scholarly journals Compulsory Health Insurance in Kyrgyzstan: Problems and Development

Author(s):  
Damira Japarova

In Kyrgyzstan, the "compulsory health insurance" is not a true model of insurance. Mandatory contributions to compulsory health insurance (CHI) are a kind of state tax and state-funding of the health system. Employers are not motivated to support health insurance, as the payers don’t know how his payments are used. Therefore, the main contributors of CHI in Kyrgyzstan are public sector workers. Some people working in private sector, with higher incomes, is almost not covered by health insurance. Foreign citizens living in Kyrgyzstan are not able to insure their health. Therefore it is necessary to reform the current fiscal and insurance system of financing healthcare to the system of financing based on the insurance principle.

Vestnik ◽  
2021 ◽  
pp. 328-331
Author(s):  
С.К. Молдабаев ◽  
С.А. Мамырбекова ◽  
Д.Н. Маханбеткулова

Согласно Концепции Государственной программы улучшения здоровья населения на 2020-2025 годы в рамках дальнейшего внедрения системы ОСМС в РК одним из основных задач госудаства является повышение солидарной ответственности граждан за свое здоровье. Существующая солидарная ответственность должна побуждать пациентов развивать навыки самопомощи/самоменеджмента с целью лучшего управления собственным здоровьем. Цель исследования. Анализ роли самоменеджмента пациентов в системе солидарной ответственности за свое здоровье. Материал и методы. Данный обзор основывается на материалах ВОЗ и статей зарубежных и отечественных исследователей. Выводы. На сегодняшний день, в системе здравоохранения Казахстана одним из основных моментов является солидарная ответственность государства, пациента и работодателя. Ведь каждый гражданин должен принимать важные решения, которые оказывают существенное влияние на состояние его здоровья. Поэтому стратегии по повышению грамотности пациентов, их вовлеченность в процесс принятия решений и развитие самоменеджмента должны быть одними из фундаментальных стержней существующей системы ОСМС и политики здравоохранения. According to the Concept of the State Program for improving the health of the population for 2020-2025, as part of the further implementation of the compulsory health insurance system in the Republic of Kazakhstan, one of the main tasks of the state is to increase the joint responsibility of citizens for their health. The existing shared responsibility should encourage patients to develop self-help / self-management skills in order to better manage their own health. Purpose of the study. Analysis of the role of patients' self-management in the system of joint responsibility for their health. Material and methods. This review is based on WHO materials and articles of foreign and domestic researchers. Findings. Today, in the health care system of Kazakhstan, one of the main points is the joint responsibility of the state, the patient and the employer. After all, every citizen must make important decisions that have a significant impact on his health. Therefore, strategies to improve patient literacy, their involvement in the decision-making process and the development of self-management should be one of the fundamental pillars of the existing compulsory health insurance system and health policy.


Risks ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 81
Author(s):  
Marjolein van Rooijen ◽  
Chaw-Yin Myint ◽  
Milena Pavlova ◽  
Wim Groot

(1) Background: Health insurance and social protection in Myanmar are negligible, which leaves many citizens at risk of financial hardship in case of a serious illness. The aim of this study is to explore the views of healthcare consumers and compare them to the views of key informants on the design and implementation of a nationwide health insurance system in Myanmar. (2) Method: Data were collected through nine focus group discussions with healthcare consumers and six semi-structured interviews with key health system informants. (3) Results: The consumers supported a mandatory basic health insurance and voluntary supplementary health insurance. Tax-based funding was suggested as an option that can help to enhance healthcare utilization among the poor and vulnerable groups. However, a fully tax-based funding was perceived to have limited chances of success given the low level of government resources available. Community-based insurance, where community members pool money in a healthcare fund, was seen as more appropriate for the rural areas. (4) Conclusion: This study suggests a healthcare financing mechanism based on a mixed insurance model for the creation of nationwide health insurance. Further inquiry into the feasibility of the vital aspects of the nationwide health insurance is needed.


2016 ◽  
Vol 4 (1) ◽  
pp. 84 ◽  
Author(s):  
Dhurata Turku

After finishing the university, students usually do not know what to do. Most of them cannot find a job. Based on our mentality, working is considered by the student an employment with a salary, mainly in public sector or in private sector based on the diploma university. If this does not function, the graduated student calls him/herself unemployed and does not hope for his future. Salary employment is not and cannot be the only solution in everyone’s life. If a student is graduated and cannot find a job based on a salary, he/she may use his/her abilities about entrepreneurship that he/she has learnt at university. To be self-employed does not need the condition o having a diploma in economic studies. Everyone that has a diploma and who does not have a job based on a salary, may be a successful self-employed. A very important role is the entrepreneurship learning during studies. Such an education would be necessary for all the students in all university branches. To know how much our students know about entrepreneurship and which are their needs in relation to the entrepreneurship, there are analyzed and concluded questionnaires and interviews with 283 students of Education Sciences in “Aleksandër Xhuvani” University, Elbasan.


1992 ◽  
Vol 11 (2) ◽  
pp. 277-278
Author(s):  
Laurence Thorsen

The central message of this timely book is that the U.S. health insurance system does not work and must soon undergo fundamental change; therefore, providers and payers must plan for such change. The configuration of the change will be up to policymakers in government and the private sector, but the possibilities can be narrowed down to four scenarios, each of which the authors analyze for its impact on participants.


2011 ◽  
Vol 10 (2) ◽  
pp. 291-314 ◽  
Author(s):  
ROBERT L. CLARK ◽  
MELINDA SANDLER MORRILL

AbstractWhile no longer common in the private sector, most public sector employers offer retiree health insurance (RHI) as a retirement benefit to their employees. While these plans are thought to be an important tool for employers to attract, retain, motivate, and ultimately retire workers, they represent a large and growing cost. This paper reviews what is currently known about RHI in the public sector, while highlighting many important unanswered questions. The analysis is informed by data produced in accordance with the 2004 Government Accounting Standards Board Rule 45 (GASB 45). We consider the extent of the unfunded liabilities states face and explore what factors may explain the variation in liabilities across states. The importance and sustainability of RHI plans in the public sector ultimately depend on how workers view and value this post-retirement benefit, yet little is known about how RHI directly impacts the public sector labor market. We conclude with a discussion of the future of RHI plans in the public sector.


2002 ◽  
Vol 25 (6) ◽  
pp. 64 ◽  
Author(s):  
Brian Hanning

It was anticipated that increased uptake of Private Health Insurance (PHI) would reduce demand on public sector surgical waiting lists. The best measure of changed demand is the comparison of the actual cases added to that projected given previous trends in PHI uptake. Detailed Victorian data is available up to 2000-1.The total waiting list has varied little, reflecting significant decreases in both in patients added to and removed. There was a marked increase in private sector elective surgery cases coinciding with the fall in additions to the public sector waiting list and in public sector elective surgical cases. The June 2001 Victorian surgical waiting list would have been 69,599 not 41,838 if the PHI uptake rate had continued to fall in line with pre-1999 trends, and that of June 2002 about 100,000 compared to 40,458 in March 2002.Limited data from other states suggests the Victorian trends are representative of all Australia.


2019 ◽  
Vol 8 (4) ◽  
pp. 34-48
Author(s):  
Oksana Yurievna Dyagel

The purpose of the article was to reveal the analytical tools for evaluating the effectiveness of the allocated financing funds for the provision of the services provided in the public sector of the economy, the application of which does not have a uniform methodology today. The possibility to solve this issue is shown with regard to the compulsory health insurance system. To achieve the goal, the study reveals the definition of such categories as “effect” and “efficiency” of the medical institutions activities, “efficiency of spending” of the Territorial Fund for Compulsory Health Insurance. There is revealed the analytical significance of the existing methodological approaches to assessing the effectiveness of health care costs; their comparative analysis is carried out. Based on the results, the alternative is proposed, based on the system of the cost-effectiveness indices to achieve the health, social and economic effects of medical institutions; the analytical advantages of the alternative proposed are justified.


2021 ◽  
Vol 3 (9) ◽  
pp. 25-30
Author(s):  
B. A. DORONIN ◽  
◽  
Yu. E. KLISHINA ◽  
O. N. UGLITSKIKH ◽  
◽  
...  

The situation related to the COVID-19 pandemic has clearly shown the financial instability of the economy and the need to provide insurance protection not only for property, but also for one's own life. The COVID-19 pandemic is a new phenomenon for the entire insurance system, so it is difficult to predict how it will work in these conditions. The article assesses the current state of compulsory health insurance, reflects the reasons that contribute to the more active use of voluntary insurance tools. The analysis of the dynamics of insurance premiums for the main types of insurance is carried out, the factors of the growth of the need to create addi-tional income and their subsequent accumulation in order to avoid the onset of a crisis situation are consid-ered.


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