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Journal articles on the topic 'Health insurance in case of illness'

Author: Grafiati

Published: 30 May 2022

Last updated: 31 July 2025

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1

Chernew, Michael E., William E. Encinosa, and Richard A. Hirth. "Optimal health insurance: the case of observable, severe illness." Journal of Health Economics 19, no. 5 (2000): 585–609. http://dx.doi.org/10.1016/s0167-6296(00)00061-8.

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2

Brown, Phillip. "Mental illness and motor insurance." Psychiatric Bulletin 17, no. 10 (1993): 620–21. http://dx.doi.org/10.1192/pb.17.10.620.

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Much has been written about mental illness and driving, particularly the possibly increased risk of accidents. There is, however, little awareness of how this affects insurance premiums. It is well known that as a result of recent losses within the business, premiums were increased by 30% last year, and may be set to rise higher. This has made insuring a car a major part of the cost of running one. It appears that people with mental illnesses are being unfairly treated by motor insurers and therefore financially disadvantaged. I was first made aware of this problem by my involvement in a case.

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3

Satyahadewi, Neva, Hani Dwi Retnani, Hendra Perdana, Ray Tamtama, and Siti Aprizkiyandari. "PREMIUMS CALCULATION OF TERMINAL ILLNESS INSURANCE." BAREKENG: Jurnal Ilmu Matematika dan Terapan 17, no. 2 (2023): 0913–18. http://dx.doi.org/10.30598/barekengvol17iss2pp0913-0918.

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One related type of critical illness insurance is Long Term Care (LTC) Insurance. This study discusses the calculation of LTC insurance premiums with an annuity as a rider benefit. The benefit is included the cost of insurance care when diagnosed with a critical illness with a terminal condition or death because of any reason. The types of critical illnesses used in this study are cancer, heart disease, stroke, and diabetes mellitus. The data used are in the form of Indonesia's mortality table, and data on the prevalence of critical illness patients with terminal illness conditions. The net an

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Rudakova, Lina O., and Vasyl M. Mikhalchuk. "CHARACTERISTICS OF ILLNESS AMONG HEALTHCARE EMPLOYEES." Clinical and Preventive Medicine, no. 8 (December 31, 2023): 108–17. http://dx.doi.org/10.31612/2616-4868.8.2023.13.

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The aim of the work is to characterize and assess the state of health of health care workers and to find out which diseases are most common among health care workers and which list of diseases requires treatment on the basis of social health insurance. Materials and methods. In the course of the research, 550 health care workers were interviewed and surveyed regarding the feasibility of implementing social insurance for health care workers in the city of Kyiv and medical and preventive institutions in the Kyiv region. Evaluating the classification of commercial and social insurance in Uk

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Zoya, Syeda, Aarti Jagannathan, Thanapal Sivakumar, and Ramachandran Padmavati. "Status of inclusion of mental illness under health insurance coverage in India – An exploratory study." Indian Journal of Psychiatry 67, no. 3 (2025): 323–32. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_590_24.

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Background: The Mental Health Care Act, 2017 led the Insurance Regulatory and Development Authority of India to issue directives which mandated every insurer to make provisions for treatment of persons with mental illness. While many insurance companies tried to adhere to the directives, the ground reality was far from desirable. Aims: An exploratory study was conducted with the aim of understanding the status of insurance companies toward the inclusion of mental illness under health insurance coverage in India. Methods: The study was done in two parts: (1) review of health insurance policies

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Paudel, Deepak Raj. "Determinants of Self-Reported Illness: An Experience from Social Health Insurance Program in Nepal." Nepalese Journal of Insurance and Social Security 3, no. 3 (2020): 1–22. http://dx.doi.org/10.3126/njiss.v3i3.36457.

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Even though the ultimate goal of social health insurance program is to increase the utilization of health services and reduce the health care expenditure, individuals in developing countries generally do not visit a healthcare provider or spend on healthcare unless they perceive themselves as ill. Thus, the determinants of such illness reporting could have practical significance in a setting, where the social health insurance program was first being implemented in Nepal. Philosophically, this study follows a post-positivism or empiricism research paradigm. The ontological assumption of t

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Taraly, Inggriani Millennia, Neva Satyahadewi, Hendra Perdana, Ray Tamtama, and Siti Aprizkiyandari. "NET SINGLE PREMIUM ON CRITICAL ILLNESS INSURANCE WITH MULTI-STATE MODEL." BAREKENG: Jurnal Ilmu Matematika dan Terapan 17, no. 2 (2023): 0989–94. http://dx.doi.org/10.30598/barekengvol17iss2pp0989-0994.

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The chances of someone getting a disease or suffering from a critical illness are very large, especially when they get older, the chances of getting a critical illness will be higher. A guarantee of the future is indispensable if a person suffers from a critical illness at any time and requires considerable costs to undergo treatment. Insurance is one of the right choices and is beneficial for people with critical illnesses. In this study, the calculation of Critical Illness insurance premiums was carried out to determine the value of premiums that must be paid by a person when suffering from

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8

Sharma, Dibya, Priyanka Basnet, and Ramchandra Kafle. "Awareness, Enrollment and Utilization of Health Insurance among Adults of Pokhara." Journal of College of Medical Sciences-Nepal 17, no. 2 (2021): 109–16. http://dx.doi.org/10.3126/jcmsn.v17i2.29389.

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Introduction Procuring a health insurance is important because medical care is expensive, especially in private sector. Hospitalization nowadays is very expensive. Financial burden while being sick can be managed wisely by paying a small annual premium which would lessen stress in case of medical emergencies. The objective of study is to assess awareness, enrollment and utilization of health insurance and find out association between awareness and enrollment with demographic variables. Material and methods A descriptive cross sectional study was conducted to assess awareness,

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9

Zhang, Yan, and Yonghong Wu. "Optimal Health Insurance and Trade-Off between Health and Wealth." Journal of Applied Mathematics 2020 (August 1, 2020): 1–9. http://dx.doi.org/10.1155/2020/2658213.

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Health insurance is considered to be a special type of nonlife insurance with two important features. First, compared with property insurance, health insurance provides valuable hedge against unpredictable shocks to health status, instead of loss on property. Therefore, a modified utility function that describes the trade-off between health and wealth should be applied in optimal indemnity design. Second, in the case that the insured is severely or critically ill, with necessary medical treatment, the insured may not fully recover from an illness or an injury. The doctor usually communicates w

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10

Gertler, Paul, and Jonathan Gruber. "Insuring Consumption Against Illness." American Economic Review 92, no. 1 (2002): 51–70. http://dx.doi.org/10.1257/000282802760015603.

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One of the most sizable and least predictable shocks to economic opportunities in developing countries is major illness. We investigate the extent to which families are able to insure consumption against major illness using a unique panel data set from Indonesia that combines excellent measures of health status with consumption information. We find that there are significant economic costs associated with major illness, and that there is very imperfect insurance of consumption over illness episodes. These estimates suggest that public disability insurance or subsidies for medical care may impr

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Vellakkal, Sukumar. "Financial Protection in Health Insurance Schemes: A Comparative Analysis of Mediclaim Policy and CHAT Scheme in India." Journal of Health Management 14, no. 1 (2012): 13–25. http://dx.doi.org/10.1177/097206341101400102.

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This article analyzes the level of financial protection to low-income people during illness in ‘private health insurance’ and ‘people’s preferred health insurance’. In a hypothetical situation of being insured with both the pro-poor version of the ‘Mediclaim policy’ (private health insurance) and CHAT—‘Choosing Health Plans All-Together’—scheme (people’s preferred health insurance), this study analyzed the out-of-pocket-spending for health care incurred by persons per reported illness episodes in four select resource-poor locations in India. Three data sources were used: (a) household survey,

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Ozminkowski, R. J., M. Noether, P. Nathanson, et al. "Profiling Primary Care Physicians for a New Managed Care Network." Health Services Management Research 10, no. 3 (1997): 173–86. http://dx.doi.org/10.1177/095148489701000304.

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We developed methods for comparing physicians who would be selected to participate in a major employer's self-insurance program. These methods used insurance claims data to identify and profile physicians according to deviations from prevailing practice and outcome patterns, after considering differences in case-mix and severity of illness among the patients treated by those providers. The discussion notes the usefulness and limitations of claims data for this and other purposes. We also comment on policy implications and the relationships between our methods and health care reform strategies

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13

Stone, Deborah. "Protect the Sick: Health Insurance Reform in One Easy Lesson." Journal of Law, Medicine & Ethics 36, no. 4 (2008): 652–59. http://dx.doi.org/10.1111/j.1748-720x.2008.00319.x.

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In most other nations, insurance for medical care is called sickness insurance, and it covers sick people. In the United States, we have “health insurance,” and its major carriers — commercial insurers, large employers, and increasingly government programs — strive to avoid sick people and cover only the healthy. This perverse logic at the heart of the American health insurance system is the key to reform debates.Focusing on sick people versus healthy people might seem a strange way to view the coverage issue. Most discussions of insurance categorize people into other groupings: the insured ve

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14

Khairi, Khairil Faizal, Nur Hidayah Laili, and Aimi Fadzirul Kamarubahrin. "An Addressing on Risk of Mental Health Disorders Through Hybrid Takaful (Islamic Insurance): A Case of Malaysia." Jurnal Intelek 16, no. 1 (2021): 74–82. http://dx.doi.org/10.24191/ji.v16i1.366.

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In addition to heart disease, other Malaysian extensive illnesses are mental health disorders. 29.2 per cent of Malaysians have recently suffered from mental illness, which has increased threefold compared to the previous year. The lowest income group accounts for the bulk of Malaysians suffering from mental illness. Currently, Singapore list among the countries has operative providing mental health insurance together with Australia, the United Kingdom and the United States of America. Malaysia is still far behind on offering mental health coverage with such a scheme only provided by AIA Malay

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van Rooijen, Marjolein, Chaw-Yin Myint, Milena Pavlova, and Wim Groot. "Health Insurance in Myanmar: The Views and Perception of Healthcare Consumers and Health System Informants on the Establishment of a Nationwide Health Insurance System." Risks 6, no. 3 (2018): 81. http://dx.doi.org/10.3390/risks6030081.

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(1) Background: Health insurance and social protection in Myanmar are negligible, which leaves many citizens at risk of financial hardship in case of a serious illness. The aim of this study is to explore the views of healthcare consumers and compare them to the views of key informants on the design and implementation of a nationwide health insurance system in Myanmar. (2) Method: Data were collected through nine focus group discussions with healthcare consumers and six semi-structured interviews with key health system informants. (3) Results: The consumers supported a mandatory basic health i

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Sadhukhan, Sanjoy Kumar. "A Rural Community based study on Morbidity, Health care Utilization and Health Expenditure in Tarakeswar Block, Hoogly District, West Bengal." Journal of Comprehensive Health 6, no. 2 (2018): 90–96. http://dx.doi.org/10.53553/jch.v06i02.007.

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Background: Rural community based recent study on morbidity, health care utilization and health expenditure is a rarity in India especially in West Bengal. Objectives: To find out the morbidity pattern, health care utilization and health expenditure in rural area of Tarakeswar block, Hoogly district, West Bengal. Methods: House to house survey of 720 families (total 2759 persons) from rural area of Tarakeswar block, Hoogly district, West Bengal, selected by 30 cluster sampling technique during 2013-14 with help of a predesigned pre-tested schedule by post-graduate students with one month recal

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Ruppel, Thomas, and Laura Mertens. "Rechtliche Implikationen der Stratifizierung des Versichertenklientels nach § 25b SGB V – Anforderungen an Patienteninformation und KI-Einsatz." Monitor Versorgungsforschung 2025, no. 03 (2025): 57–63. https://doi.org/10.24945/mvf.03.25.1866-0533.2721.

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Statutory health and long-term care insurance may analyse insurance data. The data analysis can result in various information obligations. Firstly, they exist when a specific health risk to the insured person is recognised. This presupposes that there is a sufficient probability of damage to health. They must also provide information if they recognise through their data analysis that there is a foreseeable future possibility (not probability) of illness or a need for long-term care arising from the individual (life) circumstances of a single insured person. Whether these thresholds are reached

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18

M.Vadivel and R.Veerachamy. "Economic Analysis on Health Insurance Schemes Among Professional Drivers in Erode District of Tamilnadu." Shanlax International Journal of Management 6, S1 (2019): 40–47. https://doi.org/10.5281/zenodo.2590375.

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By the observation of source of treatment as health care services, sample respondents mostly attract with performance of private hospitals. On the other hand highly expense are there, avail the treatment at free of cost in government hospitals. so study reveals that the basic need to analyze about contribution of health insurance schemes among the sample respondents in selected areas due to face the risk of high expenses on health when illness. Health insurance to meet the cost of hospitalization for major illness will ensure that health care costs do not become a major burden or cause of inde

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19

Magdelinić, Zoran. "PRAVNI I BEZBJEDONOSNI ASPEKTI RADA NA CRNO U CRNOJ GORI." Glasnik prava 12, no. 1 (2021): 53–65. http://dx.doi.org/10.46793/gp.1201.053m.

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Every employee in the of Montenegro enjoys certain employment rights. Among others, this includes the rights to earnings, safety at work, health care, personal integrity protection, dignity of personality, rights due to temporary illnesses due to illness, loss of working ability, age and material compensation due to temporary hindrance. In this regard, special rights are enjoyed by employed women during pregnancy and childbirth, then minors who are employed and persons with disabilities. Also, employees in the of Montenegro are entitled to contributions for compulsory social security, which pr

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20

Kinney, Eleanor D., Deborah A. Freund, Mary Elizabeth Camp, Karen A. Jordan, and Marion Christopher Mayfield. "Serious Illness and Private Health Coverage: A Unique Problem Calling for Unique Solutions." Journal of Law, Medicine & Ethics 25, no. 2-3 (1997): 180–91. http://dx.doi.org/10.1111/j.1748-720x.1997.tb01892.x.

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Having a serious illness like breast cancer is a calamity for individuals and families. Along with the pain, discomfort, and dislocation comes the issue of how to pay the medical expenses for the care and treatment of the disease. If the seriously ill person has inadequate or no insurance, these problems are aggravated.Stories abound about seriously ill people losing private health insurance following diagnosis with a catastrophic disease, remaining in jobs just to maintain health insurance, or facing financial hardship because of gaps in coverage. Yet surprisingly little research has focused

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Asfaw, Gudeta Kebede. "Determinants of Insurance Enrollment." Journal of Research in Social Science And Humanities 2, no. 1 (2022): 35–40. http://dx.doi.org/10.47679/jrssh.v2i1.25.

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Ownership of health insurance policy is a mechanism for protecting an individual family’s financial security. It is also a means for a risk-aversion strategy for the cost of medical care, loss of productivity time during the illness, and in a more serious case death. This study examines the factors that influence the ownership of insurance policies at an individual level using a binary logistic regression model. The data used in this study was taken from the Health and Retirement Study (HRS), the fifth wave in 2002 with 3206 respondents of the survey, whereby thirty-nine percent of the respond

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Ng’ang’a, Emmah Wanjiku, and Martine Oleche Odhiambo. "Drivers of Health Insurance Coverage in Low Income Settlements: A Case of Kibera Informal Settlement, Nairobi County, Kenya." European Scientific Journal, ESJ 19, no. 18 (2023): 94. http://dx.doi.org/10.19044/esj.2023.v19n18p94.

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Insurance is critical for any country's economic growth and development to be sustainable. In rural areas of Kenya, among the illiterate, unemployed, poor, and vulnerable in society, health insurance adoption is extremely low. This paper focuses on determining the drivers for health insurance uptake among low-income populations in Kibera, Nairobi County. Semi structured questionnaires were administered to households located in Kibera informal settlements to collect data. The Yamane (1967) formula was used to select the sample size. Simple random sampling was adopted in selecting 399 respondent

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Paudel, Deepak Raj. "Factors Affecting Enrollment in Government Health Insurance Program in Kailali District." Journal of Nepal Health Research Council 17, no. 3 (2019): 388–93. http://dx.doi.org/10.33314/jnhrc.v17i3.2026.

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Background: Health care financial burden on households is high in Nepal. High health care expenditure is a major obstacle in achieving universal health coverage. The health insurance is expected to reduce healthcare expenditure. However, only small segments of the population are covered by health insurance in Nepal.This study assessed the factors affecting enrollment in government health insurance program in the first piloted district, Kailali, Nepal.Methods: A cross-sectional survey was conducted among 1048 households located in 26 wards of Kailali district after 21 months of the implementati

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Perreira, Krista M., Chenoa D. Allen, and Jonathan Oberlander. "Access to Health Insurance and Health Care for Hispanic Children in the United States." ANNALS of the American Academy of Political and Social Science 696, no. 1 (2021): 223–44. http://dx.doi.org/10.1177/00027162211050007.

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Health insurance gives families access to medical services and protects them against the costs of illness and medical treatment. Insured children are more likely than their uninsured peers to use medical services, preventive health services, have a usual source of care, and have fewer unmet medical needs. In this article, we review trends in health insurance coverage for Hispanic children and the factors that influence their coverage. We then discuss health care utilization among Hispanic children and barriers to health care utilization. We conclude with a discussion of strategies to improve H

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Piechota, Anna. "Medication Insurance Policy - a New Insurance Product in the Polish Health Care System." Olsztyn Economic Journal 10, no. 4 (2015): 327–38. http://dx.doi.org/10.31648/oej.3156.

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In the Polish healthcare system, medications (including compounded preparations) are wholly or partially paid for from public funds. Subsidising medications which are either central or incidental to treatment (e.g., when patients are unable to work because of an illness) means that medication costs make up a large percentage of total health expenditure and are a drain on the patients' purse. Medication insurance (or drug coverage) policies are a relatively new product and are featured in business insurance portfolios of only a handful of insurance companies offering coverage for medication cos

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Vuong, Quan-Hoang, Viet-Phuong La, Minh-Hoang Nguyen, Thanh-Huyen T. Nguyen, and Manh-Toan Ho. "Good budget or good care: The dilemma of social health insurance in Vietnam." SAGE Open Medicine 9 (January 2021): 205031212110425. http://dx.doi.org/10.1177/20503121211042512.

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Objective: 2014 marked a rising public commitment to universal health coverage in Vietnam to eliminate the financial burden for patients, but there are lots of hindrances. It is evident that patients met difficulties to validate their insurances, so health insurance does not significantly address out-of-pocket payments issues. Furthermore, the unequal geographical distribution of hospitals in Vietnam has created an inequality between non-residing patients and residing patients; the former usually pay more. This calls into question how the validity of healthcare insurance and patient’s residenc

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Wassie, Gizachew Tadesse, Getasew Tadesse, Gebeyehu Tsega Nebeb, Amare Alemu Melese, Agumas Fentahun Ayalew, and Getasew Mulat Bantie. "Determinants of household dropout from community-based health insurance program in northwest Ethiopia; A community-based case-control study." PLOS ONE 18, no. 1 (2023): e0276676. http://dx.doi.org/10.1371/journal.pone.0276676.

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Background Community-Based Health Insurance (CBHI) is an evolving program for delivering financial protection against the cost of illness and enhancing access to quality health services for low-income informal households. Objective The study aimed to identify determinants of household dropout from a CBHI program in Mecha district, North West Ethiopia, 2019. Methods A community-based case-control study was conducted in the Mecha district from March 10 to June 10, 2018. The final sample was 634 (317 cases and 317 controls) determined by the two-population proportion formula, and these samples we

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Tope, Michael Ipinnimo, Olusola Ibirongbe Demilade, Temidayo Omowaye Motunrayo, Oladapo Ajayi Paul, and Samuel Ogunleye Taiwo. "Health Insurance Uptake and Affordability of Care Among Patients with Hypertension in a Federal Teaching Hospital in Southwestern Nigeria." Journal of Health and Medical Sciences 4, no. 2 (2021): 128–35. https://doi.org/10.5281/zenodo.4922608.

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This study aims to assess health insurance uptake and affordability of care among patients with hypertension in a Federal Teaching Hospital in Southwestern Nigeria. This was a cross sectional study involving 138 hypertensive patient selected through systematic random sampling technique from the cardiology clinic of a Federal Teaching Hospital. A semi-structured, interviewer administered questionnaire was used to collect data. Analysis was done using Statistical Package for Social Sciences (SPSS) version 21. A significance level of 5% was used. The mean age (standard deviation) of the patients

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Atnafu, Desta Debalkie, Hiwot Tilahun, and Yihun Mulugeta Alemu. "Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study." BMJ Open 8, no. 8 (2018): e019613. http://dx.doi.org/10.1136/bmjopen-2017-019613.

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ObjectivesThe objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District.DesignComparative, cross-sectional study.SettingsCommunity-based.ParticipantsA total of 652 selected households (326 insured and 326 uninsured households) participated in the study.MethodsA two-sample t-test (for proportions) and χ2(for categorical data) were computed.Main outcome measureUtilisation of healthcare.ResultsThere

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Kass, Nancy, and Amy Medley. "Genetic Screening and Disability Insurance: What Can We Learn from the Health Insurance Experience?" Journal of Law, Medicine & Ethics 35, S2 (2007): 66–73. http://dx.doi.org/10.1111/j.1748-720x.2007.00155.x.

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The Human Genome Project has allowed researchers to gain new insights into the genetic causes of health and disease. With this knowledge comes the potential to develop new genetic tests that are capable of predicting the risk of disease or disability among presently healthy individuals. This information is potentially beneficial in that it may allow individuals to develop strategies to reduce their risk of illness and may allow health providers to recognize and treat the early stages of disease more effectively. As knowledge about genetic contributions to disease continues to grow and genetic

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Akwaowo CD, Umoh I, Udo AA, et al. "Willingness to join social health insurance and community-based health insurance among rural residents in Akwa Ibom state, Nigeria." Ibom Medical Journal 16, no. 2 (2023): 207–17. http://dx.doi.org/10.61386/imj.v16i2.320.

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Background: Universal Health Coverage seeks to ensure that all individuals have equitable access to quality health care with limited exposure to financial risk. Pooling of community members into health insurance schemes is necessary for the achievement of UHC. Most rural dwellers do not have health insurance and are susceptible to catastrophic health expenditure. Objective: This study aims to determine the willingness of rural dwellers in Akwa Ibom state, Nigeria, to join health insurance schemes. Methods: The study was conducted in three local government areas in Akwa Ibom State,

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Boettcher, Iris, Rozanne Turner, and Linda Briggs. "Telephonic advance care planning facilitated by health plan case managers." Palliative and Supportive Care 13, no. 3 (2014): 795–800. http://dx.doi.org/10.1017/s1478951514000698.

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AbstractObjective:The insurance plan case managers (CMs) of Priority Health, part of a regional healthcare system located in Michigan, work telephonically with frail patients who have multiple comorbidities. However, these CMs have lacked facilitation skills for advance care planning (ACP) discussions in this vulnerable population. In 2012, the findings of a six-month pilot study of telephonic ACP (TACP) with some of the plan's Medicare population were implemented with Medicare members under case management.Method:Case mangers were trained and certified by Respecting Choices® to introduce and

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Khuwaja, Hussain Maqbool Ahmed, Rozina Karmaliani, Rozina Mistry, Muhammad Ashar Malik, and Rozina Sikandar. "Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: a Mixed Methods Case Study." Bangladesh Journal of Medical Science 20, no. 2 (2021): 293–301. http://dx.doi.org/10.3329/bjms.v20i2.51538.

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Background: There is strong evidence on the potential of the Community Based Health Insurance (CBHI) schemes to facilitate access to healthcare and offer financial protection against the cost of illness for people excluded from formal insurance systems. However, enrollment in the Family Health Insurance scheme has remained low and there has been substantial dropout from the initial enrollment of the scheme’s insured members. Aim:This research aimed at exploring factors influencing enrollment of community members in a CBHI scheme. Methods:A mixed methods case studycomprisingqualitat

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Maia, Ana Carolina, Mônica Viegas Andrade, and Flávia Chein. "Ex-ante moral hazard: empirical evidence for private health insurance in Brazil." Nova Economia 29, no. 3 (2019): 987–1008. http://dx.doi.org/10.1590/0103-6351/4886.

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Abstract This paper explores the existence of ex-ante moral hazard in private health insurance in Brazil. Before the advent of illness, insured individuals have no incentives to seek preventive care if it is not previously contractible. The data set comprises longitudinal administrative records of health care utilization from a Brazilian employer-sponsored health insurance plan. The empirical strategy is based on an exogenous and anticipated shock in health insurance coverage not associated with health conditions. The results show an increase of up to 17% on medical visits and 22% on diagnosti

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Molla, Aashagre, and Netsanet Fentahun. "Predictors of Willingness to Participate in Health Insurance Services among the Community of Jimma Town, Southwest Ethiopia." Health Services Insights 7 (January 2014): HSI.S18046. http://dx.doi.org/10.4137/hsi.s18046.

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Health insurance schemes are increasingly recognized as tools to finance health care provision in low-income countries. The main objective of this study was to find out the awareness of and demand for health insurance and to identify those reasons that influence the demand in Jimma town, southwest Ethiopia. We conducted a community-based cross-sectional quantitative study on 741 households from December 1 to December 31, 2012. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16. Presence of chronic illness in the family was the predictor of the willingness to tak

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Baldwin, Matthew R., Jessica L. Sell, Nina Heyden, et al. "Race, Ethnicity, Health Insurance, and Mortality in Older Survivors of Critical Illness." Critical Care Medicine 45, no. 6 (2017): e583-e591. http://dx.doi.org/10.1097/ccm.0000000000002313.

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Castillo, Richard J., and Kristina L. Guo. "Implications of Dsm-5 for Health Care Organizations and Mental Health Policy." Journal of Health and Human Services Administration 39, no. 2 (2016): 217–44. http://dx.doi.org/10.1177/107937391603900203.

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The American Psychiatric Association (APA) has made major changes in the way mental illness is conceptualized, assessed, and diagnosed in its new diagnostic manual, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published in 2013, and has far reaching implications for health care organizations and mental health policy. This paper reviews the four new principles in DSM-5: 1) A spectrum (also called “dimensional”) approach to the definition of mental illness; 2) recognition of the role played by environmental risk factors related to stress and trauma in predisp

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Taraly, Millennia, Neva Satyahadewi, and Hendra Perdana. "The Calculation of Life Insurance Premiums with A Multiple-State Model on Critical Illness Insuranceance." Jurnal Matematika 12, no. 2 (2023): 68. http://dx.doi.org/10.24843/jmat.2022.v12.i02.p150.

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Based on data from the Basic Health Research (Riskesdas) in 2018, the risk of critical illness is increasing and is the highest cause of death for Indonesian population. Currently, the cost of treating disease is not cheap, so maintaining health and preparing for the possibility of being diagnosed with a critical illness in the future is an important step. Critical Illness insurance premiums calculation includes cancer, stroke, heart, and diabetes mellitus. The benefits provided are in the form of death compensation, treatment costs when diagnosed with a critical illness, and there are also co

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Erdebilli, Babek, Ebru Gecer, İbrahim Yılmaz, et al. "Q-ROF Fuzzy TOPSIS and VIKOR Methods for the Selection of Sustainable Private Health Insurance Policies." Sustainability 15, no. 12 (2023): 9229. http://dx.doi.org/10.3390/su15129229.

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As a result of the inability of people to meet their demands in the face of increasing demands, people tend to have private health insurance in addition to the general health insurance offered as a public service. Due to the increasing trend of taking out private sustainable health insurance, the number of private sustainable health insurance plans in the health insurance market has increased significantly. Therefore, people may be confronted by a wide range of private health insurance plan options. However, there is limited information about how people analyze private health insurance policie

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Cortés, Ariel Emilio, Oscar Realpe, María Isabel Fuerte, Paula Andrea Tello, and Carmen Elisa Becerra. "Contraceptives, chronic illness, pregnancy and health care costs in one health insurance in Colombia." Revista de Salud Pública 24, no. 2 (2022): 1–7. http://dx.doi.org/10.15446/rsap.v24n2.89316.

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Objetive Evaluation of the impact of pregnancy on women with a high disease burden, especially with Chronic Non-Communicable Diseases (CNCD) in the costs of a health insurer. Materials and Methods Retrospective costing study conducted at Famisanar EPS between 2016 and 2018. We used multiple linear regression models to evaluate; the overall costs were calculated for each patient. The insurer's perspective was taken into account for the analysis. Results The study universe was made up of 458 249 women of childbearing age affiliated to Famisanar EPS between 15 and 49 years, of which 24 030 (5.2%)

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MOULY, D., D. VAN CAUTEREN, N. VINCENT, et al. "Description of two waterborne disease outbreaks in France: a comparative study with data from cohort studies and from health administrative databases." Epidemiology and Infection 144, no. 3 (2015): 591–601. http://dx.doi.org/10.1017/s0950268815001673.

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SUMMARYWaterborne disease outbreaks (WBDO) of acute gastrointestinal illness (AGI) are a public health concern in France. Their occurrence is probably underestimated due to the lack of a specific surveillance system. The French health insurance database provides an interesting opportunity to improve the detection of these events. A specific algorithm to identify AGI cases from drug payment reimbursement data in the health insurance database has been previously developed. The purpose of our comparative study was to retrospectively assess the ability of the health insurance data to describe WBDO

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Bich, Hong Hoang, and Huong Mai Thi. "Policy on Work Accident, Occupational Disease Insurance in Vietnam." JOURNAL OF ECONOMICS, FINANCE AND MANAGEMENT STUDIES 06, no. 06 (2023): 2545–50. https://doi.org/10.5281/zenodo.8016137.

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During the process of production activities, there are factors or incidents that affect the health of workers, such as hazardous working environments, prolonged fixed working postures, accidents caused by machinery, etc., resulting in a decrease or even permanent loss of work ability. Accidents occurring during labor or illnesses arising from work conditions incur costs for medical treatment, functional recovery, purchase of assistive devices for daily living, costs of caregivers in case of disability or severe illness, reduction or loss of income due to the inability to perform previous works

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McClanahan, Kimberly K., Marlene B. Huff, and Hatim A. Omar. "Holistic Health: Does It Really Include Mental Health?" Scientific World JOURNAL 6 (2006): 2092–99. http://dx.doi.org/10.1100/tsw.2006.339.

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Holistic health, incorporating mind and body as equally important and unified components of health, is a concept utilized in some health care arenas in the United States (U.S.) over the past 30 years. However, in the U.S., mental health is not seen as conceptually integral to physical health and, thus, holistic health cannot be realized until the historical concept of mind-body dualism, continuing stigma regarding mental illness, lack of mental health parity in insurance, and inaccurate public perceptions regarding mental illness are adequately addressed and resolved. Until then, mental and ph

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Karunaratna, Sumudu, Thushara Ranasinghe, Nadeeka Chandraratne, and Amala De Silva. "The Social Health Insurance Scheme for Public Sector Employees in Sri Lanka and Its Effect on Reducing the Financial Burden of Illness." Asia Pacific Journal of Public Health 31, no. 7 (2019): 584–93. http://dx.doi.org/10.1177/1010539519862422.

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Agrahara is a mandatory social health insurance scheme providing coverage mostly for inpatient care for the public sector employees in Sri Lanka. For the 20 years of its’ existence there is no clear evidence on its’ effectiveness in reducing the financial burden due to ill health. We conducted a cross-sectional study among public sector employees (n = 500) in one district. Utilizing outpatient care was associated with a higher incidence of catastrophic health expenditure (29.4%) than utilizing inpatient care (7.2%). The poorest income quintile was at higher odds of facing catastrophic health e

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García, Mónica. "The Social Survey, the Metropolitan Life Insurance Company, and the Beginnings of the US Public Health Service’s Sickness Surveys." American Journal of Public Health 111, no. 11 (2021): 1960–68. http://dx.doi.org/10.2105/ajph.2021.306454.

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The earliest sickness survey of the US Public Health Service, which started in 1915, was the Service’s first socioeconomic study of an industrial community. It was also the first to define illness as a person’s inability to work. The survey incorporated the Metropolitan Life Insurance Company’s definition of illness, which, instead of sickness rates, focused on duration of illness as a proxy of time lost from work. This kind of survey took place in the broader context of the reform movements of the Progressive Era and the social surveys conducted in the United States, which led to the creation

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Perdana, Hendra, Neva Satyahadewi, Dadan Kusnandar, and Ray Tamtama. "MULTI-STATE MODEL FOR CALCULATION OF LONG-TERM CARE INSURANCE PRODUCT PREMIUM IN INDONESIA." BAREKENG: Jurnal Ilmu Matematika dan Terapan 16, no. 4 (2022): 1293–302. http://dx.doi.org/10.30598/barekengvol16iss4pp1293-1302.

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Long Term Care (LTC) insurance is a type of health insurance. One of the LTC products is Annuity as A Rider Benefit. This insurance provides benefits for medical care costs during the term and death benefits if the insured dies. This insurance product can be modeled with a multi-state model. The multi-state model is a stochastic process in which the subject can switch states at a specified number of states. This paper discusses the calculation of LTC insurance premiums with the Annuity as A Rider Benefit product using a multi-state model for critically ill patients in Indonesia. The state used

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Dhaeyre, Eline Senesael, Nicky Vandeghinste, Siska Germonpré, Bart Demyttenaere, and Laura De Brandt. "The public health insurance funds as drivers for integrated care." International Journal of Integrated Care 23, S1 (2023): 536. http://dx.doi.org/10.5334/ijic.icic23197.

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The public health insurance funds are a unique player in the healthcare landscape. Belgium has seven public health insurance funds that operate the reimbursement system of health care services covered by the compulsory health insurance for their members and the payment of a replacement income in case of long-term illness. Public health insurance funds are present throughout the lifespan of their members, from birth to death, they are companion and point of contact for crucial moments in life at all ages.They play a key role in the rollout and implementation of key aspects of integrated care. &

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Verjans, Anna, Brady Hooley, Kassimu Tani, Grace Mhalu, and Fabrizio Tediosi. "Cross-sectional study of the burden and determinants of non-medical and opportunity costs of accessing chronic disease care in rural Tanzania." BMJ Open 14, no. 3 (2024): e080466. http://dx.doi.org/10.1136/bmjopen-2023-080466.

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ObjectivesCountries in sub-Saharan Africa are seeking to improve access to healthcare through health insurance. However, patients still bear non-medical costs and opportunity costs in terms of lost work days. The burden of these costs is particularly high for people with chronic diseases (CDs) who require regular healthcare. This study quantified the non-medical and opportunity costs faced by patients with CD in Tanzania and identified factors that drive these costs.MethodsFrom November 2020 to January 2021, we conducted a cross-sectional patient survey at 35 healthcare facilities in rural Tan

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Weinert, Clarann, Wade G. Hill, Charlene A. Winters, et al. "Psychosocial Health Status of Persons Seeking Treatment for Exposure to Libby Amphibole Asbestos." ISRN Nursing 2011 (May 26, 2011): 1–11. http://dx.doi.org/10.5402/2011/735936.

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A cross-sectional exploratory study was conducted to describe the psychosocial health status of persons seeking health care for exposure to Libby amphibole asbestos (LAA). Health indicators including depression, stress, acceptance of illness, and satisfaction with access and financial aspects of care were obtained via electronic and paper-pencil survey. The exposure pathway and demographic data were gleaned from the health record. Of the 386 participants, more than one-third (34.5%) demonstrated significant levels of psychological distress. The oldest group of women had the lowest levels of de

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Gajula, Srimannarayana, and P. Dhanavanthan. "Exploration on Consumer’s Perception and Buying Behavior of Health Insurance Policies in Hyderabad City." International Journal of Engineering and Advanced Technology 9, no. 1s5 (2019): 190–98. http://dx.doi.org/10.35940/ijeat.a1047.1291s519.

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Health insurance is an emerging channel of distribution adopted by insurers to increase the insurance market and its penetration. Health Insurance can reimburse the expenses of individuals incurred from the long term illness or sudden injuries to pay care provider directly. The present study attempts to know the perception levels to find out the awareness, influence, expectations, and willingness to purchase policy from the Non-Health Insurance Policy holders in Hyderabad City. A sample of 118 respondents were collected for this purpose and statistical analysis such as percentage analysis for

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