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Littérature scientifique sur le sujet « Barriers to health insurance »

Auteur : Grafiati
Publié le 9 mars 2023
Mis à jour le 10 mars 2023

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Articles de revues sur le sujet "Barriers to health insurance"

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Sharma, Kavita, Lynn Tepper et Carol Kunzel. « BARRIERS TO ORAL HEALTH IN THE OLDER POPULATION ». Innovation in Aging 3, Supplement_1 (novembre 2019) : S878. http://dx.doi.org/10.1093/geroni/igz038.3218.

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Abstract A strong challenge is posed for patients and their caretakers by the growing need for promoting oral healthcare for this population, as research substantiates the connection between oral health and systemic health. This study identified the major barriers to providing optimal oral care to the older population. Fifty patients aged 60 and over visiting the Columbia University College of Dental Medicine Clinic were administered a questionnaire which reflected possible barriers to oral health care. Statistical analysis of data revealed that the top three barriers in order of relevance were the (1) cost of treatment, (2) anxiety, and (3) transportation. The youngest old (60-69) indicated that the lack of time and conflict with work schedules were additional barriers, while the older sample (70+) experienced obstacles due to disability and illness. When gender differences were analyzed, transportation was the most significant as a barrier among males, and fear/anxiety was most significant for females. Ethnically, non-Hispanics indicated that (1) shortage of time, (2) anxiety, and (3) lack of social/physical support were significant barriers. Findings indicated that even those with Medicaid insurance coverage believed that the cost of dental treatment and caregiving responsibilitieswere major barriers to seeking care. Conversely, even those without dental insurance indicated that disability and illness were barriers to seeking care. This pilot study highlighted various barriers to oral health care and highlighted the need for intervention to address barriers, such as social services, expanded Medicaid coverage, and transportation assistance, to ultimately improve access to optimal oral health care.
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Lim, Sylvia W., Rosy Chhabra, Ayelet Rosen, Andrew D. Racine et Elizabeth M. Alderman. « Adolescents’ Views on Barriers to Health Care ». Journal of Primary Care & ; Community Health 3, no 2 (30 novembre 2011) : 99–103. http://dx.doi.org/10.1177/2150131911422533.

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Objectives: To determine from adolescents using health care their: 1) perceptions of barriers to obtaining health services, 2) views on how to overcome the barriers and 3) views on how to create an adolescent-friendly primary care practice. Design: Six focus group interviews. Methods: Adolescents 11-21 years old from three health centers in the Bronx were recruited. Main Outcome Measures: 1) barriers to accessing health care such as insurance, language barriers, transportation, making an appointment; 2) identifying barriers related to issues of consent and confidentiality; 3) exploring barriers to accessing mental health and related issues; and 4) their visions of an adolescent-friendly office. Results: Thirty-one adolescents, aged 11-21 years old, participated. The majority were Hispanic and 52% were female. Fifty percent of adolescents had a routine visit within the past month. Most adolescents reported experiencing barriers to making an appointment. Additionally, they complained about long waiting times to be seen by providers on the day of their scheduled appointment. Another key barrier was related to knowledge and perceptions about consent and confidentiality. Further, in regard to mental health, many adolescents from focus groups reported that they felt that their primary providers had little interest in this topic and limited knowledge about it. Most of the adolescents reported no barriers with insurance, language or transportation. Their visions of an adolescent-friendly office would include a separate adolescent waiting area equipped with entertainment units. Conclusion: In this study of adolescents who already have primary care providers and are seemingly well-connected to the health care system, there remained significant reported barriers to accessing necessary health services.
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Raadabadi, Mehdi, Mohammadkarim Bahadori, Ramin Ravangard et Khalil Alimohammadzadeh. « Barriers to the Use of Management Information System (MIS) in the Health Insurance Organizations : A Case Study of Iran ». Journal of Health Management 20, no 4 (24 octobre 2018) : 427–38. http://dx.doi.org/10.1177/0972063418799164.

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The use of information technology (IT) is essential in the insurance industry for reducing the risks and managing the affairs, and this industry needs to be equipped with IT in order to stay competitive. In this regard, identifying the barriers to the use of IT in the insurance industry can provide great opportunities for improving its performance and help to develop appropriate strategies. This study aimed to investigate the barriers to the use of the management information system in the health insurance organizations in Ilam. This was an applied, cross-sectional and analytical-descriptive study conducted in the health insurance organizations in Ilam, Iran, in 2015, in which all managers and employees of health insurance organizations were studied using census method ( n = 200). The required data were collected using a questionnaire to investigate six dimensions, including environmental, human, cultural, organizational, technological and managerial barriers. The collected data were analysed using SPSS 19.0. Moreover, the method used to examine the barriers in this study was structural equation modeling which was performed using AMOS. The results showed that among the six dimensions of barriers to the use of IT, the highest and lowest means were related to the cultural factors (3.94 ± 0.53) and the environmental factors (2.8 ± 0.94), respectively. Also, the cultural barriers (regression weight = 0.11) and environmental barriers (regression weight = 0.94) had the highest and lowest effects, respectively. According to the results of the present study, the cultural barriers were the most important ones to the use and implementation of IT. Notifying the use and development of IT in the insurance organizations, holding conferences aimed at presenting the latest achievements and using qualified persons for providing practical IT training are a few effective ways of overcoming the cultural barriers.
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Valencia-Castro, P., A. Stachnik, D. Fuentes, G. Gaitan, W. Yang et J. Smith-Gagen. « Barriers to Health Care Among Parents Using Children's Health Insurance Program ». Annals of Epidemiology 20, no 9 (septembre 2010) : 710. http://dx.doi.org/10.1016/j.annepidem.2010.07.057.

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McDoom, M. Maya, Elisa Koppelman et Mari-Lynn Drainoni. « Barriers to Accessible Health Care for Medicaid Eligible People With Disabilities ». Journal of Disability Policy Studies 25, no 3 (27 décembre 2012) : 154–63. http://dx.doi.org/10.1177/1044207312469829.

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People with disabilities (PWD) are more likely than those without disabilities to experience barriers when accessing healthcare, often leading to unmet needs. The chasm between what providers perceive as adequate care for PWD and the actual health care needs as perceived by PWD remains significant. Using data from 360 health care providers and 540 Medicaid eligible PWD, we compared perceived barriers to care faced by PWD from the perspective of both providers and PWD. Our results indicated major variations in provider and PWD perceptions about barriers to care. PWD and providers both perceived transportation issues as the highest ranked barriers and physical access issues as the lowest ranked barriers. Multivariate results indicated that PWD reported barriers when communicating with providers, although providers did not consider communication as a major barrier. Among PWD, those with multiple types of disabilities were more likely to experience barriers when communicating with providers compared with other PWD. In addition, providers considered insurance a barrier to care, although this was not the perception of PWD. Particularly in the era of health care reform, policy responses to these findings should address the specific needs of people with different types of disabling conditions rather than assuming all PWD face similar challenges in accessing and utilizing health care.
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Maiden, Robert J., Danielle Gagne, Daniel l. Segal et Bert Hayslip Jr. « IDENTIFYING BARRIERS TO MENTAL HEALTH SERVICES IN A RURAL COMMUNITY ». Innovation in Aging 3, Supplement_1 (novembre 2019) : S553. http://dx.doi.org/10.1093/geroni/igz038.2037.

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Abstract Unmet mental health care needs of older people living in rural areas have been identified as a fundamental problem. This project engaged a rural consortium of service agencies to support recruitment through advertising, word of mouth, social media. So far, 100 rural participants aged 50 and older have completed our survey which includes the revised Barriers to Mental Health Services Scale, (BMHSS-R) which measures intrinsic barriers attributed to internal characteristics and beliefs, e.g. stigma, and extrinsic barriers, e.g. insurance costs, and lack of transportation. Preliminary results revealed increased services utilization compared to past research. However, several serious barriers remained, e.g. as lack of insurance/costs, distance/location, stigma, and lack of knowledge. The BMHSS-R results e demonstrate how the two types of barriers are related and interact within individuals. Implications are that internal barriers (e.g., stigma) and external ones (location, costs) can be reduced or eliminated through integrated medical/behavioral services.
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Naing, Sa Hlyan Htet, Sang-Arun Isaramalai et Phen Sukmag. « Policy Literacy, Barriers, and Gender Impact on Accessibility to Healthcare Services under Compulsory Migrant Health Insurance among Myanmar Migrant Workers in Thailand ». Journal of Environmental and Public Health 2020 (29 décembre 2020) : 1–8. http://dx.doi.org/10.1155/2020/8165492.

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Accessibility to health service and experience of healthcare are important factors for public health policymaking. The current study aimed to describe the status of accessibility and barriers to getting care as well as policy literacy among Myanmar migrant workers and ultimately to identify the predictors of accessibility to healthcare services among this population through Thailand’s Compulsory Migrant Health Insurance (CMHI). A cross-sectional survey was used to collect data from 240 Myanmar migrant workers who were 18 years or older, resided in Songkhla Province, and had Compulsory Migrant Health Insurance. The instrument was a set of questionnaires consisting of a Personal Data Form, Policy Literacy Questionnaire, Barriers to Get Care Questionnaire, and Accessibility to Healthcare Services Questionnaire. Descriptive statistics, correlation analysis, and multiple regression analysis were used to analyze data. The majority of participants had a high level of policy literacy (36.3%), barriers to get care (34.2%), and accessibility to health care services (35.8%). Policy literacy (β = 0.35, p < 0.001 ), barriers to get care (β = −0.32, p < 0.001 ), and gender ( p < 0.001 ) were significant predictors of accessibility to healthcare services and could explain 43.2% of the total variance. To increase the accessibility to healthcare services among migrant workers with Compulsory Migrant Health Insurance, public health policymakers are recommended to cooperate more with healthcare staff and the workers’ employers to enhance the distribution of information about the health insurance to decrease barriers to get care.
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Fayanju, Oluwadamilola M., Susan Kraenzle, Bettina F. Drake, Xuemei Si, Masayoshi Oka et Melody S. Goodman. « Barriers to mammography among underserved women in a breast health center outreach program. » Journal of Clinical Oncology 30, no 27_suppl (20 septembre 2012) : 13. http://dx.doi.org/10.1200/jco.2012.30.27_suppl.13.

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13 Background: An outreach registry of Breast Health Center patients was developed in 2006 to evaluate the effectiveness of mobile mammography among the medically underserved. Registry included collection of medical record data, demographic data, and answers to a questionnaire about perceptions of breast cancer screening. Here, we examine barriers to mammography. Methods: Between April 2006 and May 2011, 9,082 women were registered. Data from registrants’ first screening visit (n= 8,916) were analyzed using multivariable logistic regression examining three outcomes identified as barriers to mammography: cost, fear of pain during the procedure, and fear of receiving bad news. Two-tailed p<0.05 was considered significant. Results: The majority of registrants were black (54%), uninsured (74%), screened on a van (83%), resided in the greater St. Louis region (84%), had an annual income <$20,000 (87%), and reported a good or excellent experience as part of the outreach program (92%). Fears of cost, mammogram-related pain, and bad news were reported by 40%, 13%, and 13% of registrants, respectively. Regression analyses revealed that being employed (odds ratio [OR] 1.109, p=0.0323) and living in the Bootheel of Missouri (OR 2.319, p<0.0001) were associated with a higher likelihood of perceiving cost as a barrier to mammography, while those who had insurance (OR 0.439) and were Hispanic (compared to non-Hispanic [NH] whites [OR 0.338]) were less likely to report cost as a barrier (both p<0.0001). Registrants who were screened on the van (OR 1.633), had insurance (OR 1.391), and were NH black (OR 1.324) were more likely to report fear of procedural pain as a barrier (all p<0.0001). Having insurance (OR 1.378), being NH black (OR 2.458), and being Hispanic (OR 2.980) were associated with reporting fear of receiving bad news as a barrier (all p>0.0001), while older women (OR 0.985, p=0.0001) and women who were screened on the van (OR 0.772, p=0.0026) were less likely to report this concern. Conclusions: Despite provision of free services, cost, fear of procedural pain, and fear of abnormal results remain barriers to mammography utilization among medically underserved women, suggesting the need for more breast health education in this population.
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Koijen, Ralph S. J., et Stijn Van Nieuwerburgh. « Combining Life and Health Insurance* ». Quarterly Journal of Economics 135, no 2 (30 octobre 2019) : 913–58. http://dx.doi.org/10.1093/qje/qjz037.

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Abstract We estimate the benefit of life-extending medical treatments to life insurance companies. Our main insight is that life insurance companies have a direct benefit from such treatments because they lower the insurer’s liabilities by pushing the death benefit further into the future and raising future premium income. We apply this insight to immunotherapy, treatments associated with durable gains in survival rates for a growing number of cancer patients. We estimate that the life insurance sector’s aggregate benefit from FDA-approved immunotherapies is $9.8 billion a year. Such life-extending treatments are often prohibitively expensive for patients and governments alike. Exploiting this value creation, we explore various ways life insurers could improve stress-free access to treatment. We discuss potential barriers to integration and the long-run implications for the industrial organization of life and health insurance markets, as well as the broader implications for medical innovation and long-term care insurance markets.
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Banerjee, Abhijit, Amy Finkelstein, Rema Hanna, Benjamin A. Olken, Arianna Ornaghi et Sudarno Sumarto. « The Challenges of Universal Health Insurance in Developing Countries : Experimental Evidence from Indonesia’s National Health Insurance ». American Economic Review 111, no 9 (1 septembre 2021) : 3035–63. http://dx.doi.org/10.1257/aer.20200523.

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To investigate barriers to universal health insurance in developing countries, we designed a randomized experiment involving about 6,000 households in Indonesia who are subject to a government health insurance program with a weakly enforced mandate. Time-limited subsidies increased enrollment and attracted lower-cost enrollees, in part by reducing the strategic timing of enrollment to correspond with health needs. Registration assistance also increased enrollment, but increased attempted enrollment much more, as over one-half of households who attempted to enroll did not successfully do so. These findings underscore how weak administrative capacity can create important challenges in developing countries for achieving widespread coverage. (JEL D82, G22, H51, I13, I18, O15)
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Thèses sur le sujet "Barriers to health insurance"

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Lopez, Quetzalsol F., Karen E. Schetzina, Amanda Haiman et Fernando Mendoza. « Barriers to Obtaining Health Insurance among Patients Served By a Mobile Community Health Van ». Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etsu-works/5064.

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Domapielle, Maximillian K. « Extending health services to rural residents in Jirapa District : analyses of national health insurance enrolment and access to health care services ». Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14803.

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This thesis sheds light on differences in health insurance enrolment determinants and uptake barriers between urban and rural areas in the Jirapa district of Ghana. The National Health Insurance Scheme in Ghana has made significant progress in terms of enrolment, which has had a commensurate increase in utilization of health care services. However, there are challenges that pose a threat to the scheme’s transition to universal coverage; enrolment in the scheme has not progressed according to plan, and there are many barriers known to impede uptake of health care. Interestingly, these barriers vary in relation to locality, and rural residents appear to carry a disproportionate portion of the burden. A mixed method approach was employed to collect and analyse the data. On the basis of the primary qualitative and quantitative results, the thesis argues that the costs of enrolling and accessing health care is disproportionately higher for rural residents than it is their urban counterparts. It also highlights that the distribution of service benefits both in terms of the NHIS and health care in the Jirapa district favours urban residents. Lastly, the thesis found that whereas rural residents prefer health care provision to be social in nature, urban residents were more interested in the technical quality aspects of care. These findings suggest that rural residents are not benefitting from, or may not be accessing health services to the extent as their urban counterparts. Affordability, long distance to health facilities, availability and acceptability barriers were found to influence the resultant pro-urban distribution of the overall health care benefit.
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Vangile, Kirsten M. « Childhood Cancer Survivors : Patient Characteristics ». Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/iph_theses/51.

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Survivors of childhood cancer are a relatively new phenomenon in the medical world. The introduction of treatment protocols in the 1970s started a trend in curing children of cancer that historically had been a death sentence. Under these treatment protocols children were given different treatment regimens based on past research that helped remove cancerous cells from their bodies, but were later found to be the cause of treatment related morbidities years into the future; for most survivors roughly ten to 20 years post treatment. These morbidities, commonly called late-effects, are the prime reason that survivors of childhood cancer need to participate in survivorship care. Survivors of childhood cancer are particularly vulnerable to late-effects because the majority of them receive their treatment at a time when their bodies are still growing and developing. Survivorship care services vary by site, but all maintain the common goals of providing long-term follow up for the survivor and education about the ways in which treatments may affect a survivors’ health as they age. Similar to many other facets of healthcare and medicine, there are many populations who do not participate in survivorship care. The purpose of this research is to identify possible barriers to care, assess the level of impact these barriers have upon the survivor’s potential for participation and provide suggestions as to how these barriers can be mitigated. Additionally, this research highlights areas that need further research and analysis.
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Christofero, Tracy M. « Information Privacy as Required By The Health Insurance Portability and Accountability Act of 1996 (HIPAA) : Awareness and Barriers to Compliance as Experienced by Small Health Care Practitioners in Rural West Virginia ». NSUWorks, 2005. http://nsuworks.nova.edu/gscis_etd/453.

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Physicians have sworn to uphold patient trust and privacy since the time of Hypocrites. Given today's technological innovations and electronic access to medical information, an oath to uphold privacy is not enough. Unlike credit reports, educational records, and video rentals, there have been no U.S. federal privacy laws providing individuals the right to know how their medical records are used and disclosed. The Health Insurance Portability and Accountability Act of 1996 (HIP AA) mandated standards for the transmission of electronic health information and protection of that information by practitioners, health plans, clearinghouses, and pharmaceutical drug card sponsors who electronically process medical transactions. An estimated 400,000 small practitioners were required to comply with HIPAA. Small health care providers in rural West Virginia faced additional challenges. West Virginia is the second most rural state in the nation; has the oldest median age; is the only state to experience a natural decrease in population; ranks first in the percentage of residents on Medicare; placed lowest in median household income; and in 1998, SO of West Virginia's 55 counties were designated as Medically Underserved Areas. The goals of this study were to promote HIP AA awareness, ascertain levels of HIP AA awareness, and identify barriers or issues that may have hindered those who perceive themselves as HIPAA privacy compliant. The descriptive research methodology was utilized to achieve these goals. Surveys were distributed to 408 licensed physicians in rural West Virginia. This study assessed if participants qualified as small, i.e., annual revenues of $5 million or less; if they were HIP AA covered entities; their HIP AA awareness level; and provided access to no-cost HIPAA training. The 78 HIPAA compliant respondents were asked to identify any barriers or issues they experienced while pursuing compliance. Vagueness of the regulations; confusion by physicians, patients, families, and the public; and the cost of compliance were identified as major concerns. This was consistent with findings in the literature. Results of this research were used to assist West Virginia officials address compliance barriers and identify remediation efforts the state could employ to assist in ongoing HIPAA, and other, legislated compliance efforts.
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BONAN, JACOPO DANIELE. « Essays in development economics ». Doctoral thesis, Università degli Studi di Milano-Bicocca, 2013. http://hdl.handle.net/10281/46828.

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Gaps in financial access remain stark in the largest part of developing countries and have relevant consequences on poor households’ economic decisions, such as credit, saving and risk management. Lack of availability of formal financial services provided by either the market or public authorities (e.g in case of health insurance) have been compensated by the activity of informal groups, associations and arrangements. Old and new forms of community-based groups have been largely documented in most of developing countries and are shown to be active in several crucial economic domains. They have different levels of institutionalization as they can simply rely on social norms or can have rules and a certain degree of formalization concerning e.g. selection criteria, enforcement, sanctions. They all have in common the voluntary participation of people from the same community (village, neighbourhood, people of the same profession), the delivery of services to members, the non-profit character, the underpinning values of solidarity and mutual help. Some examples of community-based groups in Sub-Saharan Africa are analysed in this thesis: Rotating Saving and Credit Associations (roscas), funeral groups and mutual health organizations (MHOs). The importance of studying community-based arrangements lies in the premise that interventions at the level of a local community can deliver more effective and equitable development. Moreover, examining the mechanics of the informal market is very important for two reasons. First, the strength of the informal market is important for measuring and predicting how effective specific formal sector interventions could be, in the perspective of scaling-up. Second, lessons learned in the informal markets can help shape policy in the formal (Karlan and Morduch 2009). In chapter 1, drawing on data from a household survey in urban Benin1, we examine membership in two types of informal groups that display the characteristics of a commitment device: rotating savings and credit associations (roscas) and funeral groups. We investigate whether agents displaying time-inconsistent preferences are sophisticated enough to commit themselves through taking part in such groups. We provide evidence indicating that women who are hyperbolic are more likely to join these groups and to save more through them, but men displaying similar preferences appear naïve with regards membership. Moreover, we find that hyperbolic agents, irrespective of their gender, tend to restrain consumption of frivolous goods to a larger extent. Furthermore, weak evidence is provided that microcredit can be used as a device to foster self-discipline. We also ensure that our results cannot be explained by intrahousehold conflict issues. The second chapter largely draws on Bonan J, Dagnelie O., LeMay-Boucher P. and Tenikue M. (2012) “Is it all about Money? A Randomized Evaluation of the Impact of Insurance Literacy and Marketing Treatments on the Demand for Health Microinsurance in Senegal”, Working Papers 216, University of Milano-Bicocca, Department of Economics. It is based on a field work we carried out in Spring-Summer 2010 in Thies, Senegal, which I coordinated and supervised. The chapter presents experimental evidence on mutual health organizations (MHOs) in the area of Thiès, Senegal. Despite their benefits, in some areas there remain low take-up rates. We offer an insurance literacy module, communicating the benefits from health microinsurance and the functioning of MHOs, to a randomly selected sample of households. The effects of this training, and three cross-cutting marketing treatments, are evaluated using a randomized control trial. We find that our various marketing treatments have a positive and significant effect on health insurance adoption, increasing take-up by around 35%. Comparatively the insurance literacy module has a negligible impact on the take up decisions. We attempt at providing different contextual reasons for this result. The third chapter is an extension of the second and draws on the same dataset. We measure the willingness to pay (WTP) for MHOs premiums in a Senegalese urban context. WTP valuations can help both policy makers and existent MHOs in better understanding the characteristics of the demand of microinsurance products. This chapter considers the role of individual and household socio-economic determinants of willingness to pay for a health microinsurance product and add to the previous literature evidence of the role of income, wealth and risk preferences on individual WTP. We find that richer, more wealthy and more risk-averse head of households are more likely to reveal a higher WTP for health microinsurance. Conscious of the potential limits of our elicitation strategy (bidding game), we incorporate the existent literature on the effects of ‘preferences anomalies’ (Watson and Ryan 2007) and estimate WTP accounting for structural shift in preferences (Alberini et al. 1997), anchoring effect (Herriges and Shogren 1996) and the two effects together (Whitehead 2002). We find evidence of slight underestimation of the median WTP if preferences anomalies are not taken into consideration. However, the extent of such difference is far from being relevant. Previous results on the determinants of WTP are robust to the effect of such preference anomalies. We also provide an analysis of the predictive power of WTP on the actual take-up of insurance following our offering of membership to a sample of 360 households. WTP appears to have a positive and significant impact on actual take-up.
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Norbeck, Angela J. « Health Insurance Literacy Impacts on Enrollment and Satisfaction with Health Insurance ». ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5387.

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Health insurance literacy (HIL) contributes to the lack of understanding basic health insurance (HI) terms, subsidies eligibility, health plan selection, and HI usage. The study is one of few to address the existing gap in the literature regarding the exploration of the relationship between HIL, individuals' HI enrollment, and individuals' satisfaction with their HI. The theoretical framework selected for this study was the prospect theory, which describes the behavior of individuals who make decisions. In this cross-sectional correlational study, secondary data set from the third Quarter 2015 Health Reform Monitoring Survey was used. Binary logistic regression models were used to test hypotheses of four predictive relationships between (a) HI enrollment and HIL with HI terms; (b) marketplace enrollment and HIL with HI terms; (c) satisfaction with HI and HIL with HI access to care; and (d) satisfaction with HI and HIL with HI cost of care. Results indicated that participants with high HIL with HI terms had 4.2 times higher odds that those with low HIL to be enrolled in HI and 81% higher odds than those with low HIL to be enrolled in marketplace HI. The most significant relationship indicated that participants with high HIL with HI activities had 12.8 times higher odds than those with low HIL to have high satisfaction with access to care and 8.8 times higher odds than those with low HIL participants to have high satisfaction with cost of care. The finding that low HIL is associated with lower enrollment and lower satisfaction with HI has implications for social change. Policymakers may have the opportunity to utilize this study to promote policies that promote higher HIL, which may lead to increased HI enrollment and improved satisfaction with HI selection.
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Bowles, Paula. « Barriers to Lesbian Health Care ». TopSCHOLAR®, 2003. http://digitalcommons.wku.edu/theses/581.

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The primary purpose of this research was to examine a sample of sixteen lesbian women regarding the barriers to lesbian health-care. From this information several interpretive findings regarding lesbian health-care are made. Data were gathered via indepth interviews with each individual lesbian. The data suggest that most lesbian women do not reveal their sexual orientation to their primary-care physician for fear of reprisal. Most of the women interviewed do feel they receive adequate health-care from their physician. The women who participated in this project did so confidentially and were assigned pseudonyms. They were asked questions on a variety of topics, which included demographics, physical health-care, mental health-care, general health, dental care, social and political issues, and homophobia. It was assumed that participants from smaller, more rural areas would face more barriers to health-care than participants from larger cities. The data gathered indicate that only three of the participants had, in fact, informed their primary-care physicians of their sexual orientation. Erving Goffman's stigma and social identity theory, feminist standpoint theory, lesbian feminist theory, and feminist theory provided the theoretical framework utilized in the analysis of barriers to lesbian health care. Combining these three theories allows a discussion of how stigma and homophobia combine to make lesbians invisible in the medical community. Health-care systems, like other major institutions, are structured to support traditional society.
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Noronha, Lisete Fernandes de. « Whole life health insurance ». Master's thesis, FCT - UNL, 2008. http://hdl.handle.net/10362/2362.

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Dissertação apresentada na Faculdade de Ciências e Tecnologia da Universidade Nova de Lisboa para obtenção do Grau de mestre em Matemática e Aplicações
The health insurance has become complementary to the National Health Care system in Portugal. In the last years, the increase of this insurance has been considerable. Despite the health concerns of Portuguese citizens, related to better life quality, medical technology and others, the ageing of Portuguese population is a reality to be well thought-out. Regarding this fact, the whole life health insurance is an important product to be developed. In this dissertation, it is presented an approach to the calculation of the level premiums for the whole life health insurance in order to fulfil the Portuguese insurer’s market requests. A private health insurance company with a historical data of ten years provided the statistics used for this calculation. The levelled insurance premiums were calculated on the basis of the risk involved and according to the principle of equivalence. This means that regarding the period insured, the total of premiums should match the total of the benefits.
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Barbaccio, Lisa R. « Consumerism in Health Insurance : Understanding Literacy in Health Insurance Purchasing and Benefit Consumption ». Diss., Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/540834.

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Business Administration/Interdisciplinary
D.B.A.
The growth rate and percent of GDP spend on health care has brought necessary attention to discussions on cost and quality within the health industry. This research posits that in order to tackle issues within these cost and quality-conscious discussions, consumers require increased literacy in the health insurance shopping and utilization processes. Health insurance literacy is relatively new terminology. In regard to consumer literacy measures in purchasing, the findings in Chapter 1 demonstrate that studies on health insurance literacy are inconsistent, with no consensus on which metrics are most appropriate to measure health insurance literacy. While there is a generally agreed upon definition of health insurance literacy, there is currently no standard scale to determine one’s literacy level. Additionally, literacy, in a broader construct, can assist consumers in making better informed choices about how to engage with and manage their health insurance. One particular example of a poor utilization habit is the use of the Emergency Room (ER) for non-emergent conditions. The findings in Chapter 2 demonstrate that educated consumers can be influenced to choose alternative sites for ER care. This research suggests that taking measures to advance health insurance literacy can improve both shopping and utilization behavior and, in turn, positively impact health care costs and efficiencies. The conclusion of this research theorizes on the best approach to influence literacy in health insurance; ultimately furthering the body of research that moves toward a more efficient, effective, and literate health insurance industry.
Temple University--Theses
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Polyakova, Maria A. (Maria Alexandrovna). « Regulation of public health insurance ». Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/90128.

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Thesis: Ph. D., Massachusetts Institute of Technology, Department of Economics, 2014.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 147-150).
The first chapter takes advantage of the evolution of the regulatory and pricing environment in the first years of a large federal prescription drug insurance program for seniors - Medicare Part D - to explore interactions among adverse selection, switching costs, and regulation. I document evidence of both adverse selection of beneficiaries across contracts and switching costs for beneficiaries in changing contracts within Medicare Part D. Using an empirical model of contract choice and contract pricing, I show that in the present environment, on net, switching costs help sustain an adversely-selected equilibrium with large differences in risks between more and less generous contracts. I then simulate how switching costs may alter the impact of "filling" the Part D donut hole as implemented under the Affordable Care Act. I find that absent any switching costs, this regulation would have eliminated the differences in risks across contracts; however, in the presence of the switching costs that I estimate, the effect of the policy is largely muted. The second chapter (co-authored with Francesco Decarolis and Stephen Ryan) explores federal subsidy policies in Medicare Part D. We estimate an econometric model of supply and demand that incorporates the regulatory pricing distortions in the insurers' objective functions. Using the model, we conduct counterfactual analyses of what the premiums and allocations would be in this market under different ways of providing the subsidies to consumers. We show that some of the supply-side regulatory mechanisms, such as the tying of premiums and subsidies to the realization of average "bids" by insurers in a region, prove to be welfare-decreasing empirically. The third chapter studies two competing systems that comprise the German health insurance landscape. The two systems differ in the ability of insurers to underwrite individual-specific risk. In contrast to the community rating of the statutory insurance system, enrollees of the private plans face full underwriting and may be rejected by the insurers. I empirically assess to what extent the selection of "good risks" dominates the interaction between the two systems, using a regression discontinuity design based on statutory insurance enrollment mandates. I do not find compelling evidence of cream-skimming by private insurers from the statutory system. Motivated by this finding, I quantify the change in consumer welfare that would result if the government relaxed the statutory insurance mandate to lower income levels.
by Maria A. Polyakova.
Ph. D.
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Livres sur le sujet "Barriers to health insurance"

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Lombardo, Nancy Emerson. Barriers to mental health services for nursing home residents. Washington, DC : Public Policy Institute, American Association of Retired Persons, 1994.

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Bohyer, David D. Access and barriers to health care : A final report of the SJR 22 Subcommittee of the Economic Affairs Interim Committee. Helena, Mont : Legislative Services Division, 2002.

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Bohyer, David D. Access and barriers to health care : A final report of the SJR 22 Subcommittee of the Economic Affairs Interim Committee. Helena, Mont : Legislative Services Division, 2002.

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United States. Congress. Senate. Committee on Labor and Human Resources. Barriers to health care/children's health : Hearing before the Committee on Labor and Human Resources, United States Senate, Ninety-ninth Congress, second session, on review of access to health care for the poor and uninsured and improved health for America's children, July 16, 1986. Washington : U.S. G.P.O., 1986.

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United States. Congress. Senate. Committee on Labor and Human Resources. Barriers to health care/children's health : Hearing before the Committee on Labor and Human Resources, United States Senate, Ninety-ninth Congress, second session, on review of access to health care for the poor and uninsured and improved health for America's children, July 16, 1986. Washington : U.S. G.P.O., 1986.

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United States. Congress. Senate. Committee on Labor and Human Resources. Barriers to health care/children's health : Hearing before the Committee on Labor and Human Resources, United States Senate, Ninety-ninth Congress, second session, on review of access to health care for the poor and uninsured and improved health for America's children, July 16, 1986. Washington : U.S. G.P.O., 1986.

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United, States Congress Senate Committee on Health Education Labor and Pensions. Health care coverage : 45 million uninsured and counting : hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Sixth Congress, second session, on examining issues relating to the challenges and barriers faced in obtaining and maintaining affordable health care coverage, including related data from the recent Current population survey, the impact of current tax policy, and expanding coverage, October 4, 2000. Washington : U.S. G.P.O., 2000.

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Barriers to lower health care costs for workers and employers : Hearing before the Subcommittee on Health, Employment, Labor and Pensions, Committee on Education and the Workforce, U.S. House of Representatives, One Hundred Twelfth Congress, second session, hearing held in Washington, DC, May 31, 2012. Washington : U.S. G.P.O., 2012.

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Office, General Accounting. Superfund : Barriers to brownfield redevelopment : report to Congressional requesters. Washington, D.C : U.S. General Accounting Office, 1996.

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Office, General Accounting. VA health care : Language barriers between providers and patients have been reduced : report to the chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C : The Office, 1989.

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Chapitres de livres sur le sujet "Barriers to health insurance"

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Wallace, Steven P., et E. Richard Brown. « Health Barriers ». Dans Encyclopedia of Immigrant Health, 758–65. New York, NY : Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_331.

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Orbell, Sheina, Havah Schneider, Sabrina Esbitt, Jeffrey S. Gonzalez, Jeffrey S. Gonzalez, Erica Shreck, Abigail Batchelder et al. « Health Insurance ». Dans Encyclopedia of Behavioral Medicine, 919. New York, NY : Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_100762.

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Koroukian, Siran M. « Health Insurance ». Dans Encyclopedia of Women’s Health, 559–61. Boston, MA : Springer US, 2004. http://dx.doi.org/10.1007/978-0-306-48113-0_187.

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Ho, Anita. « Health Insurance ». Dans Encyclopedia of Global Bioethics, 1–9. Cham : Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_222-1.

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Quill, Beth E. « Health Insurance ». Dans Encyclopedia of Immigrant Health, 785–86. New York, NY : Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_341.

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Crompton, Simon. « Health Insurance ». Dans The Carers Guide, 273. London : Palgrave Macmillan UK, 1994. http://dx.doi.org/10.1007/978-1-349-13869-2_105.

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Cipra, Tomas. « Health Insurance ». Dans Financial and Insurance Formulas, 255–57. Heidelberg : Physica-Verlag HD, 2010. http://dx.doi.org/10.1007/978-3-7908-2593-0_23.

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McLeod, Logan, et Hideki Ariizumi. « Health Insurance ». Dans Encyclopedia of Gerontology and Population Aging, 1–5. Cham : Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-69892-2_990-1.

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Bearss, Nancy. « Health Insurance ». Dans Encyclopedia of Cross-Cultural School Psychology, 497–98. Boston, MA : Springer US, 2010. http://dx.doi.org/10.1007/978-0-387-71799-9_192.

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McLeod, Logan, et Hideki Ariizumi. « Health Insurance ». Dans Encyclopedia of Gerontology and Population Aging, 2305–9. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-22009-9_990.

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Actes de conférences sur le sujet "Barriers to health insurance"

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Pajewska-Kwaśny, Renata. « DEVELOPMENT BARRIERS OF THE PRIVATE HEALTH INSURANCE IN POLAND ». Dans 45th International Academic Conference, London. International Institute of Social and Economic Sciences, 2019. http://dx.doi.org/10.20472/iac.2019.045.031.

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Harahap, Sarah Geltri, Cicylia Candi et Adang Bachtiar. « Acceptance and Barrier in Using Telemedicine Health Services of Hospitals among Paediatric Outpatients : A Systematic Review ». Dans The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.31.

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ABSTRACT Background: Utilization of the telemedicine application is an alternative option for paediatric health services without a direct visit to hospitals, especially in pandemic or disease outbreak conditions. The important telemedicine services, especially for paediatric patients, need to be tackled by stakeholders and hospital management teams. This study aimed to investigate the acceptance and barrier in using telemedicine health services of hospitals among paediatric outpatients. Subjects and Method: A systematic review was conducted by searching from Science­Direct and Scopus databases. The keywords were “telemedicine OR patient paediatric”. The in­clusion criteria were open accessed and English-language articles published between 2019 to 2020. The data were reported by PRISMA flow chart. Results: Nine articles met the inclusion criteria. Feasibility and the easiness to use of the application, cost-effectiveness, less travel time, easy access to medicine, and effective health services were the optimal services received by paediatric outpatients in using telemedicine. The limitations of telemedicine services were lack of physical and diagnostic examinations, information for socio-demographic and socioeconomic status, patient insurance coverage, direct care services, and privacy and confidentiality of patients. Conclusion: Not all the conditions of paediatric outpatients receive optimal health services through telemedicine. An innovative approach is needed to improve telemedicine’s available health services, especially for paediatric outpatients who need direct health care without visiting the hospitals. Keywords: telemedicine, paediatric outpatients, health services Correspondence: Sarah Geltri Harahap. Master Program of Policy and Health Administration, Faculty of Public Health, University of Indonesia. Email: sarah.geltri@ui.ac.id. Mobile: +628137598­5375. DOI: https://doi.org/10.26911/the7thicph.04.31
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Lisovska, Olha. « HEALTH INSURANCE IN THE UKRAINIAN INSURANCE MARKET ». Dans THEORETICAL AND EMPIRICAL SCIENTIFIC RESEARCH : CONCEPT AND TRENDS. European Scientific Platform, 2020. http://dx.doi.org/10.36074/24.07.2020.v1.08.

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Purswani, Purshottam. « Blockchain-based Parametric Health Insurance ». Dans 2021 IEEE Symposium on Industrial Electronics & Applications (ISIEA). IEEE, 2021. http://dx.doi.org/10.1109/isiea51897.2021.9510001.

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Putri, Nuzulul Kusuma, et Ernawaty. « The Changing Nature of Campus Health Insurance : Testing Portability Issues of National Health Insurance ». Dans Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007022700140019.

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Huang, H. H., Y. C. Yang, C. T. Hsiao, H. C. Liang et C. S. Liu. « The National Health Insurance : Decoding the health bill ». Dans 2010 IEEE International Conference on Management of Innovation & Technology. IEEE, 2010. http://dx.doi.org/10.1109/icmit.2010.5492783.

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Ma, Yifei. « Research on Construction Multiemployer Health Insurance ». Dans ICCREM 2015. Reston, VA : American Society of Civil Engineers, 2015. http://dx.doi.org/10.1061/9780784479377.077.

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Li, Zhu, et Yu-Xue Cheng. « Does Health Insurance Help the Aged ». Dans Proceedings of the 5th Annual International Conference on Management, Economics and Social Development (ICMESD 2019). Paris, France : Atlantis Press, 2019. http://dx.doi.org/10.2991/icmesd-19.2019.59.

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He, Xinchi, Sarra Alqahtani et Rose Gamble. « Toward Privacy-Assured Health Insurance Claims ». Dans 2018 IEEE International Conference on Internet of Things (iThings) and IEEE Green Computing and Communications (GreenCom) and IEEE Cyber, Physical and Social Computing (CPSCom) and IEEE Smart Data (SmartData). IEEE, 2018. http://dx.doi.org/10.1109/cybermatics_2018.2018.00273.

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Stead, Michael, et Paul Coulton. « Old, Sick And No Health Insurance. » Dans DIS '17 : Designing Interactive Systems Conference 2017. New York, NY, USA : ACM, 2017. http://dx.doi.org/10.1145/3064857.3079127.

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Rapports d'organisations sur le sujet "Barriers to health insurance"

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Carson, Jessica, et Michael Staley. Hispanic Children Least Likely to Have Health Insurance : Citizenship, Ethnicity, and Language Barriers to Coverage. University of New Hampshire Libraries, 2016. http://dx.doi.org/10.34051/p/2020.266.

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Ericson, Keith Marzilli, Timothy Layton, Adrianna McIntyre et Adam Sacarny. Reducing Administrative Barriers Increases Take-up of Subsidized Health Insurance Coverage : Evidence from a Field Experiment. Cambridge, MA : National Bureau of Economic Research, janvier 2023. http://dx.doi.org/10.3386/w30885.

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Mobley, Erin M., Diana J. Moke, Joel Milam, Carol Y. Ochoa, Julia Stal, Nosa Osazuwa, Maria Bolshakova et al. Disparities and Barriers to Pediatric Cancer Survivorship Care. Agency for Healthcare Research and Quality (AHRQ), mars 2021. http://dx.doi.org/10.23970/ahrqepctb39.

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Objectives. Survival rates for pediatric cancer have dramatically increased since the 1970s, and the population of childhood cancer survivors (CCS) exceeds 500,000 in the United States. Cancer during childhood and related treatments lead to long-term health problems, many of which are poorly understood. These problems can be amplified by suboptimal survivorship care. This report provides an overview of the existing evidence and forthcoming research relevant to disparities and barriers for pediatric cancer survivorship care, outlines pending questions, and offers guidance for future research. Data sources. This Technical Brief reviews published peer-reviewed literature, grey literature, and Key Informant interviews to answer five Guiding Questions regarding disparities in the care of pediatric survivors, barriers to cancer survivorship care, proposed strategies, evaluated interventions, and future directions. Review methods. We searched research databases, research registries, and published reviews for ongoing and published studies in CCS to October 2020. We used the authors’ definition of CCS; where not specified, CCS included those diagnosed with any cancer prior to age 21. The grey literature search included relevant professional and nonprofit organizational websites and guideline clearinghouses. Key Informants provided content expertise regarding published and ongoing research, and recommended approaches to fill identified gaps. Results. In total, 110 studies met inclusion criteria. We identified 26 studies that assessed disparities in survivorship care for CCS. Key Informants discussed subgroups of CCS by race or ethnicity, sex, socioeconomic status, and insurance coverage that may experience disparities in survivorship care, and these were supported in the published literature. Key Informants indicated that major barriers to care are providers (e.g., insufficient knowledge), the health system (e.g., availability of services), and payers (e.g., network adequacy); we identified 47 studies that assessed a large range of barriers to survivorship care. Sixteen organizations have outlined strategies to address pediatric survivorship care. Our searches identified only 27 published studies that evaluated interventions to alleviate disparities and reduce barriers to care. These predominantly assessed approaches that targeted patients. We found only eight ongoing studies that evaluated strategies to address disparities and barriers. Conclusions. While research has addressed disparities and barriers to survivorship care for childhood cancer survivors, evidence-based interventions to address these disparities and barriers to care are sparse. Additional research is also needed to examine less frequently studied disparities and barriers and to evaluate ameliorative strategies in order to improve the survivorship care for CCS.
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Gruber, Jonathan, et Ebonya Washington. Subsidies to Employee Health Insurance Premiums and the Health Insurance Market. Cambridge, MA : National Bureau of Economic Research, mars 2003. http://dx.doi.org/10.3386/w9567.

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Buchmueller, Thomas, et Alan Monheit. Employer-Sponsored Health Insurance and the Promise of Health Insurance Reform. Cambridge, MA : National Bureau of Economic Research, avril 2009. http://dx.doi.org/10.3386/w14839.

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Hackmann, Martin, Jonathan Kolstad et Amanda Kowalski. Health Reform, Health Insurance, and Selection : Estimating Selection into Health Insurance Using the Massachusetts Health Reform. Cambridge, MA : National Bureau of Economic Research, janvier 2012. http://dx.doi.org/10.3386/w17748.

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Gruber, Jonathan. Taxes and Health Insurance. Cambridge, MA : National Bureau of Economic Research, décembre 2001. http://dx.doi.org/10.3386/w8657.

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Fuchs, Victor. National Health Insurance Revisited. Cambridge, MA : National Bureau of Economic Research, octobre 1991. http://dx.doi.org/10.3386/w3884.

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Cebi, Merve, et Stephen A. Woodbury. Health Insurance Tax Credits and Health Insurance Coverage of Low-Earning Single Mothers. W.E. Upjohn Institute, mars 2010. http://dx.doi.org/10.17848/wp09-158.

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LoSasso, Anthony, et Thomas Buchmueller. The Effect of the State Children's Health Insurance Program on Health Insurance Coverage. Cambridge, MA : National Bureau of Economic Research, décembre 2002. http://dx.doi.org/10.3386/w9405.

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