29,977 results match your criteria insurance coverage

Positioning the National Health Insurance for financial sustainability and Universal Health Coverage in Ghana: A qualitative study among key stakeholders.

PLoS One 2021 15;16(6):e0253109. Epub 2021 Jun 15.

Department of Health Policy Planning and Management, School of Public Health, University of Ghana, Legon, Accra.

Introduction: The National Health Insurance Scheme (NHIS) was introduced in 2003 to reduce "out-of-pocket" payments for health care in Ghana. Over a decade of its implementation, issues about the financial sustainability of this pro-poor policy remains a crippling fact despite its critical role to go towards Universal Health Coverage. We therefore conducted this study to elicit stakeholders' views on ways to improve the financial sustainability of the operations of NHIS. Read More

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Perceptions That Influence Acupuncture Use in Hospice Settings: Results of a State-Wide Survey Study.

J Altern Complement Med 2021 Jun 15. Epub 2021 Jun 15.

OHSU Division of General Internal Medicine and Geriatrics, Portland, OR, USA.

Acupuncture is an effective and low-risk therapy for a wide spectrum of medical conditions. In the hospice setting, where comfort is the top priority, acupuncture could play a vital role in reducing symptom burden at the end of life. This state-wide survey study explored perceived barriers to acupuncture use in the hospice setting from acupuncturist and hospice staff perspectives. Read More

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Potential Strategies to Increase Gynecologic Oncologist Treatment for Ovarian Cancer.

J Womens Health (Larchmt) 2021 Jun;30(6):769-781

ICF, Atlanta, Georgia, USA.

Evidence shows that treatment by gynecologic oncologists (GOs) increases overall survival among women with ovarian cancer. However, specific strategies for institutions and community-based public health programs to promote treatment by GOs are lacking. To address this, we conducted a literature review to identify evidence-based and promising system- and environmental-change strategies for increasing treatment by GOs, in effort to ensure that all women with ovarian cancer receive the standard of care. Read More

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The effect of coverage of smoking-cessation aids on tobacco use: Evidence from Canada.

Health Econ 2021 Jun 15. Epub 2021 Jun 15.

Faculty of Political Science and Economics, Waseda University, Tokyo, Japan.

In clinical trials, smoking-cessation aids (SCAs) have proven to be effective at improving the odds of smoking cessation. Because of the effectiveness of SCAs in these settings, many countries have adopted the coverage of SCAs to reduce tobacco use. However, the effect of such coverage on tobacco use is ambiguous. Read More

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Differences in U.S. Rural-Urban Trends in Diabetes ABCS, 1999-2018.

Diabetes Care 2021 Jun 14. Epub 2021 Jun 14.

Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.

Objective: To examine changes in and the relationships between diabetes management and rural and urban residence.

Research Design And Methods: Using National Health and Nutrition Examination Survey (1999-2018) data from 6,372 adults aged ≥18 years with self-reported diagnosed diabetes, we examined poor ABCS: A1C >9% (>75 mmol/mol), Blood pressure (BP) ≥140/90 mmHg, Cholesterol (non-HDL) ≥160 mg/dL (≥4.1 mmol/L), and current Smoking. Read More

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Preferences for long-term care insurance in China: Results from a discrete choice experiment.

Soc Sci Med 2021 Jun 5;281:114104. Epub 2021 Jun 5.

Heidelberg Institute of Global Health, Heidelberg University Hospital and Faculty of Medicine, Heidelberg University, Heidelberg, Germany.

Rapid population aging has led countries to consider the introduction of long-term care insurance (LTCI) as an essential component of a comprehensive social health protection package. Limited evidence, however, exists on people's preferences for such insurance products, especially in countries where their availability is still restricted. Using a discrete choice experiment (DCE), we investigated preferences, willingness to pay, and heterogeneity in preferences for attributes of a social LTCI among community members in China. Read More

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Health insurance acceptance of female labour force: A special focus on reproductive health.

J Pak Med Assoc 2021 Apr;71(4):1089-1092

Planning and Development Board, Punjab, Pakistan.

Objective: To measure the demand for health insurance policy with special focus on maternity services among working women.

Methods: The cross-sectional study was conducted in Lahore, Pakistan, from October 15 to November 15, 2018, after approval from the Punjab Economic Research Institute, and comprised public and private school teachers of reproductive age. The primary data was collected using a structured questionnaire. Read More

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Association of Branded Prescription Drug Rebate Size and Patient Out-of-Pocket Costs in a Nationally Representative Sample, 2007-2018.

JAMA Netw Open 2021 Jun 1;4(6):e2113393. Epub 2021 Jun 1.

Comparative Health Outcomes, Policy, and Economics Institute, University of Washington, Seattle, Washington.

Importance: Over the past decade, branded prescription drug manufacturers have substantially increased list prices while offering larger rebate payments to health care insurers. Whereas larger rebates can partially offset increases in list prices for insurers, patient out-of-pocket costs may be directly associated with list prices for individuals without insurance and indirectly associated with list prices for individuals with insurance through deductibles or coinsurance.

Objective: To investigate the association between rebates and patient out-of-pocket costs and whether this association differs by coverage type (ie, Medicare, commercial, or uninsured) and before and after 2014. Read More

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Acute Lymphoblastic Leukaemia Survival in Children Covered by Seguro Popular in Mexico: A National Comprehensive Analysis 2005-2017.

Health Syst Reform 2021 Jan;7(1):e1914897

Centre for Research on Population Health, INSP (Instituto Nacional de Salud Pública), Cuernavaca, Mexico.

The aim of the study was to measure survival of children with acute lymphoblastic leukemia (ALL) under Mexico's public health insurance for the population treated under . A retrospective cohort study using claims data from Mexico's program, covering cancer treatment from 2005 to 2015 was conducted. Overall 5-year national and state-specific survival for children with ALL across Mexico who initiated cancer treatment under this program was estimated. Read More

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January 2021

Socio-Demographic Predictors of Willingness to Pay for Premium of National Health Insurance: A Cross-sectional Survey of Six Districts in Sierra Leone.

Int J Health Policy Manag 2021 May 26. Epub 2021 May 26.

Medicine San Frontières (MSF), Makeni, Sierra Leone.

Background: The government of Sierra Leone introduced Social Health Insurance Scheme as a measure to remove financial barriers that beset the people in accessing health to ensure universal coverage. Under this policy, the citizens were encouraged to subscribe to the scheme to avoid out of pocket payment for healthcare at the point of use. This study was conducted to find out the predictors of willingness among the people to pay for health insurance premium. Read More

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Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage.

Front Psychiatry 2021 28;12:673123. Epub 2021 May 28.

Department of Health Sciences, Lakehead University, Thunder Bay, ON, Canada.

The rise of mental health issues in the workplace is widely known. Though mental health issues were not covered by the Workplace Safety Insurance Board (WSIB) in Ontario (Canada) until 2018, it was listed as responsible for payment of inpatient psychiatric hospital stays between 2006 and 2016. This population-level observational analytic study compares the clinical and service needs of 1,091 individuals admitted to inpatient psychiatry with WSIB coverage to all other admissions ( = 449,128). Read More

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Patient Capability, Confidence, and Interest in Telemedicine at a Public Safety Net Hospital Urology Clinic.

J Health Care Poor Underserved 2021;32(2):1047-1058

Introduction: We preliminarily assessed challenges to developing a telemedicine program at a specialty clinic in a public safety-net hospital serving a diverse population.

Methods: Patients visiting a urology clinic were surveyed regarding potential follow-up telemedicine visits. A follow-up survey was performed during the COVID-19 pandemic to evaluate changing interest. Read More

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January 2021

Failure to take-up public healthcare entitlements: Evidence from the Medical Card system in Ireland.

Soc Sci Med 2021 May 24;281:114069. Epub 2021 May 24.

Affiliated to the Economic and Social Research Institute and Trinity College Dublin, Ireland.

While population health and welfare can be improved through the provision of non-cash benefits, such as free healthcare, many welfare improving schemes have low rates of take up amongst those eligible for such a benefit. One interesting example of this is the Medical Card scheme in Ireland. Medical Cards are a non-cash benefit that provide free primary, community, and hospital care, as well as heavily subsidised prescriptions drugs, for those below specific income means-test threshold. Read More

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Measuring the Value Healthy Individuals Place on Generous Insurance Coverage of Severe Diseases: A Stated Preference Survey of Adults Diagnosed With and Without Lung Cancer.

Value Health 2021 Jun 31;24(6):855-861. Epub 2021 Mar 31.

University of Southern California, Los Angeles, CA, USA.

Objectives: To compare the ex ante willingness to pay (WTP) of healthy individuals for generous insurance coverage of novel lung cancer treatments to the WTP for coverage of such treatment among individuals with lung cancer.

Methods: A survey was administered to 2 cohorts of US adults: (1) healthy individuals without cancer and (2) individuals diagnosed with lung cancer. A multiple random staircase survey design was used to elicit respondent WTP for coverage of novel lung cancer therapy associated with survival gains. Read More

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Medicine storage, wastage, and associated determinants among urban households: a systematic review and meta-analysis of household surveys.

BMC Public Health 2021 Jun 12;21(1):1127. Epub 2021 Jun 12.

Division of Public Health Science, Institute of Health Sciences, Mid Sweden University, Sundsvall, Sweden.

Background: Irrational household storage of medicines is a world-wide problem, which triggers medicine wastage as well as its associated harms. This study aimed to include all available evidences from literature to perform a focused examination of the prevalence and factors associated with medicine storage and wastage among urban households. This systematic review and meta-analysis mapped the existing literature on the burden, outcomes, and affective socio-economic factors of medicine storage among urban households. Read More

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Influence of loneliness and social isolation on the diagnosis and treatment of Japanese patients with advanced lung cancer: a prospective cohort study.

Ann Palliat Med 2021 Jun 2. Epub 2021 Jun 2.

Center for Innovative Research for Communities and Clinical Excellence, Fukushima Medical University, Fukushima, Fukushima, Japan; Department of General Internal Medicine, Fukushima Medical University, Fukushima, Fukushima, Japan.

Background: Social determinants of health (SDHs) are social factors that affect human health; loneliness and social isolation are core SDH factors. There is a possibility that SDHs are related to passive decisionmaking. However, few studies have evaluated SDHs, especially social isolation and loneliness, among lung cancer patients. Read More

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Medicaid Expansion Association with End-Stage Liver Disease Mortality Depends on Leniency of Medicaid Hepatitis C Virus Coverage.

Liver Transpl 2021 Jun 12. Epub 2021 Jun 12.

Department of Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York.

Background And Aims: The Affordable Care Act (ACA) expanded Medicaid around the same time that direct-acting antivirals (DAAs) became widely available for the treatment of hepatitis C virus (HCV). However, there is significant variation in Medicaid HCV treatment eligibility criteria between states. We explored the combined effects of Medicaid expansion and leniency of HCV coverage under Medicaid on liver outcomes. Read More

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Characterizing Hypertensive Disorders of Pregnancy Among Medicaid Recipients in a Nonexpansion State.

J Womens Health (Larchmt) 2021 Jun 10. Epub 2021 Jun 10.

Department of Health Care Organization and Policy, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

The incidence of hypertensive disorders of pregnancy (HDP) are on the rise in the United States, especially in the South, which has a heavy chronic disease burden and large number of Medicaid nonexpansion states. Sizeable disparities in HDP outcomes exist by race/ethnicity, geography, and health insurance coverage. Our objective is to explore HDP in the Alabama Medicaid maternity population, and the association of maternal sociodemographic, clinical, and care utilization characteristics with HDP diagnosis. Read More

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Patterns and association of vaccination among adults with a history of cancer in the USA: a population-based study.

J Comp Eff Res 2021 Jun 11. Epub 2021 Jun 11.

Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB T4G1Z2, Canada.

To assess the association of vaccination status among adults with history of cancer in a population-based cohort in the USA. National Health Interview Survey datasets (2008-2018) have been accessed and information about the patterns and associations of the following vaccinations were collected (influenza vaccination, pneumococcal vaccination, hepatitis B vaccination, hepatitis A vaccination and shingles vaccination). Association of different sociodemographic variables with each of the above types of vaccination was studied through multivariable logistic regression analysis. Read More

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Impact of universal health coverage on childhood cancer outcomes in Indonesia.

Pediatr Blood Cancer 2021 Jun 11:e29186. Epub 2021 Jun 11.

Pediatric Oncology, Emma's Children's Hospital, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.

Background: Starting from 2014, the Indonesian government has implemented Universal Health Coverage (UHC) with the aim to make healthcare services accessible and affordable to all Indonesian citizens. A major reason for childhood cancer treatment failure in low- and middle-income countries, particularly among families with low socioeconomic status (SES), is abandonment of expensive cancer treatment. Our study compared childhood cancer treatment outcomes of the overall, low, and high SES population before and after introduction of UHC at a large Indonesian academic hospital. Read More

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Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis.

Int J Equity Health 2021 Jun 10;20(1):135. Epub 2021 Jun 10.

Department of Global and Community Health, Nagoya City University School of Nursing, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.

Background: In Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are "left behind" by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with "being advised to visit a medical facility" and "being referred to a medical facility," which represented hypothetical proxy indicators of barriers to health care. Read More

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HPV Vaccination Trends and Disparities in the United States - Who Is Getting Left Behind?

Sex Transm Dis 2021 Mar 12. Epub 2021 Mar 12.

1California Pacific/Palo Alto Medical Foundation Research Institute 2Palo Alto Medical Foundation Research Institute 3California Pacific Medical Center Research Institute 4University of California, San Francisco School of Medicine 5Department of Radiation Oncology, Stanford University School of Medicine.

Background: US guidelines recommend human papillomavirus (HPV) vaccination for males and females up to 26, with more recent extended coverage for those 27-45 years based on discussion with patients' clinician. This study seeks to assess trends and disparities of vaccination in the United States based on demographic characteristics.

Methods: Data was obtained from the National Health and Nutrition Examination Survey between 2007 and 2016. Read More

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Effective and meaningful participation or limited participation? A study of South African health committee legislation.

Prim Health Care Res Dev 2021 Jun 10;22:e28. Epub 2021 Jun 10.

School of Public Health and Family Medicine, University of Cape Town, Rondebosch, Cape Town, South Africa.

Background: Health committees are participatory structures providing community input in health systems. Community participation is a critical tenant in the Alma-Ata Declaration and the Right to Health. In South Africa, national and provincial legislation provides for health committees to be established at all primary health care facilities. Read More

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Parental limited English proficiency in pediatric stem cell transplantation: Clinical impact and health care utilization.

Pediatr Blood Cancer 2021 Jun 9:e29174. Epub 2021 Jun 9.

Division of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Durham, North Carolina, USA.

Background: Limited English proficiency (LEP) is associated with adverse clinical outcomes. The clinical impact of LEP in hematopoietic stem cell transplant (HSCT) has not been studied. The objectives of this study were to compare HSCT outcomes and health care utilization of Hispanic pediatric patients with and without parental LEP. Read More

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Care-seeking behaviour and socio-economic burden associated with uncomplicated malaria in the Democratic Republic of Congo.

Malar J 2021 Jun 9;20(1):260. Epub 2021 Jun 9.

Research Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium.

Background: This study aimed to estimate the socio-economic costs of uncomplicated malaria and to explore health care-seeking behaviours that are likely to influence these costs in the Democratic Republic of Congo (DRC), a country ranked worldwide as the second most affected by malaria.

Methods: In 2017, a cross-sectional survey included patients with uncomplicated malaria in 64 healthcare facilities from 10 sentinel sites of the National Malaria Control Programme (NMCP) in the DRC. A standard questionnaire was used to assess health care-seeking behaviours of patients. Read More

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The Association Between Hemoglobin A1c Levels and Inflatable Penile Prosthesis Infection: Analysis of US Insurance Claims Data.

J Sex Med 2021 Jun 6;18(6):1104-1109. Epub 2021 Jun 6.

Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.

Background: The association between elevated hemoglobin A1c (HbA1c) levels and the risk of postoperative infection after penile prosthesis surgery remains controversial.

Aim: To examine the association between HbA1c levels and penile implant infections in men undergoing inflatable penile prosthesis (IPP) surgery for erectile dysfunction using a large insurance claims database.

Methods: This was a retrospective review using Optum's de-identified Clinformatics Data Mart Database. Read More

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Characterizing online crowdfunding campaigns for patients with kidney cancer.

Cancer Med 2021 Jun 8. Epub 2021 Jun 8.

Department of Urology, University of California-San Francisco, San Francisco, CA, USA.

Background: Cancer patients incur high care costs; however, there is a paucity of literature characterizing unmet financial obligations for patients with urologic cancers. Kidney cancer patients are particularly burdened by costs associated with novel systemic treatments. This study aimed to ascertain the characteristics of GoFundMe® crowdfunding campaigns for patients with kidney cancer, in order to better understand the financial needs of this population. Read More

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An Educational Intervention to Raise Awareness of Contraceptive Options Among Young People.

J Womens Health (Larchmt) 2021 Jun 8. Epub 2021 Jun 8.

Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California, San Francisco, San Francisco, California, USA.

Young people in the United States know little about contraceptive options available to them, although method use is sensitive to individual preferences, and method switching is common. For young people to gain reproductive autonomy, a first step is to be aware of different contraceptives, including hormonal and nonhormonal methods. We tested whether an educational intervention delivered on community college campuses was effective in increasing contraceptive awareness. Read More

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Perinatal insurance coverage and behavioural health-related maternal mortality.

Int Rev Psychiatry 2021 Jun 7:1-4. Epub 2021 Jun 7.

Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Increases in postpartum maternal deaths, including a substantial number associated with behavioural health conditions, are a public health crisis and have contributed to overall increases in maternal mortality. A leading hypothesis to explain this pattern suggests lack of availability or continuity of resources for behavioural health treatment after delivery, often secondary to lapses in insurance coverage. Extending postpartum Medicaid coverage through the first year postpartum could mitigate excess morbidity and mortality among postpartum individuals, particularly those with behavioural health conditions. Read More

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Changes In Non-COVID-19 Emergency Department Visits By Acuity And Insurance Status During The COVID-19 Pandemic.

Health Aff (Millwood) 2021 06;40(6):896-903

Karen E. Joynt Maddox is an assistant professor in the John T. Milliken Department of Internal Medicine, Washington University School of Medicine, and codirector of the Center for Health Economics and Policy, Institute for Public Health, Washington University in St. Louis.

Prior studies suggest that the COVID-19 pandemic was associated with decreases in emergency department (ED) volumes, but it is not known whether these decreases varied by visit acuity or by demographic and socioeconomic risk factors. In this study of more than one million non-COVID-19 visits to thirteen EDs in a large St. Louis, Missouri, health system, we observed an overall 35 percent decline in ED visits. Read More

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