scholarly journals Reform of health-care payments for Chinese medical insurancepractices in Luohu District, Shenzhen City, Guangdong Province

2019 ◽  
Author(s):  
Fangfang Gong ◽  
Xizhuo Sun ◽  
Wenhai Li ◽  
Zou Zhang ◽  
Yanan Li
Keyword(s):  
Health Care ◽  
Medical Service ◽  
Service Providers ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Hospitalization Rate ◽  
Health Maintenance ◽  
Insurance System ◽  
Shenzhen City ◽  
Medical Health Care

Abstract Background Following the implementation of the Healthy China 2030 strategy, China’s health-care system must shift from being disease-centered to health-centered. Medical insurance funds are the main economic resource for medical health-care service providers in China; therefore, the Chinese medical insurance system has become an important economic lever for adjusting the behavior of medical health-care providers. In the new round of medical reform, substantial progress has been made in the construction of a medical treatment insurance system. The world’s largest medical insurance network has been created in a relatively short period in China and basically achieves universal medical insurance coverage. However, this system mainly provides full coverage to the amount and has yet to fully achieve the principle of “health-care for all” proposed by the Healthy China 2020 strategy. China must promote reform in the medical insurance system and establish a medical insurance guidance mechanism to ensure that medical service providers consider and promote health care. Methods Using Luohu Hospital Group in Shenzhen City, Guangdong Province as the research object, the details of the health maintenance organization’s reform of its medical insurance payment patterns to be more health-oriented are introduced. Comparing the summarized characteristics of the health maintenance organization’s payment patterns, the relevant data for the medical insurance operation and health status of the insured before and after the reform were analyzed statistically. Results The data show that after the reform, the total hospitalization cost of the insured, number of inpatients, and hospitalization rate all decreased. The growth rate of expenditure in the medical insurance fund slowed and initial results were shown in preventive health-care work. The incidence of some infectious diseases and the hospitalization rate of patients with chronic diseases decreased. Conclusions The medical service providers form positive incentives and appropriate medical orientations, while patients demanding health care may form good habits of seeking medical treatment and healthy life, but not pursuing economic benefits through the medical insurance reform.

scholarly journals Całkowicie prywatna opieka medyczna — próba zarysu

Ekonomia ◽  
2020 ◽  
Vol 26 (1) ◽  
pp. 155-195
Author(s):  
Stanisław Wójtowicz ◽  
Kamil Rozynek
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Service Providers ◽  
Free Market ◽  
Medical Insurance ◽  
Economic Incentives ◽  
The State ◽  
Medical Services ◽  
Market Mechanisms ◽  
Quality Of Medical Care

In this paper, we explore what the market for medical services and products could look like if the state completely withdrew from the area of medical care. In section 1, we demonstrate that medical services would be purchased mainly through direct payments and medical insurance. We analyse two models of medical insurance: guaranteed renewable insurance and health-status insurance. Other types of insurance that may emerge on the market are also discussed. In section 2, we exam-ine how the privatisation of the health-care system would affect the prices of medical services. We analyse fundamental problems of the state-run health care and discuss how they contribute to small-er supply and higher prices of medical services. We then describe how the introduction of market mechanisms would allow to solve many of these problems. We argue that internalisation of the costs of medical care in a free market order would create strong economic incentives for individuals to take better care of their health, and we contrast this with the state-run health care in which these costs are externalised. In section 3, we explore how medical services could be obtained by individuals without sufficient funds. In section 4, we discuss how the quality of medical care could be ensured without the help of the state. We argue that competition between service providers would be the main guarantor of quality. We also identify mechanisms that would lead to spontaneous emergence of a system of private medical licencing.

scholarly journals An Intuitive and Secured Framework for Sharing Health-care Data using Block-chain Techniques

2020 ◽  
Vol 9 (4) ◽  
pp. 1948-1952
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Cloud Storage ◽  
Medical Service ◽  
Service Providers ◽  
Cyber Attacks ◽  
Health Care Data ◽  
Block Chain

Electronic Medical Records are now widely used by medical organizations as a replacement for physical manual records of the patients. These Electronic Medical Records (EMR) were effectively adopted as a result of the evolution in the field of Information technology supported by more innovative computer science engineering feats, as the EMR systems became more advanced it still had a drawback of being vulnerable to cyber attacks, which will eventually compromise the integrity and confidentiality. Hence the same EMR system is built along with the use of Block-chain technology on a cloud storage platform, this system will be integrated with various features compatible for the interoperability between the patients and medical service providers. The main objective of this project is to leverage maximum cyber protection to the EMR system.

scholarly journals The Risk Factors for Chinese Medical Economic Burden of Aging: A Cross-Sectional Study Based on Guangdong Province

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jialong Chen ◽  
Zhenzhu Qian ◽  
Liuna Yang ◽  
Ting Liu ◽  
Mingwei Sun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Economic Burden ◽  
Malignant Tumors ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Accounting Data ◽  
Insurance System ◽  
Basic Medical

Background. The proportion of aging in China is increasing, which needs more healthcare recourses. To analyze the risk factors of the direct medical economic burden of aging in China and provide the strategies to control the cost of treatment, the information was collected based on Guangdong Province’s regular health expenditure accounting data collection plan. Methods. The multiple linear regression models were used to explore the risk factors of inpatient expenses of the elderly in Guangdong province. Results. The results revealed that hospital day, age, male patients, and patients who suffer from malignant tumors are key factors to increase the direct medical economic burden of aging. Moreover, the medical insurance for urban employees can reduce the medical economic burden, comparing with the medical insurance for urban residents. Conclusions. The basic medical insurance system and the serious illness insurance system should be improved. While striving to speed up the development of regional economy, the government should pay attention to the construction of basic medical institutions in economically backward areas, increase the allocation of health human resources, and facilitate the masses to seek medical treatment nearby.

scholarly journals Transitional and Long-Term Care System in Japan and Current Challenges for Stroke Patient Rehabilitation

2022 ◽  
Vol 12 ◽  
Author(s):  
Shoji Kinoshita ◽  
Masahiro Abo ◽  
Takatsugu Okamoto ◽  
Kohei Miyamura
Keyword(s):  
Medical Care ◽  
Long Term Care ◽  
Service Providers ◽  
Medical Insurance ◽  
Term Care ◽  
Multidisciplinary Rehabilitation ◽  
Rehabilitation Therapy ◽  
Insurance System ◽  
Care System

In Japan, the national medical insurance system and long-term care insurance (LTCI) system cover rehabilitation therapy for patients with acute, convalescent, and chronic stroke. Medical insurance covers early and multidisciplinary rehabilitation therapy during acute phase hospitalizations. Patients requiring assistance in their activities of daily living (ADL) after hospitalization are transferred to kaifukuki (convalescent) rehabilitation wards (KRW), which the medical insurance system has also covered. In these wards, patients can receive intensive and multidisciplinary rehabilitation therapy to improve their ADL and transition to a smooth home discharge. After discharge from these hospitals, elderly patients with stroke can receive outpatient (day-care) rehabilitation and home-based rehabilitation using the LTCI system. The Japanese government has proposed building a community-based integrated care system by 2025 to provide comprehensive medical services, long-term care, preventive care, housing, and livelihood support for patients. This policy aims to promote smooth coordination between medical insurance services and LTCI providers. Accordingly, the medical insurance system allows hospitals to receive additional fees by providing patient information to rehabilitation service providers in the LTCI system. A comprehensive database on acute, convalescent, and chronic phase stroke patients and seamless cooperation between the medical care system and LTCI system is expected to be established in the future. There are only 2,613 board-certified physiatrists in Japan, and many medical schools lack a department for rehabilitation medicine; establishing such a department at each school is encouraged to teach students efficient medical care procedures, to conduct research, and to facilitate the training of personnel in comprehensive stroke rehabilitation.

scholarly journals On medical insurance: considerations based on foreign experience

2019 ◽  
Vol 60 (4) ◽  
pp. 214-216
Author(s):  
Sergey V. Yargin
Keyword(s):  
Health Care ◽  
Medical Service ◽  
Health Care Organization ◽  
Diagnostic Procedures ◽  
Medical Insurance ◽  
Care Organization ◽  
Medical Care System ◽  
Medical Practitioners ◽  
Medical Centers ◽  
Insured Patients

The health care organization in Russia is similar to the same in Great Britain where exists public medical care system. At the same time, Russian health care, being insurance, bear resemblance with German health care. The significant characteristic of insurance medicine in Germany is availability of mechanism ofprice ofpoint that is shortly discussed in this article. The application of this mechanism leads to that in overall country the price of medical service is approximately the same independently of insurer. Accordingly, most of private medical practitioners and medical organizations receive all insured patients. The similar mechanism can successfully function only on the assumption of conscientiousness and higher level of professional knowledge of physicians who are not to prescribe pharmaceuticals and diagnostic procedures without sufficient indications. The adoption of mechanism ofpoint price by Russian health care would permit to redirect part of patients insured by mandatory medical insurance to private medical centers and private medical practitioners.

scholarly journals PROFESSOR A.YA. ALYMOV AND DOMESTIC EPIDEMIOLOGY (ON THE 120TH ANNIVERSARY OF HIS BIRTH)

2013 ◽  
Vol 18 (5) ◽  
pp. 56-57
Author(s):  
M. Sh Knopov ◽  
V. K Taranukha
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Medical Service ◽  
Creative Work ◽  
Medical Sciences ◽  
World War ◽  
Public Figure ◽  
Medical Health Care ◽  
Medical Health ◽  
120Th Anniversary

In the paper there is presented the life and creative work way of a prominent epidemiologist of our country, a talented organizer of medical health care, well-known public figure, a wonderful teacher, chief epidemiologist of the Navy during World War II, corresponding member of the Academy of Medical Sciences of the USSR, Professor, General-Major of Medical Service Andrey Yakovlevich Alymov/

scholarly journals RISK AND THE MANAGEMENT OF A HEALTHCARE UNIT – A LITERATURE REVIEW

2021 ◽  
Author(s):  
ANDRZEJ SZEWCZUK ◽  
EMILIA MAGDALENA ŁUGOWSKA ◽  
JARI KRUTH
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Management ◽  
Medical Service ◽  
Service Providers ◽  
Risk Allocation ◽  
Legal Regulations ◽  
Specific Nature ◽  
Health Care Unit ◽  
Reduce Risk

Due to its specific nature, the provision of medical services is associated with considerable risk; and it is extremely important to diagnose and manage this same risk. Healthcare entities should be covered by appropriate instruments that reduce risk and support quality. In addition to legal regulations that must be met by entities providing such services, there are systemic solutions that are being implemented by more and more healthcare entities. The article analyses the risk that occurs in the management of a health care unit. In the first part of the article, the literature on the topic is reviewed, whereas what follows thereafter analyses risks in the management of a healthcare unit, including risk factors and risk allocation. The conclusion points to the risks which play the greatest role in the management of medical service providers; and enumerates some of the most important issues of risk management in medical entities.

Emergency Medical Service Providers’ Perspectives towards Management of the Morbidly Obese

2016 ◽  
Vol 31 (5) ◽  
pp. 471-474 ◽  
Author(s):  
John J. Cienki
Keyword(s):  
Health Care ◽  
Airway Management ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
The United States ◽  
Morbidly Obese ◽  
Average Weight ◽  
Intravenous Access ◽  
Emergency Medical

AbstractObjectiveObesity is a growing epidemic in the United States with increasing burden to the health care system. Management and transport of the morbidly obese (MO) pose challenges for Emergency Medical Services (EMS) providers. Though equipment and resources are being directed to the transport of the obese, little research exists to guide these efforts. To address this, the author of this study sought to assess EMS providers’ perspectives on the challenges of caring for MO patients.MethodsAn anonymous, web-based survey was distributed to all active providers of prehospital transport of a large, urban, fire-based EMS system to evaluate the challenges of MO patients. The definition of MO was left up to the provider. This survey looked at various components of transport: lifting, transport time, airway management, establishing intravenous access, drug administration, as well as demographics, equipment, and education needs. The survey contained yes/no, rank-order, and Likert scale questions. Data were analyzed using descriptive statistics. The study was approved by the University of Miami (Miami, Florida USA) Institutional Review Board.ResultsOf survey participants, 71.9% felt the average weight of their patients had increased, and 100% reported to have transported a MO patient. Of calls made to EMS, 25% were only for assistance in the house and another 25% were for non-emergent transport to a health care facility; shortness of breath was the most common emergent complaint. Of specific challenges to properly care for MO patients, 94.4 % ranked lifting and/or moving the patient highest, followed by airway management, intravenous access, and measuring vital signs. A total of 43.8% of respondents felt that MO patients require at least six to eight EMS personnel to transport patients while 31.8% felt more than eight providers were necessary. Greater than 81.3% felt it would be beneficial to receive more training and 90.4% felt more equipment was needed. Of participants, 68.8 % felt that MO patients did not receive the same standard of care.ConclusionsSurveyed participants reported that patient’s weights are increasing with all having transported a MO patient. Despite the majority of transports being for non-emergent problems, providers felt more training would be beneficial, that equipment available does not meet needs, and that the MO pose challenges to appropriate patient care.CienkiJJ. Emergency Medical Service providers’ perspectives towards management of the morbidly obese. Prehosp Disaster Med. 2016;31(5):471–474.

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