IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: insurance scheme

Feb. 24, 2017 Western Pacific Publication
Coordinating services within and across sectors, Creating an enabling environment

Managing care integration during the implementation of large-scale reforms: the case of the Australian National Disability Insurance Scheme

The National Disability Insurance Scheme (NDIS) is a new program for the provision of support to people with disabilities in Australia. The purpose of this paper is to explore the early implementation experience of this scheme, with a particular focus on the implications of this scheme for issues of care integration. There is little empirical data relating to the implementation of the NDIS to date. This is the first study to explore boundary issues in relation to care integration. 

australia, disability, insurance scheme, integration, national disability
July 31, 2017 Americas, South-East Asia Publication
Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

Financing Long-Term Services and Supports: Ideas From Singapore

Financing long-term services and supports (LTSS) for the elderly is a pressing issue in the Unites States with reforms of long-term care insurance (LTCI) presently being explored. Singapore, with 65% of residents aged 40 to 83 covered by basic LTCI, including 22% with supplementary LTCI plans, has the highest voluntary LTCI rate in the world. This article contributes to the discourse by presenting the case of LTSS financing in Singapore. 

financing, insurance scheme, low income countries, policy makers, public health services
Feb. 19, 2018 Africa Publication
Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund

Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. Very little is known about purchasing arrangements in low-and middle- income countries, and certainly not in Kenya. This study aimed to critically analyse purchasing arrangements in Kenya, using the National Hospitals Insurance Fund as a case study. 

financing, health financing, insurance scheme, kenya, low-income countries; middle-income countries, strategy, universal health coverage
March 1, 2018 South-East Asia Publication
Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

The effect of community health worker–led education on women’s health and treatment– seeking: A cluster randomised trial and nested process evaluation in Gujarat, India

A community-based health insurance scheme operated by the Self-Employed Women´s Association in Gujarat, India reported that the leading reasons for inpatient hospitalisation claims by its members were diarrhoea, fever and hysterectomy- the latter at the average age of 37. This claims pattern raised concern regarding potentially unnecessary hospitalisation amongst low-income women. 

community health services, community health workers, hospitals, insurance scheme, knowledge sharing, low-income countries, women health
Nov. 29, 2019 South-East Asia Publication
Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Factors Associated with Enrolment of Households in Nepal’s National Health Insurance Program

Nepal has made remarkable efforts towards social health protection over the past several years. In 2016, the Government of Nepal introduced a National Health Insurance Program (NHIP) with an aim to ensure equitable and universal access to healthcare by all Nepalese citizens. Following the first year of operation, the scheme has covered 5 percent of its target population. There are wider concerns regarding the capacity of NHIP to achieve adequate population coverage and remain viable. In this context, this study aimed to identify the factors associated with enrolment of households in the NHIP.

coverage public health, enrolment, equity in health, households, insurance scheme, national health insurance, nepal, patients' rights
Dec. 4, 2019 South-East Asia Publication
Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Care providers, access to care, and the Long-term Care Nursing Insurance in China: An agent-based simulation

China piloted a publicly funded Long-term Care Nursing Insurance (LTCNI) with an aim to improve access to long-term care (LTC) for older people in China in 2012. Existing studies showed that the scheme has been successful in meeting some goals, but little is known on how the availability, price and quality of the local care providers affect access to care. This article founded considerable discrepancies in terms of access to services among the LTCNI beneficiaries. The poor are more likely to choose nursing home care with low costs albeit these services may be of poor quality. The demand for home-based services is high, but these services are not distributed according to population needs and are not available in some districts with high concentration of older people. 

accessibility, ageing, agenda, china, equity in health, insurance scheme, long-term conditions, population surveillance, providers, public health
Dec. 4, 2019 Eastern Mediterranean Publication
Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Assessment of the public-private-partnerships model of a national health insurance scheme in India

A single hospital admission can deplete household resources so considerably as to induce impoverishment, especially in the Indian context of low government healthcare expenditure. Rashtriya Swasthya Bima Yojana (RSBY) was a national health insurance scheme for below-poverty-line Indian families, to provide improved access to hospitalization and greater financial protection via a public-private-partnership employing private sector implementation capacity. Study objectives were to understand governance (including regulatory) environment and contract arrangements; evaluate expansion of services to beneficiaries; and assess compliance of providers and user satisfaction.

contracting and payment., expenditure, health research, households, india, insurance scheme, partnership, public-private engagement
Jan. 14, 2020 Africa Publication
Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study

Health security is increasingly being recognized as an integral part of poverty reduction effort. Many lower and middle-income countries (LMICs) have not been able to fulfill equitable healthcare needs of their citizens.
The aim of this study was to identify the determinants for enrollment decision in the community-based health insurance program among informal economic sector-engaged societies, North West Ethiopia.

case studies, community based care, decision-making, insurance scheme, low-income countries; middle-income countries, social determinants of health