Demand for Private Health Insurance Where Public Health Services are Free: The Case of Malawi

2007 ◽  
Vol 7 (21) ◽  
pp. 3268-3273 ◽  
Author(s):  
Donald Makoka ◽  
Ben Kaluwa ◽  
Patrick Kambewa
Author(s):  
Nguyen Viet Hoang ◽  
◽  

Medical welfare are services provided to people with little or no fee, for the sake of a standardised health care for the general public. There are many methods are being implemented to achieve the goal of health welfare in Vietnam. These methods are being adopted simultaneously, including: (i) Investing in input resources to reduce costs; (ii) Incorporating public health services that are not provided by the private sector; (iii) providing support with health insurance and medical assistance. Healthcare welfare policies have exerted their effects on developing the national healthcare system. But, which require new modification and rectification for the sake of remarkable achievements in the future.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Samara Carollyne Mafra Soares ◽  
Marianna de Camargo Cancela ◽  
Arn Migowski ◽  
Dyego Leandro Bezerra de Souza

Abstract Background Digital rectal examination (DRE) is one of the most common strategies for prostate cancer early detection. However, the use for screening purposes has a controversial benefit and potential harms can occur due to false-positive results, overdiagnosis and overtreatment. The objective of this study is to calculate the prevalence and identify factors associated with the receipt of DRE in Brazilian men. Methods We selected men older than 40 from a nationwide population-based survey (13,625 individuals) excluding those with prostate cancer diagnosis. Information was extracted from the most recent database of the Brazilian National Health Survey (PNS 2013). Statistical analysis was carried out to calculate incidence rate ratios, with 95% confidence intervals and p values, through multivariate analysis with Poisson regression and robust variance. Results Men having private health insurance (63.3%; CI = 60.5–66.0) presented higher prevalence of DRE than those in the public health system (41.6%; CI = 39.8–43.4). The results show a positive association between DRE and men having private health insurance, aged 60–69, living with a spouse, never smokers, and living in urban areas. Among public health services users, this positive association was observed among men aged 70–79, living with a spouse, having bad/very bad health self-perception, abstainers, ex-smokers, with undergraduate studies, presenting four or more comorbidities, and residing in urban areas. Conclusions Prostate cancer screening with DRE is quite frequent in Brazil, specially among men with private health plans and better access to health services, healthier lifestyle and at more advanced ages, characteristics which increase the risk of overdiagnosis and overtreatment.


2020 ◽  
Vol 5 (1) ◽  
pp. 51-66
Author(s):  
Ardiansah Ardiansah

The Indonesian Constitution has mandated health services for its people. Everyone has the right to receive health services, while the state is obliged to provide health services. The implementation of public health services faces problems concerning the president regulations about the increase of health insurance fee. The House of Representatives does not agree with the increase in health insurance fee, because the government should be responsible for the realization of public health services. This research uses normative legal research methods. The results showed that the government's policy of raising fees was considered unfair and burdensome to the people of Indonesia.Health services for the people of Indonesia has been mandated by The Indonesian Constitution. The denial of health services is a violation to the Indonesian constitution. The people have the right to get health services, whereas the state is responsible for providing health services. Therefore, even though the government raises fees, people expect the government to cancel the increase of the fee. Due to the fact that the Indonesian constitution has made it clear that the state is responsible for providing health services to its people.


Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.


Sign in / Sign up

Export Citation Format

Share Document