scholarly journals Fraud in healthcare facilities: A Narrative Review

2021 ◽  
Vol 7 (4) ◽  
pp. 166-171
Author(s):  
Sarah Mauren Michaela ◽  
Mieke Nurmalasari ◽  
Hosizah Hosizah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Universal Health Coverage ◽  
Review Article ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Health Coverage ◽  
Healthcare Facilities ◽  
Care Facilities ◽  
Universal Health

Every country needs to develop Universal Health Coverage (UHC) to promote optimal levels of public health. But in realizing UHC, there must be some problems, one of which is fraud. Based on the Corruption Eradication Commission (KPK) data, potential fraud is detected from 175,774 claims of Advanced Referral Health Facilities (FKRTL) or worth Rp. 440 billion until June 2015. This review article describes the incidence of fraud in health care facilities. Out of a total of 12,736 cases of fraud, readmission occupies the most cases of fraud, which is 4,827 cases or 37.9%.

scholarly journals 20.F. Workshop: Dental care – coverage and access across countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
North America ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Dental Care ◽  
Financial Protection ◽  
Health Coverage ◽  
Universal Health

Abstract Oral health is a central element of general health with significant impact in terms of pain, suffering, impairment of function and reduced quality of life. Although most oral disease can be prevented by health promotion strategies and routine access to primary oral health care, the GBD study 2017 estimated that oral diseases affect over 3.5 billion people worldwide (Watt et al, 2019). Given the importance of oral health and its potential contribution to achieving universal health coverage (UHC), it has received increased attention in public health debates in recent years. However, little is known about the large variations across countries in terms of service delivery, coverage and financing of oral health. There is a lack of international comparison and understanding of who delivers oral health services, how much is devoted to oral health care and who funds the costs for which type of treatment (Eaton et al., 2019). Yet, these aspects are central for understanding the scope for improvement regarding financial protection against costs of dental care and equal access to services in each country. This workshop aims to present the comparative research on dental care coverage in Europe, North America and Australia led by the European Observatory on Health Systems and Policies. Three presentations will look at dental care coverage using different methods and approaches. They will compare how well the population is covered for dental care especially within Europe and North America considering the health systems design and expenditure level on dental care, using the WHO coverage cube as analytical framework. The first presentation shows results of a cross-country Health Systems in Transition (HiT) review on dental care. It provides a comparative review and analysis of financing, coverage and access in 31 European countries, describing the main trends also in the provision of dental care. The second presentation compares dental care coverage in eight jurisdictions (Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States) with a particular focus on older adults. The third presentation uses a vignette approach to map the extent of coverage of dental services offered by statutory systems (social insurance, compulsory insurance, NHS) in selected countries in Europe and North America. This workshop provides the opportunity of a focussed discussion on coverage of dental care, which is often neglected in the discussion on access to health services and universal health coverage. The objectives of the workshop are to discuss the oral health systems in an international comparative setting and to draw lessons on best practices and coverage design. The World Conference on Public Health is hence a good opportunity for this workshop that contributes to frame the discussion on oral health systems in a global perspective. Key messages There is large degree of variation in the extent to which the costs of dental care are covered by the statutory systems worldwide with implications for oral health outcomes and financial protection. There is a need for a more systematic collection of oral health indicators to make analysis of reliable and comparable oral health data possible.

scholarly journals Influence of Organizational Change on Public Health Maternal Health Care Service Delivery in Kitui County (A Survey of Level 4 Hospitals in Kitui County)

2021 ◽  
Vol 5 (2) ◽  
pp. 84-100
Author(s):  
Marinah Syovinya Muteti
Keyword(s):  
Public Health ◽  
Health Care ◽  
Maternal Health ◽  
Service Delivery ◽  
Universal Health Coverage ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Health Coverage ◽  
Universal Health ◽  
Health Care Service Delivery

The County Governments in Kenya are faced with poor service delivery especially in the provision of maternal health care services. Maternal health care services in public hospitals are not meeting up to the quality standard as outlined by the Ministry of Health in Kenya. The paper sought to determine the influence of leadership and universal health coverage on public health maternal health care in Kitui County. This study was guided by Transformational Leadership Theory and Theory X & Y. The study focused on 11 public hospitals providing maternity services in Kitui County. The target population of the study was 203 health officers that include 26 doctors, 10 specialists, 41 clinical officers and 126 nurses across the 13 level 4 hospitals providing maternity services in Kitui County. Data was collected by use of structured closed ended questionnaire. Data analysis was conducted using SPSS Version 25.0 Software. Pearson Correlation showed that leadership and universal health coverage have a positive correlation with public health maternal health care service delivery. Model summary results indicated that leadership and universal health coverage explain 52.1 percent of public health maternal health care service delivery. Coefficient regression revealed that coefficient of leadership has appositive and significant influence (β=.203, p=.001<0.05) on and public health maternal health care service delivery. It was also found that coefficient of Universal Health Coverage and public health maternal health care service delivery have a positive and significant relationship (β=.662, p=.000<0.05). The study concludes that leadership is one of the key health systems factors affecting the performance of maternal health services at facility level. Conclusion can be made further that universal health coverage improves public health maternal health care service delivery. The study recommends for the need of maternal health care providers to review their leadership guidelines and styles with aim of enhancing quality of leadership in the management of hospitals. Though universal health coverage is on trial, the study recommends for the need to adequately support the implementation of universal health coverage.

scholarly journals Hubungan Pengetahuan dan Sikap Ibu Postpartum tentang Persalinan di Fasyankes dengan Pemilihan Pertolongan Persalinan

2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Public Health Center ◽  
The Public ◽  
Care Facilities ◽  
Postpartum Mothers ◽  
Selection Of

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.

scholarly journals Leaving no one behind: lessons from implementation of policies for universal HIV treatment to universal health coverage

2020 ◽  
Author(s):  
Yibeltal Assefa ◽  
Peter S Hill ◽  
Wim Van Damme ◽  
Judith Dean ◽  
Charles F Gilks
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Hiv Treatment ◽  
Public Health Approach ◽  
Health Coverage ◽  
Primary Health ◽  
Universal Health ◽  
Over Time

Abstract Background: The third Sustainable Development Goal (SDG-3) aims to ensure healthy lives and promote well-being for all at all ages. SDG-3 has a specific target on universal health coverage (UHC), which emphasizes the importance of all people and communities having access to quality health services without risking financial hardship. The objective of this study is to review progress towards UHC using antiretroviral treatment (ART) as a case study. Methods: We used a mixed-methods design including qualitative and quantitative approaches. We reviewed and synthesised the evidence on the evolution of the WHO HIV treatment guidelines between 2002 and 2019. We calculated ART coverage over time by gender, age group, and location. We also estimated ART coverage differences and ratios. Findings: ART guidelines have evolved from “treating the sickest” to “treating all”. ART coverage increased globally from under 7% in 2005 to 62% in 2018. There have been successes in increasing ART coverage in all populations and locations. However, progress varies by population and location in many regions. There is inequity in ART coverage: women (68%) versus men (55%), and adults (62%) versus children (54%). This inequity has widened over time, and with expanded ART eligibility criteria. On the other hand, data from at least one high-burden country (Ethiopia) shows that inequity among regions has narrowed over time due to the improvements in the primary health care systems and implementation of the public health approach in the country. Conclusion: ART coverage has increased at global, regional and national levels to all population groups. However, the gains have not been equitable among locations and populations. Policies towards universality may widen the inequity in resource-limited settings unless countries take precautions and “put the last first”. We argue that primary health care and public health approaches, with multi-sectoral actions and community engagement, are vital to minimize inequity, achieve UHC and leave no one behind.

scholarly journals Determinan Pemilihan Tempat Persalinan di Puskesmas Tapin Utara

2020 ◽  
Vol 10 (1) ◽  
pp. 200-211
Author(s):  
Lisda Handayani ◽  
Elvine Ivana Kabuhung ◽  
Yunita Afriani
Keyword(s):  
Public Health ◽  
Health Care ◽  
Targeted Delivery ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Chi Square ◽  
Cross Sectional ◽  
Cost Factor ◽  
Care Facilities ◽  
The Cost

Latar Belakang : Salah satu indikator persalinan bersih dan aman adalah pertolongan ditolong tenaga kesehatan di fasilitas kesehatan (faskes). Standar Pelayanan Minimal (SPM) bidang kesehatan tahun 2016 menyatakan target persalinan sesuai standar adalah 100%, sedangkan data Puskesmas tapin Utara menyebutkan persalinan di faskes sebesar 56,8% dan non faskes Sebanyak 43,2%. Dari data yang didapat disimpulkan bahwa persalinan di wilayah puskesmas Tapin Utara belum mencapai target SPM bidang kesehatan. Tujuan : Menganalisis determinan pemilihan tempat persalinan oleh ibu bersalin diwilayah puskesmas Tapin Utara.Metode : Penelitian Kuantitatif dengan pendekatan cross sectional. Pengambilan sampel  dengan tekhnik total sampling sebanyak 62 ibu bersalin selama januari 2017. Analisis bivariat digunakan Uji chi square dan analisis multivariat regresi lostik bergandaHasil : Gambaran pemilihan tempat persalinan oleh ibu bersalin diwilayah puskesmas tapin utara adalah ibu bersalin di faskes (43,5%) dan non faskes (56,5%). Determinan pemilihan tempat persalinan adalah budaya (p=0,000), Pemeriksaan Kehamilan (p=0,001), pengetahuan(p=0,000), dan Biaya persalinan (p=0,001), sedang yang bukan merupakan determinan pemilihan tempat persalinan adalah pendapatan (p=0,154), akses ibu ke faskes (p=0,207) dan dukungan keluarga (p=0,439). Determinan paling dominan adalah biaya persalinan (p=0,008, OR=11,712).Simpulan : Determinan pemilihan tempat persalinan di wilayah puskesmas tapin utara adalah budaya, pemeriksaan kehamilan, pengetahuan dan biaya sedangkan yang bukan determinan adalah pendapatan, akses ke faskes dan dukungan keluarga. Determinan paling dominan adalah biaya persalinan.Kata kunci : Tempat Persalinan, Budaya, Pemeriksaan Kehamilan, Pengetahuan, Pendapatan, Biaya Persalinan, Akses ibu ke Faskes dan dukungan keluarga.                                                  Abstract:Background : Maternal mortality rate still high because delivery is not at health facilities. Information of north tapin central public health said there had been 470 delivery and while non health facilities about 43,2 % .For which figures obtained concludea that delivery in district tapin not reached target public health years 2016 who was targeted delivery service at health facilities appropriate standard 100 % service. Objective : analysis determinant factors relating to the selection of the place of birth in the puskesmas Tapin utara.Methods : Quantitative research by approach cross sectional . Sampling used total sampling about 62 delivered in january 2017 .The stastik used is chi square and regression lostik simple.Result : there are 43,5 % mother who has deivery  at health care  facilities, while the non health care  facilities are 56.5 %. Correlation factors of  cultural deals namely p = 0,000 value , the anc p = 0,001 value , p value knowledge = 0,000 , delivery fees p = 0,001 value , p income = 0,154 value , mother access to health care facilities p = 0,315 value , and support the family p = 0,411 value .Value the ordi highest of the results of the test stastik safinat logistic regression simple namely the cost factor of 11,712 childbirth.Conclusion : The result of 7 factor in some 4 factors that there are dealing with the selection namely the delivery: cultural factors , a pregnancy , knowledge , and the delivery fee .The cost factor a factor most dominant dealing with the selection the delivery Keywords : The delivery , culture , pregnancy, knowledge , income , the delivery fee , access health care, support by family

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