a blockchain-enabled personal health record decentralized app (DApp) based on our blockchain-enabled framework for patients to acquire their EMR and EHR data; DApp access logs were collected to assess patients’ behavior and investigate the acceptance of our personal authorization-controlled framework. RESULTS The constructed iWellChain Framework was installed in an affiliated teaching hospital and four collaborative clinics. The framework renders all medical referral processes automatic and paperless and facilitates efficient NHIA reimbursements. In addition, the blockchain-enabled iWellChain DApp was distributed for patients to access and control their EMR and EHR data. Analysis of 3 months (September to December 2018) of access logs revealed that patients were highly interested in acquiring health data, especially those of laboratory test reports. CONCLUSIONS This study is a pioneer of blockchain applications for medical referral services, and the constructed framework and DApp have been applied practically in clinical settings. The iWellChain Framework has the scalability to deploy a blockchain environment effectively for health care facilities; the iWellChain DApp has potential for use with more patient-centered applications to collaborate with the industry and facilitate its adoption.

Time and Distance: The Journey for Medical Care

1973 ◽  
Vol 3 (2) ◽  
pp. 237-244 ◽  
Author(s):  
G. W. Shannon ◽  
J. L. Skinner ◽  
R. L. Bashshur
Keyword(s):  
Health Care ◽  
Regression Analysis ◽  
Medical Care ◽  
Medical Service ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Correlation And Regression Analysis ◽  
Linear Distance ◽  
Care Facilities ◽  
Relative Accessibility

Time and distance, the two common measures of travel, are examined as they relate to the use of various types of medical service facilities, using correlation and regression analysis. Different conclusions about the relative accessibility of health care facilities for selected sub-population groups result from the use of each measure separately. Differences in travel patterns to hospitals and those to physicians and dentists are observed when measured by time alone or by linear distance alone. Methodologic and health care implications are discussed.

scholarly journals Blockchain-Enabled iWellChain Framework Integration With the National Medical Referral System: Development and Usability Study

10.2196/13563 ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. e13563 ◽  
Author(s):  
Yu-Sheng Lo ◽  
Cheng-Yi Yang ◽  
Hsiung-Fei Chien ◽  
Shy-Shin Chang ◽  
Chung-Ying Lu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health ◽  
Health Care Facilities ◽  
Health Record ◽  
National Medical ◽  
Referral Service ◽  
Care Facilities ◽  
Access Logs ◽  
Medical Referral

Background Medical referral is the transfer of a patient’s care from one physician to another upon request. This process involves multiple steps that require provider-to-provider and provider-to-patient communication. In Taiwan, the National Health Insurance Administration (NHIA) has implemented a national medical referral (NMR) system, which encourages physicians to refer their patients to different health care facilities to reduce unnecessary hospital visits and the financial stress on the national health insurance. However, the NHIA’s NMR system is a government-based electronic medical referral service, and its referral data access and exchange are limited to authorized clinical professionals using their national health smart cards over the NHIA virtual private network. Therefore, this system lacks scalability and flexibility and cannot establish trusting relationships among patients, family doctors, and specialists. Objective To eliminate the existing restrictions of the NHIA’s NMR system, this study developed a scalable, flexible, and blockchain-enabled framework that leverages the NHIA’s NMR referral data to build an alliance-based medical referral service connecting health care facilities. Methods We developed a blockchain-enabled framework that can integrate patient referral data from the NHIA’s NMR system with electronic medical record (EMR) and electronic health record (EHR) data of hospitals and community-based clinics to establish an alliance-based medical referral service serving patients, clinics, and hospitals and improve the trust in relationships and transaction security. We also developed a blockchain-enabled personal health record decentralized app (DApp) based on our blockchain-enabled framework for patients to acquire their EMR and EHR data; DApp access logs were collected to assess patients’ behavior and investigate the acceptance of our personal authorization-controlled framework. Results The constructed iWellChain Framework was installed in an affiliated teaching hospital and four collaborative clinics. The framework renders all medical referral processes automatic and paperless and facilitates efficient NHIA reimbursements. In addition, the blockchain-enabled iWellChain DApp was distributed for patients to access and control their EMR and EHR data. Analysis of 3 months (September to December 2018) of access logs revealed that patients were highly interested in acquiring health data, especially those of laboratory test reports. Conclusions This study is a pioneer of blockchain applications for medical referral services, and the constructed framework and DApp have been applied practically in clinical settings. The iWellChain Framework has the scalability to deploy a blockchain environment effectively for health care facilities; the iWellChain DApp has potential for use with more patient-centered applications to collaborate with the industry and facilitate its adoption.

scholarly journals Formation of public-private model in Russia health care organization

2021 ◽  
Vol 6 (3) ◽  
pp. 216-226
Author(s):  
V. I. Perkhov ◽  
S. I. Kolesnikov ◽  
E. V. Pesennikova
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Medical Care ◽  
Statistical Data ◽  
The State ◽  
Care Organization ◽  
Public And Private ◽  
Emergency Situations ◽  
The Social ◽  
Compulsory Health Insurance

The pandemic of COVID-19, the threat of technogenic and anthropogenic character, brought to the foreground non-market aspects of the general, corporate branch culture and strategy in medicine and health care. Therefore, in many countries, despite differences in state and private property ratios in health infrastructure, the state priority is ensuring cooperation within the national health care system which capable quickly and well-coordinated work in the extremely dangerous epidemics conditions and other emergency situations. The purpose of this article is discussing a problem of public and private models of medical care organization in Russian health care system.Materials and methods. Content analysis methods, economical and statistical analysis, information and analytical materials of the Russian and foreign news agencies, a summary across Russia of Rosstat form No. 62 of the state statistical observation «Data on resource providing and on delivery of health care to the population» (legal entities - the medical organizations which are carrying out activity in the sphere of compulsory health insurance), analytical materials and statistical data of World Health Organization (The European portal of information of health care of WHO: https://gateway.euro.who.int/en/hfa-explorer/), statistical data and metadata on the countries of the Organization for Economic Cooperation and Development (OECD, https://stats.oecd.org/), the materials of monographic researches and periodicals including placed on the Internet were used in this article.Results: the system of compulsory health insurance is an ancestor of the program of the state guarantees of free medical care of in Russian citizens. The length of the text of this Program so far was increased in 130 times in comparison with initial edition of 1998. At the same time, there is still no clear delineation for the bases, volumes and conditions differentiation of free and paid medical care rendering. As a result, the major human right to free medical care remains not completely realized. The numbers of the non-state medical organizations to provide free of charge medical care to the population according to the policy of obligatory medical insurance (i.e. financed from the state sources) in the period of 2011 to 2019 – from 648 to 2423 organizations respectively were increased in Russia four times. This demonstrates the creation of the new, «integrated» model of health care in Russia in the mode of public and private partnership for deciding of social tasks. Although, free medical care for citizens in the private medical organizations is not mentioned in the Constitution of Russian Federation (Main Law). In emergency situations such integration allows private medical structures to involve capacities and also be coordinated with one of the tasks of the Ministry of health target program «Development of the Fundamental, Transmitting and Personalized Medicine».Conclusions. There is a formation of the integrated, public and private (hybrid) model of health care in modern Russia that needs developing of a new partnership and principles of management in the sphere of medical care organization. State policy in the health care financing sphere should be directed not only to the state guarantees of medical care specification, but also to a gap in social and economic inequality reduction. The social protection systems should be focused, first of all, on people who are most in great need of medical care. For the protecting population from catastrophic payments for medical care, it is necessary to bring the concept of the social standards - a number of the general rules, norms and standards which must guarantee the state ensuring constitutional rights of citizens to free medical care in the health care legislation.

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