在尼泊尔实施社会医疗保险 (SHI) 计划的经验和影响 - 一个混合方法研究
Rajani Bharati1, Diana Romero1, Alexis Pozen1
1CUNY Graduate School of Public Health and Health Policy, New York, New York, United States of America.
PLOS global public health
|April 24, 2025
概括
尼泊尔 尼泊尔 尼泊尔 尼泊尔 尼泊尔
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策和管理卫生政策和管理
- 公共卫生 公共卫生
背景情况:
- 2016年推出的尼泊尔国家健康保险计划 (NHIP) 面临着低招生率和高退学率的挑战.
- 了解受益者和提供者的经验对于提高NHIP有效性和卫生服务利用率至关重要.
研究的目的:
- 检查尼泊尔国家健康保险计划 (NHIP) 的服务提供商和受益人的经验.
- 确定影响NHIP入学,续签和健康寻求行为的因素.
- 评估NHIP对卫生服务利用率和提供者工作量的影响.
主要方法:
- 采用了一种探索性的顺序混合方法设计.
- 通过14个重点小组讨论和20个关键信息人采访,收集了定性数据.
- 从尼泊尔的地区卫生信息系统 (DHIS-2) 获取了定量数据.
主要成果:
- 报名者和非报名者都强调医疗服务质量是报名的关键.
- 影响入学的因素包括意识,计划设计,可访问性,成本,感知风险和有用性.
- 服务提供商报告说,患者流量增加和行政负担增加,但没有相应的资源增长,面临索赔,报销和采购方面的挑战.
结论:
- 纳入NHIP的比例在很大程度上取决于医疗保健系统的质量.
- 改善NHIP需要提高意识,保险素养,计划设计和可访问性.
- 加强资源可用性,劳动力能力和治理对于NHIP的成功至关重要.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.2K
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.1K
相关概念视频
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:18Introduction To Health Care Delivery System
2.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.5K
01:30Community Based Intervention
21
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
21
01:28International Nursing Organizations II
930
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
930
01:15Nursing Implementation
4.8K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.8K