The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment – a study of 384 case files

2014 ◽  
Vol 37 (18) ◽  
pp. 1683-1691 ◽  
Author(s):  
Staffan Marklund ◽  
Göran Lundh ◽  
Klas Gustafsson ◽  
Jürgen Linder ◽  
Pia Svedberg ◽  
...  
2017 ◽  
Vol 63 (3) ◽  
pp. 275-277 ◽  
Author(s):  
Nathaly de Oliveira Bosoni ◽  
Geraldo Busatto Filho ◽  
Daniel Martins de Barros

Background: Stigma is a major problem in schizophrenia, and the most effective way to reduce it is to provide information. But literature lacks studies evaluating long-term efficacy of mass communication. Aims: This is a pilot study to assess if a brief intervention (TV report) may have long-term effects. Method: Assessing stigma scores from subjects before and after seeing a vignette. Results: We found that the social distance and restriction to patients not only fell after a brief intervention but also kept lower after 1 and 3 months. Conclusion: We conclude that even brief intervention may create persistent impact in reducing discrimination.


2019 ◽  
Vol 47 (8) ◽  
pp. 1285-1292
Author(s):  
Paula Muilu ◽  
Vappu Rantalaiho ◽  
Hannu Kautiainen ◽  
Lauri Juhani Virta ◽  
Kari Puolakka

Objective.To assess to what extent the worldwide opioid epidemic affects Finnish patients with early inflammatory arthritis (IA).Methods.From the nationwide register maintained by the Social Insurance Institution of Finland, we collected all incident adult patients with newly onset seropositive and seronegative rheumatoid arthritis (RA+ and RA–) and undifferentiated arthritis (UA) between 2010 and 2014. For each case, 3 general population (GP) controls were matched according to age, sex, and place of residence. Drug purchases between 2009 and 2015 were evaluated 1 year before and after the index date (date of IA diagnosis), further dividing this time into 3-month periods.Results.A total of 12,115 patients (66% women) were identified. At least 1 opioid purchase was done by 23–27% of the patients 1 year before and 15–20% one year after the index date. Relative risk (RR) of opioid purchases compared to GP was highest during the last 3-month time period before the index date [RR 2.81 (95% CI 2.55–3.09), 3.06 (2.68-3.49), and 4.04 (3.51–4.65) for RA+, RA–, and UA, respectively] but decreased after the index date [RR 1.38 (1.23–1.58), 1.91 (1.63–2.24), and 2.51 (2.15–2.93)]. Up to 4% of the patients were longterm users both before and after the diagnosis.Conclusion.During 2009–15 in Finland, opioid use peaked just before the diagnosis of IA but decreased rapidly after that, suggesting effective disease control, especially in seropositive RA. Further, opioids were used to treat arthritis pain of patients with incident RA and UA less often than previously reported from other countries.


2018 ◽  
Vol 19 (4) ◽  
pp. 61-77
Author(s):  
Ewa Wierzbicka

Research carried out, among others ordered by the Polish Bank Association, indicate untapped potential savings for Polish society. The aim of the article is to present the reasons for a low propensity to save households, as well as to identify factors and motives that decide about saving, and to suggest directions for actions to increase the propensity to save, especially long-term. The author limits her considerations to voluntary savings of households, not responding to the compulsory saving for pension purposes resulting from the social insurance system. Accumulation of savings is of great importance not only at the micro level but also for the entire economy, because it is internal, domestic source of financial capital. Long-term savings, which stabilize the financial system and may have an impact on reducing the costs of servicing public debt and changing its structure, limiting the participation of foreign investors, are particularly important. The greater the propensity to save, the more national resources may beminvested in the polish economy. Moreover, the shortage of domestic savings is not only a serious challenge for bank risk management due to the need to top up the missing domestic capital with foreign funds. The deficiency of domestic savings in relation to the needs of the economy and the state also increases the systemic risk of the national economy and country.


2020 ◽  
Vol 69 (8-9) ◽  
pp. 627-641

Zusammenfassung Ausgehend von Beiträgen des Wissenschaftlichen Beirats für Familienfragen zum Verhältnis Familie und Sozialversicherung beleuchten wir in diesem Aufsatz die Frage der Familiengerechtigkeit in der sozialen Pflegeversicherung. Ein Großteil der Pflegearbeit in Deutschland wird innerhalb der Familie erbracht, gleichzeitig gewährleisten Familien die nachhaltige Finanzierung der Pflegeversicherung. Demographische Entwicklungen und veränderte Verantwortungskonzepte stellen diese Leistungserbringung vor Herausforderungen. Wir argumentieren, dass Familien auf der Beitrags- wie auf der Leistungsseite mehr ­Unterstützung benötigen, z. B. bei der arbeitsrechtlichen und finanziellen Absicherung pflegender Angehöriger, um die bestehende Schieflage zwischen stationärer und häuslicher Versorgung zu mildern. Abstract: The Role of Families in the Social Insurance System Based on previous reports of the Scientific Advisory Board for Family Affairs on the role of families in the social insurance system, this essay examines the aspect of family fairness in long-term care insurance. The majority of care work in Germany is provided within the family, while at the same time families ensure sustainable financing of long-term care insurance. Demographic change and changing concepts of responsibility challenge these modes of care provision. We argue that families need more support on the contribution as well as the benefit side, e. g. by securing labour rights and financial protection of caring relatives to alleviate the existing imbalances between institutional and home care.


2021 ◽  
pp. 879-900
Author(s):  
Diana Burlacu ◽  
Alexandru Daniel Moise

This chapter examines health politics and the social health insurance system in Romania. It traces the development of the Romanian healthcare system, characterized by chronic underfunding, political neglect, and low public satisfaction. Since the regime change in 1989, Romanian health policy has focused on the transformation from a Semashko-style tax-based centralized system into a more decentralized Bismarckian social insurance system. Other healthcare issues have been rising out-of-pocket payments, a failed privatization attempt starting in 2007, and cost-containment measures following the 2008 recession. As the chapter argues, political instability, especially the frequent changes of health ministers, is partly responsible for a lack of long-term planning and a patchwork style of reforms.


2007 ◽  
Vol 58 (2) ◽  
Author(s):  
Torsten Sundmacher

SummaryThe Social Long-term Care Insurance (Gesetzliche Pflegeversicherung, GPV) is in a crisis which will clearly intensify without reforms. An important solution strategy is the introduction of competition elements. This concerns the competition between the Long-term Care Insurance as well as the competition between the service providers. In comparison to the Social Health Insurance (Gesetzliche Krankenvereicherung, GKV) this coordination procedure can be found up to now very rarely. It is examined with the help of the market failure theory which market problems can be found in the area of long-term care. Here, nursing goods as well as the market for nursing insurances are examined. In comparison to the GKV, the lacking consumer’s sovereignty and problems with principal-agent-relations aggravate the situation in the GPV. However, other market failures are rather less important. An enlarged discussion of differences between GPV and GKV leads to the question of the institutional arrangement. This concerns on the one hand the possible amount of market and competition in the GPV as well as, on the other hand, the relation between GKV and GPV. In particular the interface problems between both social insurance systems are discussed.


2021 ◽  
Vol 8 (5) ◽  
pp. 390-400
Author(s):  
Xinyan Lu ◽  
Yijing Lu ◽  
Siyu Le ◽  
Yazheng Li

Medical image has always been a long-term topic in social life, through questionnaires and personal interviews to investigate the role of news reports on the reconstruction of medical image before and after the epidemic. Through the investigation, it can be found that the media has played a certain intermediary role and positive guiding role in the alleviation of doctor-patient relationship and the shaping of medical portrayals; some metaphorical discourse descriptions in news reports can achieve better communication effect; through a variety of reporting forms and attribute agenda settings, the media enriches the foreground image of doctors and indirectly shapes the social image of doctors.


Author(s):  
David Brydan

This book tells the story of the experts who sold the idea of Franco’s ‘social state’. Despite the repression, violence, and social hardship which characterized Spanish life in the 1940s and 1950s, the Franco regime sought to win popular support by promoting its apparent commitment to social justice. This book reveals the vital role which the idea of the social state also played in the regime’s ongoing search for international legitimacy. It shows how social experts, particularly those working in the fields of public health, medicine, and social insurance, were at the forefront of efforts to promote the regime to the outside world. By working with international organizations and transnational networks across Europe, Africa, and Latin America, they sought to sell the idea of Franco’s Spain as a respectable, modern, and socially just state. In doing so the book also seeks to disrupt our understanding of the modern history of internationalism. Exploring what it meant for Francoist experts to think and act internationally, it challenges dominant accounts of internationalism as a liberal, progressive movement by foregrounding the history of fascist, nationalist, imperialist, and religious forms of international cooperation. The case of Spain reveals the contested and heterogenous nature of mid-twentieth-century internationalism, characterized by the tumultuous interplay of overlapping global, regional, and imperial projects. It also brings into focus the overlooked continuities between international structures and projects before and after 1945.


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