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Management: Health Insurance

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Risk Factors for the Prescription of Ineffective Antiviral Candidates for COVID-19 During the Early Pandemic Period in Korea
CONCLUSION: Ineffective antiviral agents were prescribed to a substantial number of patients during the first year of the COVID-19 pandemic in Korea. Treatment with these ineffective drugs tended to be prolonged in severely ill patients and in primary and public hospitals.PMID:37698205 | PMC:PMC10497349 | DOI:10.3346/jkms.2023.38.e280
Source: J Korean Med Sci - September 12, 2023 Category: General Medicine Authors: Eunyoung Lee Seungyeon Kim Sun Young Lee Joo Jeong Jihwan Bang Juhwan Oh Sang Do Shin Nam Joong Kim Pyoeng Gyun Choe Myoung-Don Oh Source Type: research

Sociodemographic Disparities in Craniosynostosis: A Systematic Review
CONCLUSIONS: Minority craniosynostosis patients experience delays in intervention and increased complication rates. Our findings highlight the importance of expedited and equitable referrals, screenings, and treatment, and the need for a standardized approach to investigating longitudinal demographic and outcomes data in this population.PMID:37691284 | DOI:10.1177/10556656231199832
Source: The Cleft Palate-Craniofacial Journal - September 11, 2023 Category: ENT & OMF Authors: Jessica D Blum Jinggang J Ng Jasmine Craig Rachel Smith Anchith Kota Steven P Moura Avery D Ford Manasa H Kalluri Catharine Garland Daniel Y Cho Source Type: research

Barriers and facilitators to healthcare for people without documentation status: A systematic integrative literature review
CONCLUSION: These findings illuminate the complex healthcare disparities experienced by people without documentation status and underscore facilitators enhancing care accessibility. Future research is needed to explore interventions to increase access to care for this population.IMPACT: This paper provides a comprehensive examination of the complex barriers and facilitators to healthcare for people without documentation status in the United States. The findings support the value of universal healthcare access, a priority of the World Health Organization, and can inform healthcare policies and practices worldwide.REPORTING ...
Source: Adv Data - September 9, 2023 Category: Epidemiology Authors: Namuun Clifford Nancy Blanco So Hyeon Bang Elizabeth Heitkemper Alexandra A Garcia Source Type: research

Ten-Year Trends of Hematopoietic Stem Cell Transplantation in Korean Pediatric Cancer from the National Health Insurance Claims Data
CONCLUSION: In Korea, the number of pediatric patients with cancer is declining; however, the ratio of transplants to all patients remains constant. Patients who recently underwent transplantation showed better survival rates, possibly due to HSCT optimization. Korea showed a substantially greater PBSC utilization in pediatric HSCT. An in-depth examination encompassing donor relations and cause of death with a prospective registry is required in future studies.PMID:37680122 | DOI:10.4143/crt.2023.598
Source: Cell Research - September 8, 2023 Category: Cytology Authors: Hyery Kim Hwa Jung Kim Youngjun Jo Su Hyun Yoon Young Kwon Koh Sunghan Kang Kyung-Nam Koh Ho Joon Im Source Type: research

Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research

Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research

Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research