Dissertations / Theses on the topic 'National Disability Insurance Scheme'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 46 dissertations / theses for your research on the topic 'National Disability Insurance Scheme.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
Langmead, Ruth. "The National Disability Insurance Scheme (NDIS) and mental health: A policy analysis." Thesis, Langmead, Ruth (2018) The National Disability Insurance Scheme (NDIS) and mental health: A policy analysis. Masters by Coursework thesis, Murdoch University, 2018. https://researchrepository.murdoch.edu.au/id/eprint/45888/.
Full textBackhouse, Stephanie. "Who loses out in the NDIS? An analysis of the early rollout of the National Disability Insurance Scheme in Australia." Thesis, Backhouse, Stephanie (2017) Who loses out in the NDIS? An analysis of the early rollout of the National Disability Insurance Scheme in Australia. Masters by Coursework thesis, Murdoch University, 2017. https://researchrepository.murdoch.edu.au/id/eprint/38018/.
Full textMathekgane, Justice Mpho. "The laws regulating National Health Insurance scheme :prospects and challenges." Thesis, University of Limpopo, 2013. http://hdl.handle.net/10386/2542.
Full textOwusu-Asamoah, Kwasi. "Modelling an information management system for the National Health Insurance Scheme in Ghana." Thesis, Loughborough University, 2014. https://dspace.lboro.ac.uk/2134/16415.
Full textMack, Zonique Lewore. "A critical analysis of the suitability of a national health insurance scheme in South Africa." Thesis, Cape Peninsula University of Technology, 2011. http://hdl.handle.net/20.500.11838/1657.
Full textIn South Africa’s two-tiered health system, some enjoy health care based on ability to pay and others utilize services in an under-funded sector. The rift in the two, public and private sectors, primarily exists because income categories either curb or allow the necessary contributions. This thesis reports on the various contributing mechanisms, through which health care can be ensured universally, without causing impoverishment. The framework or criteria selected for this study includes feasibility, equity, efficiency and sustainability of a contributing mechanism. Furthermore, the contributing mechanisms – tax-funded, NHI, voluntary health insurance and out-ofpocket – are resident within four health care models namely, Beveridge, Bismarck, NHI and Out-of-pocket. These models are discussed as well as relevant country examples are provided. In the pursuit of answering whether the NHI scheme is suitable for South Africa, the study shows that government or tax-funding and NHI provides the contributing mechanisms that are applicable to the South African situation within the context of different challenges. It is recommended that, in the government’s discussions about health care reform, prepayment, universalism and health care expenditure, amongst others, be considered.
Alhassan, Yussif Nagumse. "The role of the National Health Insurance Scheme in shaping equity of access to healthcare in Ghana." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/1080/.
Full textKhetrapal, S. "Public-private partnerships in the health sector : the case of a national health insurance scheme in India." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2016. http://researchonline.lshtm.ac.uk/3141184/.
Full textKim, Hunjin. "An analysis of the policy-making process of the National Health Insurance scheme in the Republic of Korea." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/24776.
Full textOfori-Birikorang, Andrews. "Promoting a New Health Policy in the Ghanaian Media: Newspaper Framing of the National Health Insurance Scheme from 2005-2007." Ohio : Ohio University, 2009. http://www.ohiolink.edu/etd/view.cgi?ohiou1249077245.
Full textTeddy, Gina. "From policy to process : an insider perspective of implementing the national health insurance scheme (NHIS) at the Districts in Ghana." Thesis, University of York, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542808.
Full textLloyd, Bridget. "Stakeholder perceptions of human resource requirements for health services based on primary health care and implemented through a national health insurance scheme." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7813_1363786823.
Full textIn 2007, at its 52nd Conference in Polokwane, the African National Congress (ANC) called for the implementation of a National Health Insurance (NHI) scheme. The announcement resulted in much debate, with critics voicing concerns about the state of the public health system, lack of consultation and the expense of a NHI scheme. However, little attention has been paid to the 
human resource (HR) needs, despite the fact that 57% of recurrent expenditure on health1 is on HR. This research aimed to identify the HR requirements to support the implementation of an effective and equitable health system funded by a NHI in South Africa. An overview of the current burden of disease and distribution of HR is provided. Through interviewing key stakeholders the study attempted to elicit information about factors which will hamper or assist in developing such a health system, specifically looking at the HR situation and needs. The research explores HR 
odels and proposes key HR requirements for implementation of a health system funded by a NHI in South Africa, including skills mix and projected numbers of health workers and 
proposes ways to improve the deficient HR situation. Exploratory qualitative research methods were used comprising in-depth individual interviews, with a purposive sample of key informants, including: public health professionals and health managers (working in rural and urban areas)
researchers
academics and NGO managers. The contents of the interviews were analysed to identify common responses about and suggestions for HR requirements within the framework of a NHI. 1 Personal communication Dr Mark Blecher, Director Social Services (Health), National Treasury, 17 July 2009 The literature review includes policy documents, position papers and articles from journals and bulletins. Key informants were asked to identify literature and research material to support recommendations. The research findings indicate that despite the South African Government&rsquo
s expressed commitment to Primary Health Care (PHC), the National Department of Health has continued to support and sustain a clinical model of health service delivery (Motsoaledi, 2010), primarily utilising doctors and nurses. The clinic based services are limited in their ability to reach community level, and, being focused on curative aspects, are often inadequate with regard to prevention, health promotion and rehabilitation services. While the curricula of health professionals have been through some changes, the training has continued to be curative in focus and the clinical training sites have not been significantly expanded to include peripheral sites. While there are many Community Health Workers in the country, they remain disorganised and peripheral to the public health system. The mid level worker category 
has not been fully explored. Finally there are no clear strategies for recruitment and retention of health workers in rural and under-resourced areas. In addition to the continued use of a clinical model, transformation of the health system hasbeen hampered by inadequate numbers of health workers, particularly in the rural and periurban townships and informal settlements. There is no clear strategy for addressing the critical 
health worker shortage in under-resourced areas, particularly rural areas. The last section makes recommendations, which will be submitted to the relevant task teams working on the NHI. It is intended that recommendations arising out of the research will influence the process and decisions about HRH within a NHI funded health system.
Nyathi, Mandla. "The development of social insurance : an analysis of the effects of the introduction of the National Social Security Scheme (NSSS) in Zimbabwe." Thesis, City University London, 2002. http://openaccess.city.ac.uk/7581/.
Full textJames, Candice. "The impact and constitutionality of the proposed National Health Insurance scheme with regard to the provision of health services by subnational governments." University of Western Cape, 2020. http://hdl.handle.net/11394/7345.
Full textIn South Africa, there are two health systems through which health services are delivered,1 namely private and public. These two systems were inherited from the apartheid regime.2 With South Africa’s political change from a system of parliamentary sovereignty to a constitutionally supreme system in 1996, huge changes were bound to come including changes to the health sector.3 This meant the overhauling of health legislation, as the right of access to health care services became guaranteed in the Constitution of the Republic of South Africa, 1996.4 In 1997, the White Paper on the Transformation of the Health System (White Paper on Health)5 was introduced with the aim of developing a national health system.6 There has been a lot of progress made in reforming the health sector, however there are still many cracks that the national government aims to remedy through the realisation of universal health coverage (UHC).
Dalinjong, Ayizem Philip. "The impact of the National Health Insurance Scheme on the interactions between providers and clients in the Bolgatanga and Builsa districts of Ghana." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/12217.
Full textIncludes bibliographical references.
Prepayments and risk pooling through social health insurance has been advocated by international development organizations. Social health insurance is seen as a mechanism that helps mobilize resources for health, pool risk, and provide more access to health care services for the poor. Hence Ghana implemented the National Health Insurance Scheme (NHIS) to help promote access to health care services for Ghanaians. The study examined the influence of the NHIS on the behaviour of health care providers in their treatment of insured and uninsured clients.
Johnson, Taylon M. "Autism Policy: State and National Legislation Analysis." Scholarship @ Claremont, 2012. http://scholarship.claremont.edu/cmc_theses/278.
Full textSingh, Ajaindra. "An exploration of perceived effectiveness of the National Terrorism Insurance Scheme in the post-9/11 environment : the case of the UK Pool Reinsurance Company." Thesis, Glasgow Caledonian University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486487.
Full textBasadi, Richard Angwaasuwe. "Assessment of service provider preparedness and concerns in the process of implementing the National Health Insurance Scheme in Ghana : a study of the Upper West Region." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/9433.
Full textThis study focuses on assessing health provider preparedness in the move towards the implementation of national health insurance with specific reference to the Upper West Region. The paper uses both quantitative and qualitative methods to review the level of knowledge of health staff on the concept of health insurance, the availability of health professionals, essential drugs, infrastructure and equipment, which are essential for providing quality health care.
Ahmed, Farouq Raj. "National health insurance scheme with emphasis on Ghana." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-429331.
Full textAugustine, Leon. "Implementation of a social health insurance scheme in South Africa." Thesis, 2006. http://hdl.handle.net/10413/1440.
Full textThesis (MBA)--University of KwaZulu-Natal, 2006.
Liu, Cheng-Chuan, and 劉成娟. "Utilization Analysis of Computed Tomography under the National Health Insurance Scheme." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/81835412106910181063.
Full text國立陽明大學
公共衛生研究所
87
The utilization of medical technology is one of the main reasons for the medical expenditure increasing. In Taiwan, the ratio of Computed Tomography(CT) has been increased 15% from 1990 to 1996. It is deserved to research whether high technology utilization is related to individual''s or hospital''s specific characters or not. The database includes national wide inpatient information from 1997 Jan. to Dec. which is supported by Bureau of National Health Insurance. This paper focus on the relationship of CT scan utilization between factors of individuals and different hospitals (i.e. Total patient, neurology group, cereovascular group). A model has been developed which tries to help people to analyze the hospital easier. The key finding of this paper as following: 1. The utilization rate of CT scan per used patient during the same period: once: 91.3%, more than twice 8.7%. The highest utilization for CT scan is 12 times. 2. The analysis of individual utilization rate for totally, neurology group and cereovascular group are 8.56%, 33.9%, 43.46%. In totally patient group, the elder patients trend to have higher utilization rate of CT scan and sex also effects the rate. 3. Analysis of hospital utilization rate: The effective factors of whole patients are hospital level, public or private, average length of stay, quantity of CT scanner. The effective factors of neurology group are hospital level, public or private, average length of stay. The effective factors of cereovascular group are hospital level, public or private, quantity of CT scanner. As can be seen, the CT utilization rate will increase 2.1% when one new CT scanner is added. This conclusion can be deeply concerned by authority when a hospital applying a new CT scanner. The quantity of CT utilization is not a proper standard to determine the hospitals. This paper offer an objective adjust CT rate through analyze variety casemix. This can be used by authority to verify CT utilization rate or be the reference materials in hospital management.
Chuang, Yu-Hsiu, and 莊玉秀. "Hospital Compliance with Financial Reporting Guidelines under National Health Insurance Scheme." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/44992965599570956534.
Full text國立陽明大學
醫務管理研究所
104
Background Taiwan’s National Health Insurance Administration (NHIA) began with public disclosure of financial reports of medical organizations with a medical revenue NT$ 600 million or more from 2013. The purpose of this research is to examine these financial reports to identify hospital compliance with financial reporting guidelines concerned. Methods Document analysis and content analysis were conducted to analyze financial reports of 109 hospitals in 2013 and 111 hospitals in 2014. Results Although NHIA's Methods for Filing Financial Reports by Contracted Medical Care Institutions under the National Health Insurance Act ("MFFR") has provided suggested formats for financial reports to be filed, these formats are for reference purposes and not required. Hospitals under different ownership/fiscal control are allowed to submit their reports in their own unique formats that they have been using previously, with vast differences in their respective classification of account items and method of representation and disclosure, resulting in the reduction in understandability and comparability that are characteristics of, and indeed prerequisites for, quality financial reporting. At the same time, hospitals are allowed to submit financial reports within ten months of the end of the calendar year, leading to the serious loss of their timeliness and relevance. Moreover, the requirement for hospitals to disclose merely six financial statements renders it nearly impossible to determine whether the hospitals have actually complied with the cost-benefit principle, or with the requirements for prudence, conservatism, or completeness. For private legal-person hospitals, 17% of the financial reports filed have used selective representation method in reporting their medical revenues, gravely undercutting the neutrality principle for financial reporting. Additionally, it is also found that a few CPA firms are suffering from low audit quality. Presently, neither the MFFR nor the relevant rules and regulations clearly defines the exact entity, or the level of entities related in economic substance, that are the subject of the financial reporting requirements, nor guidance as to the standards for consolidated reporting of revenues by these related entities, or as to the depth and extent of disclosure of their intra-entity transactions, leaving some of the entities directionless in their effort to comply with the reporting and disclosure requirements. Lastly, the NHIA's public information webpage provides the general public only a scanned PDF copy of the financial reports filed by the hospitals, defying the users the ability to directly access and re-use the contents of the financial records and files. Conclusions This study found room for improvement in hospital compliance with financial reporting guidelines. It suggests NHIA to initiate an XBRL platform for hospitals to report financial reports uniformly, to develop accounting framework and terms that fit hospital practices, and to improve monitoring functions. Meanwhile, accounting firms must fulfill their obligation of loyalty in practices, while public participation in supervising the compliance concerned is important.
Tsai, Shian-Teng, and 蔡憲騰. "A Scheme for Managing Reasonable Rehabilitation Payment of National Health Insurance." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/79144260771123786941.
Full text大葉大學
資訊管理學系碩士在職專班
98
The National Health Insurance (NHI) had raised the national health insurance rate seven years ago. There is always the pressure from the public on increasing the National Health Insurance expenditure, especially the treatment fee of rehabilitation. Therefore, it is an important issue for the management and control of National Health Insurance expenditure. The study is for reducing the medical fee of rehabilitation. It first assesses the feasibility of implementation, and then builds the management information system for rehabilitation treatment in order to provide the timeliness and slow the growth of the payment claim of rehabilitation treatment for the rationalization of the payment of rehabilitation treatment. The development of the management information system is based on the regulation of ISO27001. Besides providing the information of controlling patients to the hospitals in advance, the proposed management system can also reach to the agreement for the timeliness of medical treatment for rehabilitation so that BNHI can pay the medical fees of rehabilitation based on the reasonable intensity. Furthermore, any doubts on payment, we reserve the respect of the rationalization and flexibility of opinions from the investigation committee to achieve the purpose of the rationalization of payment of rehabilitation treatment.
Ngqolowa, Dundu Davey. "Legal framework regulating the National Health Insurance Scheme :prospects and challenges." Thesis, 2017. http://hdl.handle.net/10386/1933.
Full textThis mini-dissertation examines the policies regulating the National Health Insurance Scheme. It explores the reforms on the health care system in South Africa. In addressing this issue, the mini-dissertation investigates the constitutional obligation of the South African government regarding the provision of health care services. It also focuses on the two primary issues relating to health care services. Firstly, South Africa has allocated significant budget to fix the ailing health care system. Secondly, South Africa commands huge health care resources compared with many other middle-income countries, however the bulk of these resources are in the private sector and serve a minority of the population. It further looks at the lessons that South Africa could learn from the successes of the National Health Insurance Scheme implementation in Organisation for Economic Co-operation and Development (OECD) countries as it proceeds with the implementation of the National Health Insurance.
Tsai, Kun-Ju, and 蔡坤儒. "Utilization Analysis of Magnetic Resonance Imaging under the National Health Insurance Scheme." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/15307464251255639361.
Full text國立陽明大學
公共衛生研究所
89
The utilization of medical technology is one of the main reasons of the rising medical expenditure. In Taiwan, the number of Magnetic Resonance Imagine (MRI) has increased rapidly, 10 to 72 from 1990 to 1999. It deserves to research whether high technology utilization and medical expenditure are related to individual’s or hospital’s specific characters or not. The analysis is based on the national wide inpatient information from Jan. to Dec. of 1997, supplied by Bureau of National Health Insurance. This paper focuses on the relationship of MRI utilization between factors of individuals and different hospitals (i.e. Total inpatients group, neurological medicine group, nerve center system disease group). A regression model has been applied to find out potentially abnormal MRI utilization by hospitals and to provide a reference for professional examinations by Bureau of National Health Insurance. The key findings of this paper are as follows: 1.The utilization rate of MRI used by patients during the same period are: once is 94%, more than twice is 5.2%. The highest utilization frequency of MRI is 6 times. 2.The utilization rate by total inpatients group is 1.26%: 17.47% for neurological medicine patients group and 2.49% for nerve center system disease patients group. 3.The common effective factors for the above three patient groups are age, the category of insurance coverage, public and private hospitals, pieces of MRI equipment, CT utilization and average length of stay. 4.The analysis of utilization rate by total hospitals is 2.2%; 21.58% for hospitals of neurological medicine and 3.34% for hospitals of nerve center system disease. 5.Analysis of effective factors of utilization rate by hospitals are sex, the category of insurance coverage, the category of city countryside and pieces of MRI equipment; hospital level and the category of city countryside for hospitals of neurological medicine; the category of city countryside and pieces of MRI equipment for hospitals of nerve center system disease. This paper analyzed the hospital MRI utilization by adopting risk adjustment to analyze patients’ various case-mix. In that way, we can get an objective MRI rate. This result can be a reference in authority’s verification or hospital management.
Botha, Cecilia Liza. "Private doctors' responses on the implementation of a National Health Insurance Scheme (NHIS)." Thesis, 2018. https://hdl.handle.net/10539/25279.
Full textThere are numerous challenges and concerns, about a future mandatory National Health Insurance Scheme. The proposed South African NHI scheme, is that of capitation and a single-payer model in order to achieve Universal Heath Coverage. The objectives of this study, focused on exploring opinions and responses of medical doctors working in two private health care institutions. [Abbreviated Abstract. Open document to view full version]
LG2018
Feng, Sun Chia, and 孫佳鳳. "The impact of National Health Insurance scheme on the health indicators in Taiwan." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/56236315655077511183.
Full text中國醫藥大學
環境醫學研究所
92
This research had three objectives. The first is to analyze the general health status of Taiwan people between 1994 and 2004, to evaluate if the National Health Insurance scheme improves the short-form 36 scores of people between these two years. The second objective is to evaluate the impact of the NHI scheme on the health indicators in Taiwan, including life expectancy, infant mortality rate, neonatal mortality rate, and maternal mortality rate from 1974 to 2002. The third is to explore the impact of the NHI scheme on the avoidable mortality rate in Taiwan, using the statistical data from 1974 to 2002. The results show that comparing with the general population or people not enrolled in health insurance scheme in 1994, the 2002 population have no significant different physician component scores of SF-36 questionnaire, but have significantly lower mental component scores of SF-36 questionnaire by 0.3 standard deviations. From the SF-36 scores, this study fails to find the evidence of positive impact of the NHI scheme on the health status of the general population in Taiwan. Similar results are found if the population is confined in the geographical middle area of Taiwan. Using the life expectancy, infant mortality rate, neonatal mortality rate, maternal mortality rate, and preventable mortality rate as indicators, the time series analysis of AR models show that there is no significant difference between the predicted and observed data from 1995 to 2002. This study fails to find the evidence of positive impact of the NHI scheme on the general or some specific health indicators in Taiwan. Using the avoidable mortality rate as indicators, the time series analysis of AR models show that there is no significant difference between the predicted and observed data from 1995 to 2002. This study fails to find the evidence of positive impact of the NHI scheme on the general or some specific health indicators in Taiwan. Some reasons are also discussed in the study.
Wayburne, Paul Allen. "Developing a constitutional law paradigm for a national health insurance scheme in South Africa." Thesis, 2014. http://hdl.handle.net/10539/15214.
Full textThe proposed National Health Insurance (‘NHI’) is the most extensive health policy initiative proposed by the South African government since 1994, to bridge the divide between the private and public health sectors. It is intended that the NHI will fund health care services for the entire population. Yet, despite its laudable goals, the implementation of NHI might be stalled by litigation concerning its constitutionality. In this thesis, I construct a constitutional paradigm within which such challenges can be understood. Departing from the premise that the Constitution places a positive obligation on the state to implement redistributive policies in the health sector in order to progressively realise the right to have access to health care services, the thesis identifies the tensions underlying the proposed implementation of NHI and aligns these to liberty-based and equality-based understandings of the right to health, respectively. This analysis takes place after having considered the history of health care reform in South Africa and debates on the desirability of NHI. The thesis then investigates and sets out the constitutional principles, values and standards embodied by the rights to equality, freedom and security of the person, and access to health care services, and considers the extent to which current the formulation of the proposed NHI adheres to these principles. Potential constitutional challenges to NHI by private sector interest groups are identified. These challenges are primarily concerned with adverse effects that the implementation of NHI may cause to current beneficiaries of private sector health services. It is argued that these adverse consequences will, for the most part, not justify a finding that relevant features of NHI are unconstitutional. This is either because they will not amount to an infringement of the relevant constitutional rights or because such an infringement will be capable of reasonable justification in terms of the general limitations clause. Only where the impairment of existing rights is disportionate or is related to some extraneous purpose inconsistent with constitutional rights and values will NHI not pass constitutional muster. Ultimately, the constitutionality of different features of NHI will depend on how the rights of those who already have access to health care services under the current health financing system are balanced with those who currently lack such access.
Chiu, Yuan-JOu, and 邱遠柔. "A MEDIA ANALYSIS OF THE FINANCING SCHEME OF THE PHASE П NATIONAL HEALTH INSURANCE PROGRAM." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/44700622390594678000.
Full text國立臺北大學
社會工作學系
96
In a democratic society, the media has played an important role in shaping public opinions regarding government policies. Nevertheless, the relationship between welfare policy and the media has rarely been studied in Taiwan. This thesis intends to explore the roles of the media in the promotion of the Phase II National Health Insurance Program with special reference to it financing scheme. This thesis has referred to the research conducted by Collins et al. (2006) about the 2002 Canadian health care reform debate, which exploring four media effects by examining Canadian newspapers. The method employed in this research is content analysis. The research has identified 198 clippings about the report of the financing schemes of the Phase II NHI, gathered from four newspapers: the China Times, the United Daily News, the Min Sheng Daily News, and the Liberty Times. These materials have been coded into quantitative data and analyzed with the statistical software. The categories of the quantitative data include the type of the news, the source of information, the subject of the report, the tone and position of the news, and so on. Besides, qualitative analysis of these reports has been conducted in order to supplement the interpretations of the quantitative analysis. The research findings are as follows. Six periods of intensive reports from January 2005 to June 2006 can be identified, following such key events as the NHI Consensus Conference, the 10th anniversary of the NHI implementation, the falling of the famous model (Lin, Chi-Ling) from horseback, the NHI revised draft proposed by the DoH, the resignation press conference of the Premier Hsieh, and the NHI revised draft reviewed by the Legislative Yuan. In the first three periods, the government was the main source of the information and could dominate the report to some extend. Also, the media reports about the Phase II NHI tended to be in a positive tone. The injury of the famous model Lin and the following treatments uncovered the issue of the unfair sharing of the NHI contribution fees and therefore the Phase II NHI had attracted the public attentions. More information was needed by the public, but the officials seemed to be more uncertain about the details of the Phase II NHI. At the same time, non-official sources of information coming from scholars, experts, medical professionals, and NGOs were shown on the media. The tone of reporting the financing scheme had gradually changed from positive to negative and may influence the passage of the NHI revised draft based on the Phase II NHI Planning in the Legislative Yuan.
Omoruan, Augustine Idowu. "The design and implementation policy of the National Health Insurance Scheme in Oyo State, Nigeria." Thesis, 2018. http://hdl.handle.net/10500/25895.
Full textSociology
D. Phil. (Sociology)
Lee, Pei-Hsuan, and 李培瑄. "Medical Care Utilization and Expenditures Under Taiwan National Health Insurance Scheme Among Patients with Multiple Sclerosis." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/54173157359362006457.
Full text國防醫學院
公共衛生學研究所
101
The multiple sclerosis is a kind of rare disease, and it is one of the top five rare diseases in Taiwan. In current healthcare system, although patients with multiple sclerosis are only provided treatments as relieves of symptoms on the mitigation, supportive care and functional rehabilitation. It still causes a serious financial burden for both patients and the authority of National Health Insurance. Objectives: The objectives of this study were to investigate multiple sclerosis outpatients and inpatient medical expenditure and their associated factors based on 2001-2005 National Health Insurance Research database in Taiwan. Methods: We used a cross-sectional retrospective study design, based on the 2001-2005 National Health Insurance databases of outpatient prescriptions and treatment detail files (CD) and inpatient use and medical expenditures detail files (DD). Multiple sclerosis patients (ICD-9-CM: 340) were selected in our study, and data was analyzed by IBM SPSS Statistics 21.0. Results: The results found that the number of multiple sclerosis in outpatient and inpatient care, women was three times more than men gender. The disease prevalence was 0.12-0.19/per 10,000 of general population, average age was 42-45 years old, and most of the patients treated in the neurological department. For outpatient utilization, gender, clinical department and hospital level had significant effects on outpatient care expenditure. With regards to inpatient care, case’s age, admission days had significant effects on inpatient care expenditure. In the hospital level of medical care utilization, most of patients were more likely to use private corporate hospitals than other kinds of hospital. Conclusions: In this study, it showed that those cases preferred to choose large medical institutions, and the medical accessibility were also affect the medical care utilization for this group of people. Finally, this study suggests healthcare system should monitor medical utilization regularly for patients with multiple sclerosis, and to initiate appropriate health policies for them in the future. Keywords: Rare disease, Multiple sclerosis, Prevention of Rare Disease and Drugs Act, Medical utilization, Medical expenditure, Inpatient, Outpatient
Lee, YuYi, and 李玉怡. "The Effect of National Health Insurance and New Labor Pension Scheme on Wage Rates in Taiwan." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/02485974772356095289.
Full text國立臺北大學
經濟學系
100
This thesis investigates the impacts of National Health Insurance and New Labor Pension Scheme on the wage rates in Taiwan. National health insurance and New Labor Pension Scheme are implemented in March 1995 and July 2005, respectively. Both of them are financed by premiums, which are proportional to an employee’s salary. The premium rate may introduce distortions to the labor market. We find that, on average, private sector employees’ wage rates declined relative to the public sector counterparts under both of National Health Insurance and New Labor Pension Scheme. We also compare the results with the previous studies to explore the divergence under different ways of sample restrictions.
Okoro, Chijioke. "Assessing the quality of care received by diabetes patients under the Nigeria National Health Insurance Scheme: does enrollment in health insurance matter?" Thesis, 2017. https://hdl.handle.net/2144/23376.
Full textMabidi, Mpho Brendah. "A critical discussion of the right of access to health care services and the National Health Insurance Scheme." Thesis, 2013. http://hdl.handle.net/10386/1036.
Full textThe South African government gazzetted the Green Paper introducing the NHI on 12 August 2012. This policy seeks to progressively realize the right of access to quality health care services for everyone. Those who cannot provide for themselves will be assisted by government at the expense of the elite. The NHI was first recommended by the Taylor Commission and it has been under the discussion since then. Since this announcement, there has been growing pressure for mandatory health insurance to be included in the development of a comprehensive social security system, as was envisaged by the Taylor Committee of Inquiry. This discussion was further debated at the 52nd conference of the African National Congress (ANC) in Polokwane in December 2007 where numerous resolutions were taken with regard to the NHI. The Freedom Charter of 1955 and also section 27 and 28 also provided some guidance.
Huang, Tzu-Wei, and 黃子溦. "Equity between the Insurees'' premium Burden and Their Medical Care Expenditures in Taiwan''s National Health Insurance Scheme." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/04342521269906728468.
Full text國立政治大學
風險管理與保險學系
88
Equity is widely acknowledged to be an important policy objective in the health care field. The principle comes in two versions:a horizontal version(persons in equal need should be treated the same) and a vertical version(persons with greater needs should be treated more favourably the those with lesser needs)。 The purpose of this study is to investigate the equity between the insurees’ premium burden and their medical care expenditures in Taiwan’s National Health Insurance Scheme .The sample combines two sets of data,which are data for the insured and their dependents’ premiums and medical expenditures of utilization obtained from the Bureau of NHI ; individual income tax return data obtained from the Data Processing Center of the Ministry of Finance. According the data ,we will be able to use the regression model of stepwise and probit methods to analysis the purpose of this study. The major findings are twofold:First, at present the regulations in the premium exists the horizontal and vertical the inequity , so the system can’t bring the income replaecment, About medical dilvery, NHI is favorable person lower-income .To achieve ability to pay, the gap between the upper and bottom of insured payroll-related amount class should be lengthened.And to lighten the burden of insuree with dependents .Second, in the medical delivery deductible amounts paid by beneficiaries will be changed from fixed amounts to fixed rate to control the wasting medical resource.
Wang, Mei Chih, and 王美治. "A Research on the Due Premium Contribution of Governing National Health Insurance Scheme in the Republic of China." Thesis, 1993. http://ndltd.ncl.edu.tw/handle/74754717570637753127.
Full text國立臺灣大學
財務金融學系
81
The research was processing to interview the insured persons and empolyers, and was looking for the summary of responses sho- -uld be helped to find some approaach for the universal health insurance program less costly and more efficient. By using questionnaire investigation and nonparametric stat- istics like chi-square test, Kruskal-Wallis one-way ANOVA, cochr- an Q test to process data analysis,the results show: 1.Over half of the interviewed persons disagreed that gover- nment will be no responsibility for National Health Insur- ance Scheme financial deficit. 2.The interviewed persons who are low level education can''t understand the difference nature of social insurance betw- een social relief. 3.The interviewed who are GEI(Government Employees'' Insuran- ce)or LI(Labor Insurance) insured and the other is uninsu- red, these three groups people had different opinion about the reason of insured person should pay premium. 4.The more high level positoin executives,the more disagree- able "Employer no-fault compensation theory". 5.About National Health Insurance will be implemented in the near future, may increase the employer''s share of the con- tribution, the survey says:Corporations will temporary ab- sorb this amount by themself, but 12.3% will shift cost to product price, 14.5% will produce automatically, and 3% consider to close the factory or transfer overseas. 6.The interviewed corporations felt that appropriate contri- bution rate of universal health insurance is shared by the employer and the insured person in equal proportion,that is fifty percent. 7.Survey says: 6% of service firms and 20.2% of manufacture firms thought that the changes contribution of employer in National Health Insurance will impact the whole industry.
Hsieh, Fang-Chun, and 謝芳純. "Medical Care Utilization and Associated Factors among Drug Inmates Who Joined Taiwan 2nd Generation National Health Insurance Scheme." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/91132582092734623881.
Full text國防醫學院
公共衛生學研究所
102
Background: In recent years the number of imprisoned Taiwan grew by nearly 20% and one of the main reasons was the increased number of drug offenders. Inmates suffer from illegal drug abuse may have a higher proportion of mental illness, substance abuse and chronic problems than the general population and needed pay much attention to their health needs. Since the year 2013 inmates join Taiwan National Health Insurance scheme, it is necessary to securitize the prison healthcare system to evaluate the change of prisoners’ healthcare needs. Objectives: The purposes of this study are to understand the medical care utilization and the determinants of drug offenders in a prison, and to examine their perception to the prison’s medical care service. Methods: A cross-sectional survey by using a structured questionnaire, which recruited 580 drug offenders (Response rate was 99%) in this study. Results: The results found that the most prevalent diseases were colds, skin diseases, and chronic diseases among the drug offenders. There were 70% of the respondents have ever used prison outpatient visits, and the mean of medical visit per person was 16.5 times annually. Family medicine (70%) was the most popular clinical division which utilized in the prison, and most of the respondents (70%) reported that they paid less than NT$250 in each visit on the medical copayment. General speaking, the inmates expressed they satisfied with medical care, particularly in medical affordability. However, they did not satisfy with timing of medical visit, accessibility and convenience. In multiple regression analysis, those participants who aged more than 45 years, have multiple illnesses, chronic diseases, inmate types, smoking, psychological needs unmet were statistically correlated to the usage of outpatient medical visits (R2=46.7%). Those factors of inmate types, low income, fair self-rated health, and unmet physical therapy needs were significantly correlated to prison medical care satisfaction (R2=22.4%). Conclusion: To improve the quality of medical care for drug offenders in prison, this study suggests that the prison medical care system should strengthen preventive care service and to increase medical care accessibility for this group of people.
Chen, Yueh-Yi, and 陳悅儀. "The policy analysis of the process to establish drug list and payment scheme of national health insurance in Taiwan." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/43050257127697599727.
Full textNjie, Hassan, and Hassan Njie. "Feasibility of a National Health Insurance Scheme in the Gambia: Health Care Providers and Consumers Perspectives on the Design." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/53023115254747567154.
Full text臺北醫學大學
醫務管理學研究所
103
Title: Feasibility of a National Health Insurance Scheme in the Gambia: Health Care Providers and Consumers Perspectives on the Design Author: Hassan Njie Thesis advisor: Professor Herng Ching Lin Background: Developing countries have been and still are grappling with high catastrophic financial payments, which have created financial barriers to health service utilization. Studies have also shown that developing countries including low and middle- income countries (LMICs) are considering reforms in their health care systems to provide universal health coverage (Mills et al. 2012). The aim of this study is to explore the feasibility of a national health insurance scheme in the Gambia by sounding the perspectives of health care providers and consumers Methods and Materials: The study adopted a descriptive cross sectional survey using a questionnaire that has four dimensions. Study participants comprised health care providers (125) and consumers (125) totaling 250 participants. Data was collected in all the six public hospitals in the Gambia from 1st August to 20th August. IBM SPSS (Version 22) was used to analyze data. Data analysis were exclusively descriptive statistics Results: Overwhelming majorities of study population are strongly in favor of a national health insurance scheme in the Gambia (97.2%) and 88% think it is feasible. Half of the study population thinks tax should be the main source of funding for the health insurance scheme in the Gambia (48.4%) with out-of- pocket payment less preferred (6.0%). Majority of the study population preferred Capitation (40%) as payment method for health care providers. Fee For Performance was ranked second (30.8%) while Per Diem was least preferred (9.2%). About two- third of participants prefer a gatekeeper in the national health insurance scheme (75.2%) while 14.4% disagreed with the remaining 10.4% undecided. 83.2% of study participants thinks health care providers should be accredited before they are reimbursed by the national health insurance scheme Conclusion: the government of the Gambia must ensure that all stakeholders are consulted during the planning, design and implementation of national health insurance scheme. This will enhance inclusiveness, acceptance and provide support to the scheme. The government should also look into external sources of funding for the health insurance scheme such as donor agencies and bilateral partners who fund the largest share of total health spending in the country. Discussions should center on providing subsidy for the poor, women and children who are the most vulnerable in society. More research specifically large-scale longitudinal studies surveying key stakeholders is recommended.
Hei-Jen, Jou, and 周輝政. "The impact on health care expenditure and utilization under Taiwan national health insurance after implementing a new co-payment scheme." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/32771811270263882438.
Full text國立臺灣大學
財務金融學研究所
89
THE IMPACT ON HEALTH CARE EXPENDITURE AND UTILIZATION UNDER TAIWAN NATIONAL HEALTH INSURANCE AFTER IMPLEMENTING A NEW CO-PAYMENT SCHEME Name: Jou, Hei-Jen Advisor: Professor Lee, Tsun-Siou and Professor Lai, Mei-Shu June, 2001 Key words: co-payment, national health insurance, health care expenditure Health care utilization by the people in Taiwan increased significantly after the introduction of the national health insurance, which leaded to rapid expansion of the expenditure. However, the premium of the national health insurance did not increase simultaneously during the first five years so that financial imbalance occurred since 1998. Therefore, a new co-payment scheme was carried out on August 1st, 2000, which focused on the medication fees, frequent outpatient visits and rehabilitation services, trying to decrease the moral hazard of consumers. The purpose of the present study is to examine the impact of the new co-payment scheme by analyzing the change of health care utilization and expenditure under the national health insurance. We used piecewise linear regression and discontinuous piecewise linear regression to analyze monthly and seasonal data of national health insurance. Durbin-Watson test was used to test for autocorrelation in time order. In the analysis of monthly data, we found that the rapid growth of expenditure of outpatient medical service slowed down and even became decreasing after the introduction of the new co-payment scheme. The difference is statistically significant. The number of outpatient visit became decreasing after the introduction of the new co-payment scheme. The difference is statistically significant by piecewise linear regression but not by discontinuous linear regression. However, the claimed cost of per outpatient visit was still increasing, not affected by the new co-payment scheme. In the analysis of seasonal data, the expenditure of outpatient medical service became nearly zero-growth or even decrease after the introduction of the new co-payment scheme. The difference is statistically significant. The number of outpatient visit became decreasing. The difference is statistically significant. However, the new co-payment scheme did not affect the cost of per visit. In conclusion, the increase of co-payment changed people’s demand for medical service through market power, including significantly inhibit the rapid growth of expenditure of outpatient service; led to negative growth of the number of outpatient visit; but could not inhibit the increase in the cost of per outpatient visit. Because the expenditure of outpatient service accounted for 68% of the total expenditure of national health insurance, co-payment is a simple and effective policy that markedly inhibited the rapid growth of health care utilization and expenditure.
Wu, Ching-I., and 吳靜宜. "Impact of differential copayments on the numbers of visits--a case study based on Taiwan''s National Health Insurance Scheme." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/13655795410830474689.
Full textAnkomah, Kwadwo. "The Distribution and Utilization of Health Services in Ghana before and after the Introduction of the National Health Insurance Scheme." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-313757.
Full textChang, Ying-Mei, and 張瑛玫. "A Longitudinal Study of Cost-Benefit Analysis (CBA) of National Health Insurance Scheme for Children Teeth Fluoridation and Anti-decay Program." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/08371548473826669634.
Full text中國醫藥大學
醫務管理學研究所碩士班
97
Objective: Children teeth fluoridation and anti-decay treatment program was implemented by Bureau of Nation Health Insurance from July 1 2004 for over four years. The author analyzes an insurance database to evaluate the utilization of dental care preventive service and cost-benefit effectiveness (CBA) of teeth fluoridation and anti-decay treatment program in central part of Taiwan. Methods: A retrospective study was conducted using an insurance database from Bureau of Nation Health Insurance - Central regional branch with registered children born in 2001 who received teeth fluoridation and anti-decay program. The difference of utilization of dental care preventive service analysis was based on each individual child’s character and required dental treatment. For cost-benefit analysis, children were selected who were eligible receiving or non- receiving this benefit from July 1, 2004 till 2007. Two groups were compared by frequency matching analysis, based on sex, medical provide territories, insured fee. Additional Incremental benefit/cost method (ICB) of cost-benefit analysis (CBA) is also conducted to evaluate the service providing cost increasing (△C) and dental treatment cost decreasing effectiveness (△B). Results: No statistic significant differences between children sex and receiving or non-receiving this benefit factor, however, significant difference were showed at medical providing territories and insured fee factor (p<.0001). Children who receiving teeth fluoridation every half year (including 2,3,4 times), the average visiting frequency and treatment cost had statistic significant differences with children who receive single teeth fluoridation course(p<.05), i.e., the final teeth fluoridation in the last six months is less than the initial teeth fluoridation in the first half year. This result is also showed in dental caries and the pulpitis treatment (p<.05). Conclusions: In the selected children, parent’s decision making and territory variance (ex: cities vs. townships) gave influence of children to receive teeth fluoridation and incidence rate of caries. In the meantime, the analysis result of health insurance utilization is same as foreign countries’ study result, that is, teeth fluoridation may reduce dental treatment cost and utilization of dental care service. In addition, the assumption in this research model, cost-benefit effectiveness (CBA) analysis shows that present fluoridation benefit cannot cover its own cost. Recommendation: Based on this research, the teeth fluoridation may reduce the dental care service cost. However, the total saving cost cannot cover the government investment. Although cost saving is not the priority consideration factor of every beneficial program, but facing financial limitation and increasing public health expenditure, government needs to further study the balance of service providing scope and financial impact, which becomes an issue that can be discussed . Hope this study can provide a reference for future public health resource allocation and policy amendment.
Tsay, Yeuan-Pern, and 蔡遠鵬. "An analysis on the deduction factors of reimbursement for inpatient medical expenses under the national health insurance scheme--A Case Study of District Teaching Hospital." Thesis, 1998. http://ndltd.ncl.edu.tw/handle/03971613059491927779.
Full textRamike, Phomolo. "Supporting students with disabilities : the impact of the disability grant and the National Student Financial Aid Scheme (NSFAS) on students with disabilities at the University of KwaZulu-Natal." Thesis, 2013. http://hdl.handle.net/10413/11066.
Full textThesis (M.Dev.Studies)-University of KwaZulu-Natal, Durban, 2013.
Cheng, Ya Wen, and 張雅雯. "The Qualitative Research upon the Economic Security of the Elderly from the Perspectives of Housewives in Taiwan----The Case Study of National Pension Insurance Scheme implemented since October, 2008 Women." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/jgjr6z.
Full text玄奘大學
社會福利學系碩士班
98
This qualitative research aims to explore how National Pension Insurance Scheme, enacted since October 1st, 2008, can guarantee economic security of the elderly women from the perspectives of Taiwanese housewives. Therefore, the qualitative research method in terms of in-depth interview was employed and 13 full-time housewives were invited through snowball sampling, and voluntarily participated in the current study in order to achieve the mentioned above aims. The data collection was conducted one by one between July and August of 2009, and faithfully transcribed from verbal records into Chinese texts, carefully re-read and checked by the researcher as so to confirm its authenticity and trustworthiness (Bryman 2004:273-274). Following this, the transcribed data was analytically and critically categorized into a variety of themes by triangulation method. Then the research findings emerged into the main arguments of the present study, listed as follows: (1) The traditional marriage institution, which has long buttressed the gender division of housework and domestic care within the patriarchal family and society, has not only enforced the gendered housework burden but also deepened the gendered belief of imposing the domestic responsibility of “helping the husband and teaching the children” upon women as their “natural duty”; (2) Furthermore, the traditional gendered division within the family has long promoted the unpaid family care as female another natural duty. Therefore, the qualitative findings explored that housewives must not only care for their own minor children, but also for their grandchildren. This unpaid child-care within the family has certainly led to women’s constraints of participation in the labour market. Not-surprisingly, housewives are hardly to be protected under the Gender Equal Employment Act. (3) Nowadays, the global economic recession, ageism, gender discrimination and low educational attachment, faced by housewives, have resulted in their highly impossible re-employment and forcible house-wifehood. (4) The Labour (Pension) Insurance Scheme can hardly provide fully economic security for housewives, despite their previous employment in the labour market and transient participation in the Labour Insurance, because their employment pattern concentrates on non-full-time jobs and intermittent period of paid work, which have great negative impact upon their entitlement to the Labour Pension Insurance. (5) In spite of its compulsory coverage over all the housewives in Taiwan, National Pension Insurance Scheme is still unlikely to guarantee the economical security for women, full-time participating in unpaid housework and family care. Rather, the compulsory contribution of its Insurance Premium (NT$ 674 per month) has increased financial burden upon unpaid housewives, particularly poor ones. Furthermore, the rate of statutory subsidy to reduce such burden is much less for housewives (40%) than the one for low-income family and the disabled (70% or 55%). Is this fair for those nearly lifelong and full-time participating in the unpaid domestic work and care? Therefore, the conclusions are summarized into the following three points: (1) No matter what attitudes housewives hold toward the compulsory National Pension Insurance Scheme, positively or negatively, as the ensured, the long-term contribution of its Insurance Premium seems a “great worry” for unpaid housewives for sure; (2) The level of payment claimed from the National Pension Insurance Scheme can hardly catch up with the rapid rise of annual inflations. And it is very hard to argue that this amount of money can meet the needs of housewives in their old age; (3) The statutory subsidy rate (40%)paid for housewives is much less than the one paid for the low-income family or the disabled (70% or 55%). It is obvious that the State has not yet recognized the value, which housewives have long contributed to, and the (financial) dependency upon their husbands, which has more likely trapped them into dangerous or uncertain circumstances if their marriage broke down. Following the mentioned above, three proposed programmes have been recommended in order to improve well-beings of unpaid housewives as individual citizens: (1) To promote and recognise that the value of housework is as great as paid work. So it should be treated as formally as paid work; (2) To value the contribution brought about from unpaid housework and family care in terms of income compensation for those once participating in the labour market, but losing their income because of their unpaid love-work in the domestic sphere; (3) To comprehensively construct Social Security system, particularly pension scheme in order to guarantee housewife’s individual citizenship. Therefore, the State should recognise seriously the disadvantages in which housewives have long lived in all aspects, not only in the way of old-age pension. Furthermore, it should take more positive actions in the establishment or implementation of more gender-equal social policies, along with which the economic security for housewives in their old age can be guaranteed and their citizenship can more equally be realized in Taiwanese social context.
Moosa, R. "Medical tax benefits to South African taxpayers : an overview." Diss., 2017. http://hdl.handle.net/10500/23734.
Full textTaxation
M. Compt. (Taxation)