VIII. Major Medical Expense Insurance

Abstract Background and study aims Multiple large colorectal lesions are sometimes diagnosed during colonoscopy. However, there have been no investigations of the feasibility of simultaneous endoscopic submucosal dissection (ESD) for multiple lesions. This study aims to reveal the strategy of simultaneous ESD for multiple large colorectal lesions. Patients and methods 246 patients who underwent ESD for 274 colorectal lesions were retrospectively evaluated in this study. Fifty-one large colorectal lesions among 23 patients were treated by ESD simultaneously (simultaneous group), and 223 patients were treated with ESD for a single lesion (single group). Results En-bloc resection and curative resection rates did not differ. Compared with the single group, each procedure time was faster (31.8 ± 23.6 min vs. 45.8 ± 44.8, P = 0.002), but total procedure time was significantly longer in the simultaneous group (70.6 ± 33.4 vs. 45.8 ± 44.8 min, P = 0.01). Rates of adverse events including bleeding and perforation were not higher in the simultaneous group but the mean blood pressure, incidence of bradycardia and the amount of sedative drug used during ESD were significantly higher in the simultaneous group. Multiple logistic regression analysis identified non-experienced physician, lesion size ≥ 40 mm and submucosal fibrosis as an independent risk factor for procedure duration (≥ 90 min) (Odds ratio 11.852, 18.280, and 3.672; P < 0.05, respectively). Conclusions Simultaneous ESD for multiple synchronous colorectal lesions is safe and feasible compared with single ESD and can reduce the burden to patients, length of hospital stay and medical expense. These results need to be elucidated by further studies.

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Does Integrated Medical Insurance System (IMIS) Alleviate the Difficulty of Using Cross-Region Health Care for the Migrant Parents in China

10.21203/rs.3.rs-249976/v1 ◽

2021 ◽

Author(s):

Chao Ma ◽

Shutong Huo ◽

Hao Chen

Keyword(s):

Health Care ◽

Medical Insurance ◽

Healthcare Services ◽

Care Utilization ◽

Inpatient Service ◽

Medical Expense ◽

Registration System ◽

Rural And Urban ◽

Urbanization In China ◽

Migrant Parents

Abstract Background: A large number of internal immigrants in the process of urbanization in China is Migrant Parents, the aging group who move to urban area involuntarily to support their family. They are more vulnerable economically and physically than the younger migrants. However, the fragmentation of rural and urban health insurance schemes divided by “hukou” household registration system limit migrant’s access to healthcare services in their resident location. Some provinces have started to consolidate the Urban Resident Basic Medical Insurance and the New Rural Cooperative Medical Scheme as one Integrated Medical Insurance Schemes (IMIS) to reduce the disparity between different schemes and increase the health care utilization of migrants. Results: Using China Migrants Dynamic Survey, we used OLS for regression in models. We found that the migrant parents who are covered by the IMIS are more likely to choose inpatient service and to seek medical treatment in the migrant destination, by improving the convenience of medical expense reimbursement and relieving the economic pressure. Conclusions: The potential mechanisms of our results could be that IMIS alleviates the difficulty of seeking medical care in migrant destinations by improving the convenience of medical expense reimbursement and relieving the economic constrain.

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The Effects of Shifting Medical Expense from Pip Auto Coverage to First Party Health Insurance

Insurance, Risk Management, and Public Policy - Huebner International Series on Risk, Insurance and Economic Security ◽

10.1007/978-94-011-1378-6_7 ◽

1994 ◽

pp. 139-162 ◽

Cited By ~ 1

Author(s):

Patricia M. Danzon

Keyword(s):

Health Insurance ◽

Medical Expense

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A study on the impact of poor medication adherence on health status and medical expense for diabetes mellitus patients in Taiwan

Medicine ◽

10.1097/md.0000000000020800 ◽

2020 ◽

Vol 99 (26) ◽

pp. e20800

Author(s):

Chin-Shien Lin ◽

Haider Khan ◽

Ruei-Yuan Chang ◽

Wei-Chih Liao ◽

Yi-Hsin Chen ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Status ◽

Medication Adherence ◽

Medical Expense ◽

The Impact ◽

Poor Medication Adherence

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Research on Hospital Medical Expense Based on BP Neural Network

Lecture Notes in Electrical Engineering - Proceedings of the International Conference on Information Engineering and Applications (IEA) 2012 ◽

10.1007/978-1-4471-4844-9_52 ◽

2013 ◽

pp. 383-389

Author(s):

Feng Yin Su ◽

Jian Hui Wu ◽

Chao Chen ◽

Dong Wang

Keyword(s):

Neural Network ◽

Bp Neural Network ◽

Medical Expense ◽

Hospital Medical

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Effect of Ambulatory Surgery Policy Provisions on Medical Expense Insurance Claims

Journal of Risk & Insurance ◽

10.2307/252946 ◽

1990 ◽

Vol 57 (4) ◽

pp. 608

Author(s):

Helen I. Doerpinghaus

Keyword(s):

Ambulatory Surgery ◽

Insurance Claims ◽

Medical Expense

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What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17155348 ◽

2020 ◽

Vol 17 (15) ◽

pp. 5348

Author(s):

Guangsheng Wan ◽

Zixuan Peng ◽

Yufeng Shi ◽

Peter C. Coyte

Keyword(s):

Logistic Regression ◽

Health Insurance ◽

Private Health Insurance ◽

Insurance Industry ◽

Policy Decision ◽

Medical Expense ◽

Enabling Factors ◽

Chi Square ◽

Services Utilization ◽

Nationally Representative

The objective of this study was to assess the determinants of the decision to purchase private health insurance (PHI) in China. Nationally representative data from the fourth wave of the China Household Finance Survey from 2017 were used, and the dataset comprised 105,691 individuals aged 18 years or older. The Andersen health services utilization model was used to inform the research. Chi-square tests and logistic regression analyses were used to estimate the decision to purchase PHI. The proportion of the sample that had PHI was small, at 5.06%, but coverage for social basic medical insurance (SBMI) was 90.64%. Among PHI holders, the overwhelming majority (87.40%) also had SBMI. Logistic regression analysis demonstrated that predisposing factors (age, education, marital status, household size), enabling factors (household income, SBMI status, geographical factors, household medical expense, and medical debt), and needs-based factors (health status) were statistically significant determinants of the decision to purchase PHI. This study suggests that the socio-economic circumstances of households play a crucial role in the decision to acquire PHI. The findings may be used by the insurance industry to inform actions to enhance PHI coverage and by policy decision-makers that seek to improve equality in access to PHI.

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