Health care funding and rationing health care

2020 ◽  
pp. 87-112
Author(s):  
Linda Hancock ◽  
Paul Mackey
Keyword(s):  
Health Care ◽  
Health Care Funding

scholarly journals Caesarean birth rates in public and privately funded hospitals: a cross-sectional study

2017 ◽  
Vol 51 ◽  
pp. 101 ◽  
Author(s):  
Bruna Dias Alonso ◽  
Flora Maria Barbosa da Silva ◽  
Maria do Rosário Dias de Oliveira Latorre ◽  
Carmen Simone Grilo Diniz ◽  
Debra Bick
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Cross Sectional Study ◽  
University Education ◽  
Southeastern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Care Funding

OBJECTIVE: To examine maternal and obstetric factors influencing births by cesarean section according to health care funding. METHODS: A cross-sectional study with data from Southeastern Brazil. Caesarean section births from February 2011 to July 2012 were included. Data were obtained from interviews with women whose care was publicly or privately funded, and from their obstetric and neonatal records. Univariate and multivariate analyses were conducted to generate crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI) for caesarean section births. RESULTS: The overall caesarean section rate was 53% among 9,828 women for whom data were available, with the highest rates among women whose maternity care was privately funded. Reasons for performing a c-section were infrequently documented in women’s maternity records. The variables that increased the likelihood of c-section regardless of health care funding were the following: paid employment, previous c-section, primiparity, antenatal and labor complications. Older maternal age, university education, and higher socioeconomic status were only associated with c-section in the public system. CONCLUSIONS: Higher maternal socioeconomic status was associated with greater likelihood of a caesarean section birth in publicly funded settings, but not in the private sector, where funding source alone determined the mode of birth rather than maternal or obstetric characteristics. Maternal socioeconomic status and private healthcare funding continue to drive high rates of caesarean section births in Brazil, with women who have a higher socioeconomic status more likely to have a caesarean section birth in all birth settings.

Mental Health Care Funding Systems and their Impact on Access to Psychotherapy

2020 ◽  
Author(s):  
Joelle Robertson-Preidler ◽  
Nikola Biller-Andorno ◽  
Tricia Johnson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Distributive Justice ◽  
Health Systems ◽  
Health Care Systems ◽  
Resource Scarcity ◽  
Trade Offs ◽  
Health Care Funding ◽  
Care Systems

Resource scarcity forces health care systems to set priorities and navigate trade-offs in how they choose to fund different services. Distributive justice principles can help guide health systems to fairly allocate scarce resources in a society. In most countries, mental health care and psychotherapy, in particular, tend to be under-prioritized even though psychotherapy can be an effective treatment for mental health disorders. To create ethical funding systems that support appropriate access to psychotherapy, health care funding systems must consider how they allocate and distribute health care resources through health care financing, coverage criteria, and reimbursement mechanisms. Five health care systems are assessed according to how they finance and reimburse psychotherapy. These health systems use various and often pluralistic approaches that encompass differing distributive justice principles. Although distribution priorities and values may differ, fair and transparent processes that involve all key stakeholders are vital for making ethical decisions on access and distribution.

scholarly journals The Invisible Army

2017 ◽  
Vol 55 (9) ◽  
pp. 2583-2589 ◽  
Author(s):  
Peter H. Gilligan
Keyword(s):  
Health Care ◽  
Clinical Microbiology ◽  
The United States ◽  
Rate Of Change ◽  
Health Care Funding ◽  
Future Challenges ◽  
History Of ◽  
American Society ◽  
American Society For Microbiology ◽  
The Invisible

ABSTRACT The “invisible army” of clinical microbiologists is facing major changes and challenges. The rate of change in both the science and technology is accelerating with no end in sight, putting pressure on our army to learn and adapt as never before. Health care funding in the United States is undergoing dramatic change which will require a new set of assumptions about how clinical microbiology is practiced here. A major challenge facing the discipline is the replacement of a generation of clinical microbiologists. In my opinion, it is incumbent on us in the invisible army to continue to work with the American Society for Microbiology (ASM) in meeting the future challenges faced by our discipline. In this commentary, I will first discuss some recent history of clinical microbiology within ASM and then some current challenges we face.

scholarly journals PHP49 THE CHANGING DYNAMICS IN HEALTH CARE FUNDING

2009 ◽  
Vol 12 (3) ◽  
pp. A87
Author(s):  
K Sparrowhawk ◽  
M Long ◽  
J Watch
Keyword(s):  
Health Care ◽  
Health Care Funding

scholarly journals The Medicare Catastrophic Coverage Act of 1988 Reasons For Its Premature Failure

2011 ◽  
Vol 9 (2) ◽  
pp. 124
Author(s):  
Ralph B. Fritzsch
Keyword(s):  
Health Care ◽  
National Health ◽  
Care Program ◽  
The Elderly ◽  
Medicare Reimbursement ◽  
Premature Failure ◽  
National Health Care ◽  
Health Care Program ◽  
Health Care Funding ◽  
Catastrophic Coverage

At the time of its passage, the Medicare Reimbursement Act of 1988 was hailed as a major improvement in health care funding for the elderly. However, within a year the Act had been repealed largely through the efforts of the elderly citizens in was designed to benefit. This paper examines the problems associated with the funding methods used in this program. It suggests that interaction of the tax surcharge contained in it with other tax provision affecting the elderly made the effects of the law especially objectionable and that future programs for funding national health care program must avoid these effects if they are to succeed.

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