scholarly journals Ethical Dimensions of the Patients’ Attitude Towards the GP, Prophylactic and the New Methods of Treatment

2018 ◽  
Vol 45 (1) ◽  
pp. 32-38
Author(s):  
Kalina Peycheva
Keyword(s):  
Health Insurance ◽  
Education Level ◽  
Large Percentage ◽  
Insurance Fund ◽  
Chi Square ◽  
New Methods ◽  
Gender And Education ◽  
Anonymous Questionnaire ◽  
Strict Regulation ◽  
Methods Of Treatment

Abstract The National Health Insurance Fund (NHIF) data shows that only a small portion of the health insurance holders in the country have visited their GP for the mandatory prophylactic check-up. This fact is rather disturbing. The study aims at investigating the ethical dimensions and the patients’ opinions towards the GPs, prophylactics and the new methods for early diagnostics and treatment. Material and Methods: A questionnaire was prepared for the purposes of the study. The methods utilized were a direct individual anonymous questionnaire, statistical - descriptive, analytical (Chi-square). The answers were examined and statistically processed according to age, gender and education level of the participants. Results: 1. A large percentage of the participants, 88.8% has a GP, however, the situation with the personal dental practitioner is rather different - 66% does not have one. 2. A large percentage of the participants believe in prophylactics, but do not attend regular prophylactic checks which is related to the prevailing mistrust towards the GP, as well as to the education level of the patients - those with higher education believe in and attend prophylactic checks more regularly. 3. The percentage of those who believe in the new methods and means for treatment is high, over 80%, while no difference is found in relation to the patients’ education level. 4. There is no difference in the answers regarding the regular prophylactic checks depending on gender. Conclusion: The strict regulation of the practice of GP and sanctions to the nonregular to prophylaxis patients are needed.

scholarly journals ETHICAL DIMENSIONS OF WILLINGNESS TO PAY FOR MEDICAL CARE IN BULGARIA

2018 ◽  
Vol 6 (1) ◽  
pp. 516-522
Author(s):  
Kalina Peycheva ◽  
Mariela Deliverska
Keyword(s):  
Higher Education ◽  
Medical Care ◽  
Education Level ◽  
Medical Services ◽  
Medical Professionals ◽  
Chi Square ◽  
New Methods ◽  
Gender And Education ◽  
Anonymous Questionnaire ◽  
Methods Of Treatment

Regardless of what both patients and medical professionals might think, nowadays there is no free medicine. The need of changing the pattern is emphasized and people should become more responsible for their own health. The aim is to find a connection between the trust in GPs, prophylactic check-ups, new methods of treatment and the willingness of patients to pay for the received medical services. Material and Method: A questionnaire was prepared for the purposes of the study. The methods utilized were a direct individual anonymous questionnaire, statistical – descriptive, analytical (Chi-square). The answers were examined and statistically processed according to age, gender and education level of the participants. Results: 1. The results regarding the trust in GP is very unconvincing – only 14,5 % believe in their GP. 2. The percentage of believers in prophylactic check-ups is high - 57,9%.  3.The percentage of those who believe in the new methods and means for treatment is high, over 80%, while no difference is found with respect to the patients’ education level. 4. The patients often (86%) pay for the treatment of a specialist. 5. People with higher education more readily pay for medical care. Conclusions: 1. The lack of trust in GP combined with the strong belief in prophylactic check - ups and the new methods for diagnostic and treatment of diseases lead to higher expectations of patients towards the medical services and their readiness to pay for these services. 2. The patients indicate readiness to pay for medical services which is a part of the patients’ readiness to take care for their own health.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN MENJADI PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI WILAYAH PUSKESMAS KEMBANG SERI BENGKULU TENGAH

2019 ◽  
Vol 26 (2) ◽  
pp. 39-52
Author(s):  
Vike Pebri Giena ◽  
Nikki Sulastry ◽  
Buyung Keraman
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Social Security ◽  
Significant Relationship ◽  
Education Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Social ◽  
Contingency Coefficient

The Factors Associated with Participation of Being Member of National Health Insurance in Working Area of Kembang Seri Public Health Center      Bengkulu TengahABSTRAKJaminan Kesehatan Nasional (JKN) merupakan bagian dari Sistem Jaminan Sosial Nasional (SJSN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) dengan tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh Pemerintah. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan keikutsertaan menjadi peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. Desain penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini adalah seluruh warga yang berada di wilayah Puskesmas Kembang Seri sebanyak 8436 orang. Sampel diambil menggunakan teknik Accidental Sampling berdasarakan kriteria inklusi dan eksklusi besar sampel 96 orang. Teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan uji Chi-Square dan uji Contingency Coefficient. Hasil uji penelitian ini didapatkan 80 orang (83,3%) ikut serta dalam JKN, 16 orang (16,7%) tidak ikut serta dalam JKN, ada hubungan antara tingkat pendidikan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan antara pengetahuan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pekerjaan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pendapatan dengan keikutsertaan Jaminan Kesehatan Nasional dengan  keeratan lemah. Diharapkan Badan Penyelenggara Jaminan Sosial (BPJS) untuk meningkatkan pengawasan dan kerjasama dengan pihak Puskesmas guna meningkatkan pengetahuan masyarakat tentang Jaminan Kesehatan Nasional (JKN). Kata Kunci : JKN, pekerjaan, pendapatan, pengetahuan, tingkat pendidikan ABSTRACTNational Health Insurance (JKN) is part of the Social Security System National (SJSN) organized by the Social Security Organizing Agency (BPJS) with the goal of meeting the basic needs of proper public health given to each people who have paid contributions or whose contributions have been paid by the Government.  The aim of this study was to determine factors associated with participation of being member of Nasional Health Insurance in Area of Puskesmas Kembang Seri Bengkulu Tengah. This study used Cross Sectional design. Populasi in this study were all residents in Area of Puskesmas Kembang Seri with the amount of 8436 people. Sampling technique in this study used Accidental Sampling base on inclusion and exclusion criteria with the amount samples of 96 people. Data analysis in this study used univariate analysis and bivariate analysis with Chi-Square test and Contingency Coefficient test. The results of this study found 80 people (83,3%) participated in JKN, 16 people (16,7%) did not participated in JKN, there is significant relationship between education level with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between knowledge with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between occupations with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between incomes with participation of being member of Nasional Health Insurance with weak category relationship. It is expected that the Social Security Organizing Agency (BPJS) will increase supervision and collaboration with the Puskesmas to increase public knowledge about the National Health Insurance (JKN). Keywords: education level, income, JKN, knowledge, occupation

scholarly journals Non-Compliance with COVID-19 Screening in Pakistan

2020 ◽  
Vol 24 (Supp-1) ◽  
pp. 50-55
Author(s):  
Furqan Ali Taj ◽  
Muhammad Raheel Raza ◽  
Saima Naz ◽  
Muhammad Umar ◽  
Aqsa Hameed
Keyword(s):  
Categorical Data ◽  
General Public ◽  
Statistical Significance ◽  
Education Level ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Local Study ◽  
Gender And Education ◽  
Chi Square Test

Objectives: To quantify the non-complaint portion of the general public – not wanting to be screened for COVID-19 and find the reason for this non-compliance, in the general public of Rawalpindi Pakistan. Study Design: Cross-sectional survey. Place and Duration of Study: General public of Rawalpindi, Pakistan. From June 19, 2020, to June 21, 2020. Methodology: A questionnaire was constructed based on a local study, it was injected to the accessible online population through Google Forms. Surveyors collected data from the illiterate population on printed proforma. A sample of 1108 was collected. IBM® SPSS® was used for data analysis. For categorical data, frequencies and percentages were calculated. A Chi-square test was applied for statistical significance. Results: 45.3% of participants were females, 54.7% were males. 37.9% of participants were married and 62.1% were unmarried. 3.8% were illiterate, 40.4% were matriculated and 47.1% had education higher than intermediate. 38.3% was non-compliant population – didn’t want to get screened for COVID-19. 30.7% were non-compliant because of ‘fear of isolation/ quarantine with other COVID-19 patients, leading to worsening of disease’ followed by 26.9% who ‘don’t trust the reliability of the test’. Gender and Education level variables were statistically significant in determining non-compliance. Marital status was found non-significant. Conclusion: A significant portion of the population i.e. 38.3% showed non-compliance with COVID-19 screening, which was statistically associated with gender and education level.

UPAYA PEDAGANG PELATARAN DI PASAR SETONO BETEK KEDIRI DALAM MENGAKSES MODAL UNTUK MENGEMBANGKAN USAHANYA

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Dhiyan Septa Wihara ◽  
Poniran Yudho Leksono
Keyword(s):  
Work Experience ◽  
Sampling Technique ◽  
Education Level ◽  
Family Burden ◽  
Chi Square ◽  
Street Vendors ◽  
Level Of Education ◽  
Key Words Age ◽  
Capital Access ◽  
The Relationship

<p>This study aims to 1) Describe the characteristics of the merchants of the market in the setono betek kediri which includes age, education level, family burden and work experience dependent on the access of capital to develop their business, 2) to analyze the relationship between the characteristics of the merchant of the market in the setono betek kediri towards their capital access to develop their business .The population in this study were vegetables and food street vendors, amounting to 120 traders. The number of samples used was 55 respondents with sampling technique using Slovin formula. The analysis used is Chi Square is to see the relationship between traders characteristics with access to their capital in developing their business. The results showed that the age of traders has a relationship to access capital, this is evidenced by the value of perason chi square 0.000 &lt;0.05. The level of education of traders is also associated with capital kases with pearson chi square value 0.001 &lt;0.05. The number of dependents of family burden is related to access to capital with pearson chi square value 0.001 &lt;0.05. The work experience of traders is related to their capital access in developing the business with pearson chi square value 0.005 &lt;0.05.</p><p><br />Key words : Age, education level, family burden, work experience, street vendors</p>

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.

scholarly journals Noncommunicable diseases and the use of health services: analysis of the National Health Survey in Brazil

2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Regina Tomie Ivata Bernal ◽  
Margareth Guimarães Lima ◽  
Silvânia Suely Caribé de Araújo ◽  
Marta Maria Alves da Silva ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Insurance ◽  
Health Services ◽  
Sex Education ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Education Level ◽  
Noncommunicable Diseases ◽  
Use Of Health Services

ABSTRACT OBJECTIVE To assess whether sex, education level, and health insurance affect the use of health services among the adult Brazilian population with chronic noncommunicable diseases (NCD). METHODS Data from a cross-sectional survey were analyzed, the National Health Survey (PNS). Frequency of use of services in the population that referred at least one NCD were compared with the frequency from a population that did not report NCD, according to sex, education level, health insurance, and NCD number (1, 2, 3, 4, or more). The prevalence and prevalence ratios were calculated crude and adjusted for sex, age, region, and 95% confidence intervals. RESULTS The presence of a noncommunicable disease was associated with increase in hospitalizations in the last 12 months, in 1.7 times (95%CI 1.53–1.9). Failing to perform usual activities in the last two weeks for health reasons was 3.1 times higher in NCD carriers (95%CI 2.78–3.46); while the prevalence of medical consultation in the last 12 months was 1.26 times higher (95%CI 1.24–1.28). NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level. CONCLUSIONS NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level.

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

AN EXAMINATION OF THE RELATIONSHIP BETWEEN QIGONG MEDITATION AND PERSONALITY

2004 ◽  
Vol 32 (4) ◽  
pp. 313-320 ◽  
Author(s):  
Yvonne Leung ◽  
Anthony Singhal
Keyword(s):  
Treatment Option ◽  
Health Benefits ◽  
Education Level ◽  
Personality Inventory ◽  
Eysenck Personality Inventory ◽  
Gender And Education ◽  
The Relationship ◽  
Viable Treatment

Qigong meditation is an ancient form of meditation that has been linked with various health benefits. We were interested in whether or not this form of meditation has a relationship with personality. To this end, we administered the Eysenck Personality Inventory (EPI) to eighty Qigong meditation practitioners and seventy-four non-practitioners. The results showed that the number of years of Qigong practice was negatively correlated with neuroticism, but there was no relationship with extraversion. Even after controlling for age, gender, and education level, the practitioners were significantly less neurotic than the nonpractitioners. The study of Qigong meditation and personality may lead to a greater understanding of the various disorders characterized by high neuroticism, and may provide a viable treatment option for long-term health.

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.

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