患者是否需要为慢性疾病提供额外的保险? 来自医院数据的洞察力
Aswin Sugunan1, K Rajasekharan Pillai2, Brayal D'souza3
1Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of education and health promotion
|September 13, 2024
概括
私人医疗保险往往无法提供全面的保险,导致保险不足. 这项研究强调了改善医疗保健融资的可负担性和可访问性的必要性,以满足患者的需求.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 私人医疗保险被推广为一种克服医疗保健获取金融障碍的策略.
- 这符合联合国的可持续发展目标,即提供普惠和负担得起的医疗保健.
- 该研究考察了私人医疗保险在保护个人免受与医疗费用相关的财务风险方面的有效性.
研究的目的:
- 调查私人医疗保险计划的覆盖趋势.
- 评估这些保险计划的金融风险保护性质.
- 分析主要疾病类别的保险和补偿范围.
主要方法:
- 分析了印度南部一家三级医院的12个月的医院计费和保险索赔数据 (2022年4月至2023年3月).
- 包括5002名患有癌症,心脏,神经和脏疾病的患者.
- 对250名患者进行比例随机抽样,以进行详细的成本和报销分析.
主要成果:
- 发现私人医疗保险不足以提供全面的保险,导致保险不足.
- 分析显示了各种成本类别的报销趋势.
- 这项研究独特地利用了机构数据,与基于调查的研究相比,提供了一个独特的视角.
结论:
- 医疗保健政策制定者,提供者和保险公司必须合作,以改善医疗保健的负担能力和可访问性.
- 需要制定战略来加强私人医疗保险提供的金融风险保护.
- 促进健康和健康需要解决医疗保健融资的系统性缺口.
相关概念视频
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:15Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
01:29Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
01:30Health Information Technology and Healthcare Information System
811
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
811
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:19Standards of Care II
636
Nurses bear specific legal responsibilities under several federal statutes, including:
636