scholarly journals Assessment of the Efficiency of the Ghana National Health Insurance Using Network Analysis

2019 ◽  
Vol 4 (6) ◽  
Author(s):  
Jiying Wu ◽  
Jean-Jacques Dominique Beraud ◽  
Evans Tekyi Ankomah-Asare
Keyword(s):  
Health Insurance ◽  
Network Analysis ◽  
National Health Insurance ◽  
National Health ◽  
Positive Influence ◽  
Professional Staff ◽  
Cost Of Treatment ◽  
Western Zone ◽  
The Cost ◽  
Flow Of Information

This study sought to assess the efficiency of the National Health Insurance Scheme (NHIS) in Ghana. Data was obtained from the National Health Insurance Authority (NHIA) website in Ghana. We divided the NHIS into four main zones (Northern, Southern, Eastern and Western zone) and grouped per the number of facilities under the NHIA (hospital, clinic, pharmacy, government disbursement) weighted against the number of referrals, the number of professional staffs and funding. Network analysis and regression methodology was used to study and analyze the data. Our result showed that the number of professional staff and funding were insignificant in some zones. However, the overall analysis showed that the number of professional staff had a positive influence on the NHIA network; there was a positive flow of information within the network, which facilitate the number of referrals within the network. Funding was insignificant because the first aim of the NHIA was to meet subscribers’ satisfaction and alleviate the cost of treatment. Efficiency can be improved by establishing a system that validates and controls the bodies under the NHIA.

scholarly journals A Comparative study on the cost effectiveness of intervention of noncommunicable disease in south Darfur 2017

2021 ◽  
Vol 2 (1) ◽  
pp. 019-025
Author(s):  
Yousif Adam Hussien Noreldin ◽  
Ekram Adam Eldoom
Keyword(s):  
Health Insurance ◽  
Cost Effectiveness ◽  
National Health Insurance ◽  
National Health ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
National Health Insurance Fund ◽  
The Cost

Background: This study conducted to assess the cost effectiveness of common interventions used to control Noncommunicable diseases in south Darfur. Noncommunicable diseases are becoming an increasing public health concern due to their economic significance, and their great impact on the ability of affected individuals to contribute to their communities, and the high burden it represents on the health system. Objectives: To evaluate the role of health insurance fund in controlling Noncommunicable diseases. To assess cost effectiveness of the management of Noncommunicable disease within the National Health insurance fund system. Methods: This study is designed to use secondary data from the national health insurance fund in south Darfur, comparing the cost for the management of 3 selected Noncommunicable diseases (Hypertension, Heart disease, and Diabetes). I have reviewed the entire data of the year 2017 and compared the cost effectiveness of the currently used interventions against health promotion and coordinated approach within the national health insurance fund. Results: The 3 selected disease (Heart Disease, Hypertension and Diabetes) has significant burden on the health system, both financially and operationally. The NHIF concentrates on the management of Noncommunicable diseases without paying due attention to the importance of prevention strategies such as health promotion, community based integrated management of NCDs, and coordination among other sectors. Conclusion: To effectively reduce the financial burden of Noncommunicable disease; the NHIF needs to concentrate on prevention of Noncommunicable diseases through extensive health promotion campaigns, promotion of healthy lifestyle, and coordinated approach to controlling Noncommunicable disease.

scholarly journals Cost-Effectiveness of Contraceptive Use in Indonesia after the Implementation of the National Health Insurance System

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Auliya A. Suwantika ◽  
Neily Zakiyah ◽  
Irma M. Puspitasari ◽  
Rizky Abdulah
Keyword(s):  
Health Insurance ◽  
Cost Effectiveness ◽  
National Health Insurance ◽  
National Health ◽  
Contraceptive Use ◽  
Intrauterine Device ◽  
Health Insurance System ◽  
National Health Insurance System ◽  
Insurance System ◽  
The Cost

Since 2014, Indonesia has initiated to implement a national health insurance system, which included both of short- (SARC) and long-acting reversible contraceptive (LARC) into the benefit package. The aim of this study was to analyze the cost-effectiveness of contraceptive use in Indonesia after the implementation of the national health insurance in 2014-2017. A decision tree model was developed to analyze the cost-effectiveness of contraceptive use in Indonesia in 2014-2017 by comparing two strategies of pregnancy prevention: contraceptive and non-contraceptive. For contraceptive strategy, we took into account SARC and LARC. In a comparison with non-contraceptive, we calculated that the incremental cost-effectiveness ratio (ICER) of SARC would be $5.18, $4.80 and $3.76 per pregnancy averted for injection, condom, and pill, respectively. For LARC, we calculated that the ICER would be $1.67 and $0.84 for implant and intrauterine device (IUD), respectively, compared with non-contraceptive. In general, the cost-effectiveness value of LARC ($1.25) was much better than SARC ($4.58). The cost of contraceptive was considered to be the most influential parameter affecting both the ICER of SARC and LARC. In conclusion, the use of LARC in Indonesia was considered to be more cost-effective than SARC since the implementation of national health insurance system. In particular, IUD yielded the greatest cost-effectiveness value, compared with other methods.

scholarly journals ANALYSIS OF MANAGEMENT AND UTILIZATION OF CAPITATION FUND DENTISTS IN THE CITY OF PALEMBANG AND LUBUKLINGGAU

2020 ◽  
Vol 15 (2) ◽  
pp. 162
Author(s):  
Faiznur Ridho ◽  
Bambang B. Soebyakto ◽  
Haerawati Idris
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Fee For Service ◽  
Ideal Number ◽  
The Government ◽  
The Cost ◽  
The City ◽  
The Ideal

Primary dentists at the era of the National Health Insurance are only paid IDR2,000 each patient. The Capitation funds can not cover the cost of services that must be spent. The payment system must be improved because it is related to the quality of service. The aims of this study to analyze the management and utilization of  dental capitation funds including the bottlenecks and to generate solutions in the implementation of JKN. This research was descriptive with qualitative approach. The informants of the study were 16 (sixteen) dentists as an independent practitioners and pratama clinics in Palembang and Lubuklinggau with highest and lowest capitation coverage. Data were analyzed by data reduction, data presentation, conclusion drawing and verification. The result showed that there was a disparity in capitation fund income received by dentists both as an independent practitioners and pratama clinic. Not all dentists get the ideal number of participants 1: 10,000. Dentists with low capitation norms have difficulty to set their operational funds. The budget for operational cost is bigger than services cost. Revenues compared to capitation funds are still lacking. Most capitation funds for primary dentists are insufficient and still rely on fee for service patients. The government  should set dental capitation norm and regulation for National Health Insurance era.Key words: dentist, capitation, clinic, utilization, regulation

scholarly journals Present status of renal replacement therapy in Asian countries as of 2017: Vietnam, Myanmar, and Cambodia

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Toru Hyodo ◽  
Masafumi Fukagawa ◽  
Nobuhito Hirawa ◽  
Yoshitaka Isaka ◽  
Hidetomo Nakamoto ◽  
...  
Keyword(s):  
Economic Development ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Present Status ◽  
Academic Research ◽  
Asian Countries ◽  
Dialysis Therapy ◽  
The Government ◽  
The Cost

AbstractSince 2015, the Committee of International Communication on Academic Research of the Japanese Society for Dialysis Therapy has held its Asian symposium during the society’s Annual Congress to discuss the present status of and demand for dialysis therapy in Asian countries. The aim of the symposium is to identify needs and find ways to contribute in the area of dialysis therapy in these countries. Three manuscripts are presented here by participants at the 2017 Asian symposium from Vietnam, Myanmar, and Cambodia.With economic development, hemodialysis (HD) therapy is now available worldwide. However, the cost of HD is very high compared with the average income in these three countries and, as of 2017, Cambodia and Myanmar have not yet established national health insurance systems. In Cambodia, patients must bear 100% of the cost for dialysis. In Myanmar, the government covers the cost of HD (20 USD, 40% of total cost) in public HD centers, but this service is still insufficient to meet current demand, with long waiting lists of up to 6 months at government HD centers. In contrast, in Vietnam, dialysis is almost completely covered by national health insurance. Dialyzers tend to be reused in all three countries. Continuous ambulatory peritoneal dialysis is available in Vietnam and Myanmar but not in Cambodia. Viable health insurance systems should be established as soon as possible in Cambodia and Myanmar, although this will ultimately depend on the countries’ level of economic development.

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