A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit

2021 ◽  
Vol 24 (1) ◽  
pp. 1-14
Author(s):  
Oon Hee Yee ◽  
Sun-Houng Kim ◽  
Mihwa Cho ◽  
Kyung Hee Moon ◽  
Seungyoung Lee
2019 ◽  
Vol 31 (1) ◽  
pp. 81-86

The purpose of this study was to investigate oral health status and oral health care services utilization among Myanmar residents in Japan. A crosssectional epidemiological study was performed among 152 Myanmar residents aged 18 to 67 years in Tokyo, Japan. Clinical oral examinations and questionnaire surveys were conducted from June to July, 2017. Caries prevalence for all participants was 70.4% with mean decayed, missing, and filled teeth (DMFT) of 2.72±2.91. The prevalence of periodontal disease (Community Periodontal Index - CPI code 1) for all participants was 93.4%. A total of 67 participants (44.1%) had the experience of dental visits in Japan. Most participants (84.2%) had Japanese health insurance, and the participants with health insurance had a significantly higher number of filled teeth than those without (p=0.036). DMFT (p=0.020) and the prevalence of periodontal disease (p=0.049) were significantly lower in participants with health insurance than in those without. Further, self-perceived oral health was better in participants with health insurance than those without (p=0.001). The status of health insurance was indicated to influence on oral health status. In order to promote oral health and facilitate on owning health insurance to Myanmar residents in Japan, oral health education also should be provided to enhance their oral health knowledge.


Author(s):  
Jalal Saeidpour ◽  
Mohammad Javad Kabir ◽  
Bahman Khosravi ◽  
Moslem Sharifi

Introduction: Empowerment of insured persons has been one of the main programs of Iran health insurance organization. Accordingly, this study was designed and implemented with the aim of determining the status of knowledge, attitude and performance of employees, as one of the factors influencing the implementation of the program. Methods: This descriptive-analytic study was carried out in 2016-2018. The data gathering tool was a researcher-made questionnaire that was organized in four sections including demographic information, knowledge, attitude and performance of the staff. The sample size was 1536 people who were selected by random sampling method. Data were analyzed by descriptive (frequency, mean and standard deviation) and analytical (Mann-Whitney, Kruskal-Wallis and correlation tests) methods. Results: A total of 1536 questionnaires were distributed and 1347 questionnaires were received (response rate = 92%). Respondents obtained moderate knowledge score (0.57), desirable attitude (3.9) and moderate performance (1.9). The distribution of the scores in the three main parts of the study showed that the attitude of the staff toward empowerment is positive (73% desirable and 26% moderate). While in the knowledge section, only 43% of the respondents were in desirable condition and 12% were in undesirable condition. In the performance section, only 10% of the respondents had desirable situation and more than 80% showed moderate performance. Conclusion: Positive attitude toward empowerment and its alignment with organizational goals, and weakness in education, and inadequate participation of staff in the design and implementation of programs, are one of the main points that should be considered in designing improvement interventions.


2020 ◽  
Vol 4 (1) ◽  
pp. 116-135
Author(s):  
Muhammad Rizqi Fachrian Nur ◽  
Siskarossa Ika Oktora

Binary logistic regression is used for probability modeling or to predict binary response variables (Success / Failure) from one or more explanatory variables that are continuous or categorical. In carrying out this analysis, there are several ways to test the suitability of the resulting model, and one of them is the area under the ROC curve. The application of the analysis method in this study is the determinant of the elderly population to work. The population of the elderly in Indonesia is increasing every year. Many views that the elderly depend on other residents, especially in terms of the economy. However, if seen from the percentage of elderly working in Indonesia, it is increasing, including the elderly in KTI. The purpose of this study is to determine the characteristics of the elderly in KTI, know the factors that influence the decision of the elderly population to work in KTI and find out the tendency of variables that affect the decision of the elderly to work in KTI. The data used are raw data from Badan Pusat Statistik (BPS) was Survei Sosial Ekonomi Nasional (Susenas) Kor March 2018. This study using descriptive analysis methods and binary logistic regression. The results are that the variables that significantly influence the decisions of the elderly to work are residence, gender, age, education, family status, marital status, health complaints, and health insurance. Elderly who has characteristics residing in rural, male sex, classified as young elderly (60-69 years old), has the highest level of elementary school education, has the status of KRT in his family, is married, has no complaints health, and not having health insurance will have a greater tendency to decide to work.  


2019 ◽  
Vol 12 (5) ◽  
pp. 328-338
Author(s):  
Mohsen Pakdaman ◽  
Sara Geravandi ◽  
Ali Hejazi ◽  
Mobin Salehi ◽  
Mahboobeh Davoodifar

Purpose Currently, the health system is a treatment-oriented system focused on service providers. In this system, the main focus is on the health market, with little attention on insured. One way to get out of existing conditions is to empower the insured in order to involve them actively in maintaining and improving health. The paper aims to discuss these issues. Design/methodology/approach This qualitative study was done using the content analysis method. Based on the purposive sampling method and theoretical saturation criterion, 24 individuals including 12 health insurance experts and 12 insured participated in the study in 2018. The semi-structured interview method was used to collect data. Data were analyzed using MAXQDA10 software. Findings Having analyzed the interviews, 750 codes were obtained. These codes were categorized into two categories of “insurance experts” and “insured” and ten subcategories of “informing and educating, cost reduction, intersectional activities, expectations from the insured, services package, access to services, inability to pay costs, participation, and expectations from the insurance organization.” Originality/value This qualitative study was conducted to assess and determine the effective strategies for empowering the insured under health insurance. The results of this study are helpful to the health insurance organizations and health decision makers to detect the effective ways to develop the quality of insurance services, improve the status of insured, and increase access to health care goods and services.


2019 ◽  
Vol 1 (Supplement_2) ◽  
pp. ii2-ii2
Author(s):  
Koichi Ichimura

Abstract Molecular diagnosis is now an official part of the diagnosis of brain tumors. Since WHO2016 incorporated the status of IDH mutation and 1p/19q codeletion as a part of the definition for oligodendrogliomas, astrocytomas and glioblastomas, molecular tests have become an essential part of the clinical management of adult gliomas. However, these tests are not covered by the National Health Insurance in Japan, and the cost and the limited availability of tests are prohibitive to perform molecular tests in most hospitals where brain tumor patients are treated. In 2015, the Committee for Molecular Diagnosis of Brain Tumor was established within the Japan Society for Neuro-Oncology in order to develop a standardized molecular tests for adult gliomas under the National Health Insurance. For the detection of 1p/19q codeletion, FISH is the most commonly used method. However, the widely available commercial FISH probe is located within 1p36, the regions where partial deletion often occurs in glioblastoma. This could lead to miss-judgement of 1p/19q codeletion which may result in miss-diagnosis. We have designed a novel FISH probes located in the region of 1p and 19q where partial deletions are rarely found, and are developing them as an in vitro diagnostic tests. Our ultimate aim is to establish a standardized molecular tests for adult gliomas under the National Health Insurance.


1998 ◽  
Vol 15 (2) ◽  
pp. 84-132
Author(s):  
Daniel Shapiro

Socialism is dead, though many of its academic proponents take no notice of its demise. With its death, private property in the means of production is not generally in dispute, and the action in political philosophy centers on the justification of the welfare state. The heart of the welfare state is social insurance programs, such as government managed and subsidized health insurance, retirement pensions, and unemployment insurance. The arguments about health insurance will arguably be among the most ferocious, difficult, and important of the welfare-state debates: Ferocious, because proposals to alter government managed or subsidized health care strike at people's fears and concerns in a way matched by few other proposals. Difficult, because people can often not even conceive of a (genuine) market alternative to the status quo in health insurance, and there is no real existing alternative to hold up as a model. Important, because if an intellectually solid case for market health insurance can be established, then supporters of the welfare state should be on the defensive, since social health insurance is an institution central to their vision of the just or good society.


2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Văn Dần Trần ◽  
Việt Dũng Trương

Study was conducted by cross-sectional description design on a group of 309 patients treated in the Department of Physiotherapy and Rehabilitation, using modified questionnaires of the Ministry of Health. The results showed that: The satisfaction rate in terms of waiting time to be served is 55.7%. The satisfaction rate in terms of skills and attitudes of health workers is 57.6%. The satisfaction rate in terms of facilities and departmental organization is the lowest: 8.7%. - About Age: tends to be younger group (under 35) having higher satisfaction rate than the older group in terms of waiting time, skills, attitudes of health workers, and hospital facilities. - Regarding the status of being covered by health insurance, there is a fairly clear rule that patients with partial health insurance payments will be more satisfied than those who do not - Regarding the debt situation when being treated at the hospital, it was found that the group that had to borrow in debt was more satisfied than the group who did not. Conclusion: Patients are satisfied with different hospital services, highest with financial transparency, and lowest in facilities. The factors of age, gender, paid for and borrowed by health insurance are related to patient satisfaction. Satisfaction rate for financial transparency and health insurance is the highest: 69.9%. The rate of satisfaction of service quality is: 42%. Factors related to satisfaction are not the same depending on age, gender, status of being paid by health insurance and ability to pay hospital fees or having to borrow debts of patients: - Regarding gender, there is a tendency for women to be more satisfied than men in terms of waiting time, skills, attitudes of medical staff and hospital facilities.


Author(s):  
Joseph Harris

Although a constellation of factors would seem to have predisposed South Africa to make major new commitments to expand access to healthcare after the fall of apartheid, embrace of National Health Insurance has taken place in name only more than 20 years later. The chapter suggests that this sad tragedy owes its fate paradoxically to dynamics of political competition that left the African National Congress unrivalled and unchallenged, with a strong mandate to rule. Torn between a desire for radical reform – that would destroy the medical schemes that serve a privileged few – and a more incremental and measured response that would leave them in place, amid a lack of political competition, the ruling party has opted for the status quo. And the entreaties of a professional movement have gone unanswered.


PEDIATRICS ◽  
1951 ◽  
Vol 7 (1) ◽  
pp. 133-135
Author(s):  
JOHN P. HUBBARD

AT THE present writing, the 81st Congress has reconvened but it is doubtful whether much, if any, attention will be given to the many health bills which have been discussed at such length in Committee and on the Floor. By the time this review and preview is published, the 81st Congress will have finally adjourned and all unfinished business in the nature of bills which have not been enacted into law will be washed off the slate. But this does not mean that the unresolved issues will necessarily be dead; they may be introduced in the 82nd Congress and appear in similar, if not identical, form. It is timely, therefore, to consider the status of certain of the health bills as a guide to the situation that we may expect to see unfold in the newly elected Congress. Compulsory Health Insurance Despite the all-out campaign waged by the AMA and many other powerful organizations, compulsory health insurance will undoubtedly continue to be a storm center. A bill for compulsory health insurance has been introduced, in one form or another, into every Congress since the first Wagner-Murray-Dingle Bill was introduced in 1943. It is not likely that the 82nd Congress will break this chain.


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