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

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.

2018 ◽  
Vol 45 (1) ◽  
pp. 32-38
Author(s):  
Kalina Peycheva

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.


2020 ◽  
Vol 24 (Supp-1) ◽  
pp. 50-55
Author(s):  
Furqan Ali Taj ◽  
Muhammad Raheel Raza ◽  
Saima Naz ◽  
Muhammad Umar ◽  
Aqsa Hameed

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.


2020 ◽  
Vol 18 (6) ◽  
pp. 727-731
Author(s):  
A. A. Gavrilik ◽  

Background. To date, there are no evidence-based ways to assess patients ' trust in medical professionals. The relevance of searching for such methods for studying the level of social trust of foreign consumers of medical services in Belarusian doctors is not in doubt due to the annual increase in the export of medical services. Objective: to develop a new method for assessing the confidence of foreign patients in Belarusian doctors. Material and methods. Based on the Russian and foreign experience in studying trust in the provision of non-medical services and using the principles of sociology of medicine, an approach to the mathematical assessment of the level of trust of foreign consumers of medical services in Belarusian doctors has been developed. Results. The method includes a sociological survey with subsequent calculation of the index of trust in Belarusian doctors, determined on the basis of generalized trust indices (three types), the values of which are calculated based on the values of two indicators: the indicator of generalized trust of foreign consumers in Belarusian doctors and the indicator of the measure of personal trust of foreign consumers in Belarusian doctors. Conclusions. The method of calculating confidence indices needs to be implemented and further tested, the survey of foreign patients is planned to be conducted after each case of receiving medical care in the Grodno region.


Author(s):  
Tatiana Pinkus ◽  
◽  
Mihail Stepchuk ◽  
Lyudmila Krylova ◽  
◽  
...  

The article is devoted to the use of updated methods of economic management of healthcare development in Belgorod region with the use of promising forms of financing of medical organizations, payment and economic motivation of medical workers in achievement of medical service quality and the effectiveness of medical organizations. The relevance of research is explained by the need to replace existing management system with new methods of economic management in healthcare, analysis and rational use of all means of healthcare, impact assessment of increase of the motivation of medical workers on the effectiveness of medical organizations and the quality of medical services, for the choice of the most optimal financing options and achievement of the best results in protection of public health. The authors used the main evaluation criteria: a) mortality reduction, including infant mortality and prolongation of the active life of a person; b) efficiency of the bed network and medical workers, quality and volume of inpatient medical care; c) availability and quality of medical care for the population living in the area of service of medical organization, effectiveness of outpatient medical care, a substitute hospital, and preventive measures. At the same time the use of effective methods of examination, treatment and prevention were taken into account. The study used a complex method: economic, statistical, quantitative and qualitative analysis, comparative assessment. The analysis showed that when choosing the forms of financing and motivation, the accumulated experience of economic management in the developed countries of the world and Russia was used, what made it possible to determine the best option. In the conclusion, an increase in wages and motivation of medical workers was found what had a positive impact on the efficiency of the medical organization, the quality of medical services and the health of the population. Recommendations are given for the improvement of economic management methods in healthcare, and a drawback is showed, i.e. limited funding and, accordingly, per capita tariffs, which does not allow using fully new methods of treatment.


1970 ◽  
Vol 13 (3) ◽  
pp. 453-473
Author(s):  
Musnur Hery

Islamic higher college not only limited to higher education that famous at Islamic history like madrasah (e.g. Nizamiyah), and al-Jami’ah (e.g. al-Azhar). Yet, Islamic higher college is the implementation of learning process that can be categorized in higher education stage, that being practiced in Moslem society, even still in non-formal or informal form before madrasah existence. Several epistemologies branch indeed take place at formal institution, while some epistemologies branch theoretically applied at formal institution, but it’s practiced at non-formal institutions. These non-formal institutions were still reflecting Islamic higher education level. 


2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Dhiyan Septa Wihara ◽  
Poniran Yudho Leksono

<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>


2019 ◽  
Vol 118 (11) ◽  
pp. 619-624
Author(s):  
JueJueMyint Toe ◽  
Ali Abdulbaqi Ameen ◽  
Sui Reng Liana ◽  
Amiya Bhaumik

Myanmar is the developing country and its education system is not yet to international level. Hence, most of the young adults, who like to upgrade their knowledge global wide and to gain international recognized higher educational certificates, choose to study overseas rather than continuing higher education after their high education nowadays, that becomes the trend of young people to study overseas since the competency among the people is getting intense based on the education level in every industry. The purpose of this research is to understand that students’ decision making process of selecting university. The study will be conducted to see clear trend of Myanmar students’ decision making of studying in abroad. This research will cover the context of what is Myanmar students’ perception of abroad, how they consider among other countries and explaining those factors which determine Myanmar students’ choice and how they decide to study abroad.


Author(s):  
Arkady Nikolaevich Daykhes ◽  
Vladimir Anatolievich Reshetnikov ◽  
Olga Aleksandrovna Manerova ◽  
Ilya Aleksandrovich Mikhailov

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.


2020 ◽  
pp. 71-75
Author(s):  
Marina Dmitryeva

The article describes the measures taken by medical professionals of emergency medical care to observe infectious safety of patients in the provision of pre-medical care in case of burns.


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