THE ROLE OF SELF-HELP IN PATIENTS SOLIDAR RESPONSIBILITY TO OWN HEALTH

Vestnik ◽  
2021 ◽  
pp. 328-331
Author(s):  
С.К. Молдабаев ◽  
С.А. Мамырбекова ◽  
Д.Н. Маханбеткулова
Keyword(s):  
Health Insurance ◽  
The State ◽  
Shared Responsibility ◽  
Self Management ◽  
Health Insurance System ◽  
Insurance System ◽  
Self Help ◽  
Compulsory Health Insurance ◽  
The Republic

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.

scholarly journals The relationship between civilian and military health insurance: The condition for more efficient healthcare

Vojno delo ◽  
2020 ◽  
Vol 72 (1) ◽  
pp. 71-88
Author(s):  
Damir Marković
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Insurance Fund ◽  
Health Insurance System ◽  
Military Health ◽  
Insurance System ◽  
The Republic ◽  
The Military ◽  
Care System

The aim of this paper is to analyze the relationship between the Fund for Social Security of Military Insurers and the Republic Health Insurance Fund through the aspect of more efficient use of health insurance funds. Analyzing this relationship, the system of health care in the Republic of Serbia and the health insurance system are essentially considered. Taking into account the specifics of the social protection of military insurers, efforts are being made to find out the direction and improvement of relations with the civilian health care system. Only the proactive relationship between the military and the civilian health system and the health insurance system is a condition of better health care for the insured of both funds, as well as more efficient use of health insurance funds. Health protection of the population is one of the most important social priorities and as such it must be given special attention. The right of the individual to health care, but also to other forms of protection, is realized within the framework of social insurance. Health care, and therefore the health insurance system of military insureds, developed in accordance with the specifics related to the military system itself. Fully respecting the autonomy of the said system, the development of insurance in this area evolved along with changes in the prevailing civilian health insurance system. The system of health care and health insurance is one of the most important systems in each country. The efficiency and cost-effectiveness of the functioning of this system is a challenge for every national economy. The goal that needs to be achieved is to achieve the best health care of the nation by means of available health insurance. The system of compulsory health insurance in the Republic of Serbia is implemented through a unique state organization - the Republic Health Insurance Fund. When it comes to health insurance and the protection of civil and military insurers, it is clear that these are two completely separate and independent systems that have a lot of common points and whose mutual cooperation and shared use of resources should lead to positive effects as a whole. The financial aspect, which is especially reflected through the health insurance system, is one of the most important factors because it directly affects the scope and quality of the entire health care system. Considering and analyzing the complexity of the mutual relations between the civilian and military health and social security systems, and consequently the health care system, some of the possible proposals have emerged for improvement of one of the most important aspects of every society - the health of the nation.

scholarly journals IMPROVEMENT OF MANAGEMENT PROCESS TO PROVIDE DENTAL SERVICES IN THE COMPULSORY HEALTH INSURANCE SYSTEM

2018 ◽  
Vol 22 (6) ◽  
pp. 301-304
Author(s):  
M. V Zuev ◽  
Valentina Gavrilovna Butova ◽  
T. I Vlasova
Keyword(s):  
Health Insurance ◽  
Statistical Analysis ◽  
Institutional Changes ◽  
Fiscal Deficit ◽  
Management Process ◽  
Effective Management ◽  
Health Insurance System ◽  
Dental Services ◽  
Insurance System ◽  
Compulsory Health Insurance

The conducted comprehensive medical, economic and statistical analysis indicates the need to develop more effective management decisions aimed at monitoring, coordination and improvement of the provision of dental services and the activities of medical organizations in the implementation of the program of state guarantees. The fiscal deficit in the compulsory health insurance system in 2017, 1.36% of all expenditures allocated for the implementation of the CHI in the field of dentistry. This fact directly indicates that the stated guarantees of free medical care are implemented in insufficient volume and quality. Current scenarios of institutional changes in the CHI system are initiated at macro, meso and micro levels. And at each of them the priority is to create an appropriate regulatory framework.

Belgium

2021 ◽  
pp. 590-609
Author(s):  
Julia Lynch ◽  
Christiaan Vermorken
Keyword(s):  
Health Insurance ◽  
Patient Choice ◽  
European Court Of Justice ◽  
Mutual Aid ◽  
Health Insurance System ◽  
Health Politics ◽  
Insurance System ◽  
European Court ◽  
French Speaking ◽  
Compulsory Health Insurance

This chapter offers an in-depth look at health politics and the mutualism-based compulsory health insurance system in Belgium. It traces the development of the Belgian healthcare system, characterized by its very generous coverage and few restrictions on patient choice. Since 1980, the process of federalization of the Belgian state—which has been propelled by the divide between the Flemish-speaking North and the French-speaking South—has increasingly challenged the national basis of the Belgian health insurance system. Other healthcare issues have been cost containment and the privileged position of the mutual aid societies in health insurance provision which was subject to a European Court of Justice challenge.

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