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Heath Promotion
Published in James M. Rippe, Manual of Lifestyle Medicine, 2021
Health care financing and delivery innovations also have occurred, including the Affordable Care Act (ACA) and broader use of value-based incentivized health reimbursement arrangements in health savings accounts. All these trends have been further accelerated by growing understanding among the patient population that both quality and costs are important, particularly in the area of reversing or decreasing the likelihood of disease.
The Health Care System Structure
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Another major influence in health care financing is Medicaid, the major welfare program for health care in most states. As the largest payer of long-term care claims, Medicaid, along with Medicare, sets many of the regulations covering extended care facilities (ECFs) such as quality assurance (QA) programs.
Health care and cost containment in Spain
Published in Elias Mossialos, Julian Le Grand, Health Care and Cost Containment in the European Union, 2019
Health care financing in Spain is a mixture of public (approximately 80 per cent of total health care spending) and private (20 per cent) financing. These figures remained fairly stable between 1980 and 1995 (Table 8.1). In 1995 total health expenditure amounted to PTE 5 billion, around 7.6 per cent of Spanish Gross Domestic Product (GDP). In per capita terms, the figure was close to one thousand dollars in Purchasing Power Parities (PPPs) which is 10 per cent below the corresponding UK figure and 40 per cent below the average of western European OECD countries. However, when adjusted for income, the Spanish figure fits almost perfectly the standard OECD pattern.
Bibliometric analysis of scientific publications on health care insurance in India from 2000 to 2021
Published in International Journal of Healthcare Management, 2023
Santosh Nayak, Deepak Kumar Behera, Jyothi Shetty, Ankitha Shetty, Satish Kumar, Sandeep S. Shenoy
The primary source of health care financing in India is Out-of-pocket spending. This has impacted the households as they are forced to sell their assets or borrow to fulfill the expenses as there was no prepayment mechanism [1]. Most of the health expenditures in India are met through private sources which led to a substantial burden on households [2]. Thus, health plays a critical role in the development process [3,4]. Healthcare reforms and a poverty reduction agenda have become an essential components. In India, health planners have stressed heavily the expansion of health insurance which forms the essential component of the healthcare system [5,6]. India, as a diverse country has witnessed the situation where many public, private and community-based insurance schemes have merged and co-exist. The National Health Policy (NHP) has also emphasized on ‘universal ability of free, comprehensive primary healthcare services as an entitlement [7]. Considering the last decade, the Indian government came under internal and external pressures concerned with the reduction of overall spending and parallel to it maintaining adequate and efficient health services in the nation. Thus, the National Health Policy focused on achieving goals of health which led to a re-assessment of focus on primary care and marginally increasing public sector [8].
Factors affecting hospital services overutilization and reductive strategies in Iran: a qualitative study to explore experts’ views
Published in Hospital Practice, 2022
Leila Doshmangir, Hossein Jabbari, Morteza Arab-Zozani, Mohammad Naghavi-Behzad, Zeinab Abedi, Hakimeh Mostafavi
The Iranian healthcare system is a public cooperative system with a hybrid model structure. In this system, health services are delivered in three levels including national, provincial, and district [13,14]. Health-care financing in Iran is a combination of government, private, and charity approaches. Also, the main sources of funding are public budget, social health insurance, and Out-Of-Pocket (OOP) [13]. The budget of the health system of Iran is about 7% of the total budget of the country which about 40% of it iscontributed by public resources. About 91% of the population are insured by three main types of insurance including the Iran Health Insurance Organization, the Social Security Insurance Organization, and the Armed Forces Medical Services Insurance Organization [15]. Informal payment and OOP payment are high, and the mean OOP is between 40% and 50% based on different evidence [16]. Physicians enter the system through official recruitment and are paid by annual salary and Fee-for-Service [17].
Expanding innovation from undergraduate to graduate medical education: A path of continuous professional development
Published in Medical Teacher, 2021
John S. Andrews, Kimberly D. Lomis, Judee A. Richardson, Maya M. Hammoud, Susan E. Skochelak
Revisiting the Flexner report at its centennial stimulated efforts to improve medical education for the next 100 years, including collaborations across institutions and organizations. The American Medical Association (AMA) Accelerating Change in Medical Education Consortium is one such collaboration. In 2013, the AMA created the Accelerating Change in Medical Education initiative to address four specific aims:Create competency-based assessment and flexible individualized learning plans.Develop exemplary methods to achieve patient safety, performance improvement, and patient centered team care.Understand the health care system and health care financing.Optimize the learning environment, including pedagogy, tools, and technology.