The relationship between medication errors in prescribing phase and service quality on national health insurance patients of pharmacy unit in public hospital in Bandung city

2018 ◽  
pp. 1
Author(s):  
Norisca Putriana ◽  
Nunung Nurjanah ◽  
Angga Kautsar
Keyword(s):  
Health Insurance ◽  
Service Quality ◽  
Medication Errors ◽  
National Health Insurance ◽  
National Health ◽  
Public Hospital ◽  
The Relationship

Quality Healthcare Service Assessment under Ghana’s National Health Insurance Scheme

2019 ◽  
Vol 54 (4) ◽  
pp. 569-587
Author(s):  
Michael Kodom ◽  
Adobea Yaa Owusu ◽  
Perpetual Nancy Baidoo Kodom
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Public Hospital ◽  
National Health Insurance Scheme ◽  
Quality Of Healthcare ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Private And Public

Ghana implemented the National Health Insurance Scheme (NHIS) in 2005 with the intention of providing residents with quality affordable healthcare. Over the past few years, concerns have been raised about the quality of healthcare clients receive. This study assesses the experiences of NHIS subscribers with the quality of care they receive under the scheme by both private and public hospitals. The results from the 56 interviews show that the majority of the subscribers were dissatisfied with the overall quality of healthcare they received in both private and public hospital because of the long waiting hours, the poor attitude of nurses and the demand for payment of additional money. Even though clients who visited the private hospital paid for all services, excluding consultation, their level of satisfaction with the quality of healthcare was relatively higher than those who visited the public hospital. The paper concludes that NHIS clients do not receive the quality of healthcare the scheme promised, and this has implications for premium renewals and health-seeking behaviour.

scholarly journals Associations between metabolic syndrome and type of dementia: Analysis based on the National Health Insurance Service database of Gangwon province in South Korea

2020 ◽  
Author(s):  
YEO JIN KIM ◽  
Sang Mi Kim ◽  
Dae Hyun Jeong ◽  
Sang-Kyu Lee ◽  
Moo-Eob Ahn ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
High Glucose ◽  
Density Lipoprotein ◽  
High Serum ◽  
Serum Triglycerides ◽  
Previous Stroke ◽  
The Relationship

Abstract BackgroundMetabolic syndrome is a cluster of conditions that occur together, increasing the risk of cardiovascular disease. However, the relationship between metabolic syndrome and dementia has remained controversial. Using nationwide population cohort data, we investigated the association between metabolic syndrome and dementia, according to the dementia type.MethodsWe analyzed data of 84,144 individuals, in the aged group of more than 60 years, between January 1, 2009, to December 31, 2009, at Gangwon province by using the information of the (Korean) National Health Insurance Service. After eight years of gap, in 2017, we investigated the relationship between metabolic syndrome and dementia. We classified Dementia either as dementia of the Alzheimer type (AD) or vascular dementia (VD). AD and VD were defined as per the criteria of International Classification of Disease, Tenth Revision, Clinical Modification codes. Multiple logistic regression analyses examined the associations between metabolic syndrome or five metabolic syndrome components and dementia. Analyses included factors like age, sex, smoking, alcohol, physical inactivity, previous stroke, and previous cardiac disease.ResultsMetabolic syndrome was associated with AD (OR= 11.48, 95% CI 9.03-14.59), not with VD. All five components of metabolic syndrome were associated with AD, independently. (high serum triglycerides: OR= 1.87, 95% CI 1.60-2.19; high blood pressure: OR =1.85, 95% CI 1.55-2.21; high glucose: OR= 1.77, 95% CI 1.52-2.06; abdominal obesity: OR= 1.88, 95% CI 1.57-2.25; low serum high-density lipoprotein cholesterol: OR= 1.91, 95% CI 1.63-2.24) However, among components of metabolic syndrome, only the high glucose level was associated with VD. (OR= 1.26, 95% CI= 1.01-1.56) Body Mass Index (BMI), fasting glucose, and smoking were also associated with AD. A history of the previous stroke was associated with both AD and VD.ConclusionsMetabolic syndrome was found associated with AD but not with VD. Patients with metabolic syndrome had an 11.48 times more likeliness to develop AD compared to those without metabolic syndrome. VD was associated only with several risk factors that could affect the vascular state rather than a metabolic syndrome. We suggested that the effect of metabolic syndrome on dementia would vary depending on the type of dementia.

scholarly journals Associations between metabolic syndrome and type of dementia: Analysis based on the National Health Insurance Service database of Gangwon province in South Korea

2021 ◽  
Author(s):  
YEO JIN KIM ◽  
Sang Mi Kim ◽  
Dae Hyun Jeong ◽  
Sang-Kyu Lee ◽  
Moo-Eob Ahn ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
High Glucose ◽  
Fasting Glucose ◽  
High Serum ◽  
Serum Triglycerides ◽  
Previous Stroke ◽  
The Relationship

Abstract Background Metabolic syndrome is a cluster of conditions that occur together, increasing the risk of cardiovascular disease. However, the relationship between metabolic syndrome and dementia has remained controversial. Using nationwide population cohort data, we investigated the association between metabolic syndrome and dementia, according to the dementia type. Methods We analyzed data of 84,144 individuals, in the aged group of more than 60 years, between January 1, 2009, to December 31, 2009, at Gangwon province by using the information of the (Korean) National Health Insurance Service. After eight years of gap, in 2017, we investigated the relationship between metabolic syndrome and dementia. We classified Dementia either as dementia of the Alzheimer type (AD) or vascular dementia (VD). AD and VD were defined as per the criteria of International Classification of Disease, Tenth Revision, Clinical Modification codes. Multiple logistic regression analyses examined the associations between metabolic syndrome or five metabolic syndrome components and dementia. Analyses included factors like age, sex, smoking, alcohol, physical inactivity, previous stroke, and previous cardiac disease. Results Metabolic syndrome was associated with AD (OR= 11.48, 95% CI 9.03-14.59), not with VD. Each of five components of metabolic syndrome were also associated with AD. (high serum triglycerides: OR= 1.87, 95% CI 1.60-2.19; high blood pressure: OR =1.85, 95% CI 1.55-2.21; high glucose: OR= 1.77, 95% CI 1.52-2.06; abdominal obesity: OR= 1.88, 95% CI 1.57-2.25; low serum high-density lipoprotein cholesterol: OR= 1.91, 95% CI 1.63-2.24) However, among components of metabolic syndrome, only the high glucose level was associated with VD. (OR= 1.26, 95% CI= 1.01-1.56) Body Mass Index (BMI), fasting glucose, and smoking were also associated with AD. (BMI: OR=0.951, 95% CI= 0.927-0.975; fasting glucose: OR=1.003, 95% CI=1.001-1.005; smoking: OR=1.020, 95% CI 1.003-1.039) A history of the previous stroke was associated with both AD and VD. (AD: OR=1.827, 95% CI 1.263-2.644; VD: OR 2.775, 95% CI 1.747-4.406) Conclusions Metabolic syndrome was associated with AD but not with VD. Patients with metabolic syndrome had an 11.48 times more likeliness to develop AD compared to those without metabolic syndrome. VD was associated only with several risk factors that could affect the vascular state rather than a metabolic syndrome. We suggested that the associations between metabolic syndrome and dementia would vary depending on the type of dementia.

scholarly journals KAJIAN MUTU PELAYANAN KEFARMASIAN DAN KEPUASAN PASIEN RAWAT JALAN PADA ERA JAMINAN KESEHATAN NASIONAL

2018 ◽  
Vol 21 (1) ◽  
pp. 22-31
Author(s):  
Lukman Prayitno ◽  
Suharmiati Suharmiati
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Care Facilities ◽  
Google Scholar ◽  
Pharmacy Services ◽  
Relationship Of ◽  
The Relationship ◽  
Outpatient Drug

Pharmacy services is one of health care facilities is essential and support services medical care in the era of national health insurance. This study aims to determine the relationship of the quality of pharmaceutical services and outpatient satisfaction in the era of national health insurance. This study is a review of five studies that were taken from google scholar with topics related to quality pharmacy services and patient satisfaction, especially outpatients with the aim to see the relationship between the two topics. Satisfaction outpatient pharmacy services to be measured from five aspects: the tangible (direct evidence / physical), reliability (reliability), responsiveness (responsiveness), assurance (assurance), empathy (hospitality / caring). Outpatient satisfaction with the services of pharmacy measured from five aspects of service quality. There are three research which states that the satisfaction of outpatients have a low value at the time of drug services (reliability). There are two results of the study which states that satisfaction of outpatients have a low value on the guarantee (assurance). Increasing satisfaction with time outpatient drug services can be reached by making work system more simple, adding pharmacy workers, educating consumers about the services provided. While the increase in outpatient satisfaction about the assurance can be reached by increasing the amount of drug in the recipe included in BPJS dependents and ensure the availability of drugs.   ABSTRAK Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menunjang layanan perawatan medik pada era jaminan kesehatan nasional. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasien rawat jalan pada era jaminan kesehatan nasional. Penelitian ini merupakan review dari 5 penelitian yang diambil dari google scholar dengan topik yang terkait dengan mutu pelayanan farmasi dan kepuasan pasien khususnya pasien rawat jalan dengan tujuan untuk melihat hubungan kedua topik tersebut. Hasil penelitian menunjukkan kepuasan pasien rawat jalan terhadap pelayanan kefarmasian dapat diukur dari 5 aspek yaitu tangible (bukti langsung/ fisik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), empathy (keramahan/ kepedulian). Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada waktu layanan obat (reliability) serta dua hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada jaminan (assurance). Penelitian ini menyimpulkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat ditempuh dengan cara membuat sistem kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan. Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan (assurance) dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep yang masuk dalam tanggungan BPJS dan menjamin ketersediaan obat.

Sign in / Sign up

Export Citation Format

Share Document