In Depth Understanding On Values And Issues Related To Health Insurance Among Breast Cancer Survivors In Low And Middle Income Setting With Universal Health Coverage PDF Download
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Author: Nanthini Thevi Pathy
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Introduction: Despite Malaysiau2019s stellar achievement of Universal Health Coverage in delivery of primary care services, it is still struggling in provision of cancer care. Health insurance therefore plays an important role in alleviating financial toxicity following cancer. Objectives: We investigated the motivators/barriers to health insurance ownership, value of health insurance, and issues in navigating health insurance among Malaysian breast cancer survivors. Methods: In this qualitative inquiry, 9 focus group discussions (FGDs) were conducted with breast cancer survivors diagnosed within 12-24 months, from Hospital Kuala Lumpur (tertiary government hospital), University Malaya Medical Centre (public academic hospital) and Pantai Hospital Kuala Lumpur (private hospital). All FGDs were audio recorded and transcribed verbatim. Data were examined using thematic content analysis.Results: The major themes for motivators in obtaining private health insurance were u201ca back-up planu201d and u201cexpedited treatmentu201d while themes for barriers were u201chigh premium ratesu201d, u201clow awarenessu201d on health insurance, u201cpresence of comorbiditiesu201d, u201ccompeting financial prioritiesu201d, and u201cbelief in fate and destinyu201d. In terms of value of health insurance, participants mooted that u201cinsurance saved my lifeu201d and u201cprovided a sense of securityu201d. Nonetheless, issues faced in navigating health insurance included u201cslow claim processes due to red tapeu201d, u201ccomplicated policies and hidden clausesu201d, u201cpay first, claim-lateru201d and u201crapid exhaustion of insurance limitsu201d. Conclusions: While health insurance plays an important role in reducing the financial burden faced by breast cancer survivors, this study highlights the need to increase health insurance literacy, improve insurance regulation and revise existing medical coverage plans in low-and middle-income settings.
Author: Nanthini Thevi Pathy
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Introduction: Despite Malaysiau2019s stellar achievement of Universal Health Coverage in delivery of primary care services, it is still struggling in provision of cancer care. Health insurance therefore plays an important role in alleviating financial toxicity following cancer. Objectives: We investigated the motivators/barriers to health insurance ownership, value of health insurance, and issues in navigating health insurance among Malaysian breast cancer survivors. Methods: In this qualitative inquiry, 9 focus group discussions (FGDs) were conducted with breast cancer survivors diagnosed within 12-24 months, from Hospital Kuala Lumpur (tertiary government hospital), University Malaya Medical Centre (public academic hospital) and Pantai Hospital Kuala Lumpur (private hospital). All FGDs were audio recorded and transcribed verbatim. Data were examined using thematic content analysis.Results: The major themes for motivators in obtaining private health insurance were u201ca back-up planu201d and u201cexpedited treatmentu201d while themes for barriers were u201chigh premium ratesu201d, u201clow awarenessu201d on health insurance, u201cpresence of comorbiditiesu201d, u201ccompeting financial prioritiesu201d, and u201cbelief in fate and destinyu201d. In terms of value of health insurance, participants mooted that u201cinsurance saved my lifeu201d and u201cprovided a sense of securityu201d. Nonetheless, issues faced in navigating health insurance included u201cslow claim processes due to red tapeu201d, u201ccomplicated policies and hidden clausesu201d, u201cpay first, claim-lateru201d and u201crapid exhaustion of insurance limitsu201d. Conclusions: While health insurance plays an important role in reducing the financial burden faced by breast cancer survivors, this study highlights the need to increase health insurance literacy, improve insurance regulation and revise existing medical coverage plans in low-and middle-income settings.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309477891
Category : Medical
Languages : en
Pages : 399
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Book Description
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Author: Amanda Glassman
Publisher: Brookings Institution Press
ISBN: 1944691057
Category : Medical
Languages : en
Pages : 449
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Book Description
Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly. What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.
Author: Maria-Luisa Escobar
Publisher: Brookings Institution Press
ISBN: 0815705468
Category : Social Science
Languages : en
Pages : 239
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Book Description
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Katherine Swartz
Publisher: Russell Sage Foundation
ISBN: 1610445201
Category : Medical
Languages : en
Pages : 220
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Book Description
America's current system of health insurance, which relies almost exclusively on employer-sponsored coverage, is in danger of collapse, and this problem is not limited to the poor and working class. An increasing number of middle class Americans do not have employer-provided insurance and—due to skyrocketing premiums—cannot afford to purchase coverage for themselves. Reinsuring Health, by economist Katherine Swartz, examines this growing national crisis and outlines a concrete plan to make health insurance accessible and affordable for all Americans. Reinsuring Health documents why the number of uninsured Americans—now 45.5 million people—has grown in the last twenty-five years. Swartz focuses on how labor market changes—such as the decline of domestic manufacturing, decreased unionization, and the growth of non-standard work arrangements—have led U.S. employers to retreat from providing health insurance for their workers. These trends, combined with the increasing costs of medical care, have led to an explosion in health insurance premiums and a decline in coverage, particularly among the middle-class. Since those who seek insurance as individuals are generally most likely to need health care, private insurers charge higher premiums in the individual (non-group) markets than to people who obtain group insurance. This makes individual health insurance less attractive to the young and increasingly unaffordable for middle-class Americans. Similarly, insurers charge higher per person (or per family) premiums to small firms than to large companies, so many small firms do not sponsor coverage for their employees. Reinsuring Health shows how these problems can be overcome if the federal government provides a new reinsurance program which would protect insurance companies that provide small group and individual health insurance against the possibility that their policy-holders will incur very high medical expenses. By assuming some of the risk that people will face extremely costly medical bills, the government will make insurers less hesitant to offer coverage to high-risk individuals, and will help drive down premiums for others. Reinsuring Health demonstrates that this form of government reinsurance has worked in the past, helping to establish smooth running private markets for catastrophe insurance and secondary mortgages. Today, growing numbers of middle class Americans lack health insurance. Protection against the possibility of falling ill or getting hurt and having to pay extraordinary health care bills should not be a luxury available only to the very rich and the very poor. Reinsuring Health proposes a straightforward solution that would bring health insurance back within the reach of the increasing ranks of the uninsured, particularly those who are in the middle class.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309124999
Category : Computers
Languages : en
Pages : 334
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Book Description
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author: Professor Dr Syed Mohamed Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 1543763367
Category : Medical
Languages : en
Pages : 163
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Book Description
Breast cancer is the most common cancer among women that affects mostly those in middle and older age groups in most parts of the world. The incidence is showing an increasing trend affecting younger women and the cost to prevent, treat and manage this chronic disease is continuously escalating. Universal Health Coverage (UHC) is an initiative by World Health Organisation that encourages policy makers in all countries in the world to organise their health systems that are responsive in providing access to quality health care to every citizen in need of health services without facing the financial hardship. Malaysia health system has been well developed and was said to have achieved universal health coverage based on the easy access to primary and secondary health care services in the public sector. In this book, we present our effort to assess if Malaysia provides UHC for preventive, curative and palliative to breast cancer patients . At the inception of the study, we embarked on the development of a composite index to assess the overall status of UHC. This is followed by an extensive research to explore the extent of financial coverage for management of breast cancer. Over 300 patients in various stages of the breast cancer attending the selected public tertiary hospitals were interviewed and their medical records reviewed to assess their health spending and to estimate the incidence of catastrophic health expenditure. The book is the first of its kind that provides comprehensive real-world data on universal coverage for breast cancer patients in the world.
