Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 716
Filtrar
1.
J Aging Soc Policy ; 32(4-5): 488-498, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32538320

RESUMO

The COVID-19 economic crisis makes it vitally important that workers who earned defined benefit pensions receive them at retirement. Unfortunately, billions of dollars that could help cushion the financial shock are sitting unclaimed, because the people who they belong to cannot locate the company responsible for paying them. As defined benefit pension plans have been terminated, merged and moved over the years, large numbers of deferred vested participants have not been notified about their benefits. The widespread and growing practice of insurance company pension buy-outs can be especially problematic for participants without notice. Broader use of electronic disclosures for pensions also threatens to make the situation worse. In the wake of COVID-19, policy makers should take steps to ensure that pension benefits are part of the economic recovery.


Assuntos
Infecções por Coronavirus/epidemiologia , Pensões/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Aposentadoria/economia , Betacoronavirus , Recessão Econômica/estatística & dados numéricos , Humanos , Renda/estatística & dados numéricos , Pandemias , Previdência Social/organização & administração , Estados Unidos/epidemiologia
2.
BMC Health Serv Res ; 20(1): 26, 2020 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-31915003

RESUMO

BACKGROUND: Iran's Parliament passed a Law in 2010 to merge the existing health insurance schemes to boost risk pooling. Merging can be challenging as there are differences among health insurance schemes in various aspects. This qualitative prospective policy analysis aims to reveal key challenges and implementation barriers of the policy as introduced in Iran. METHODS: A qualitative study of key informants and documentary review was conducted. Sixty-seven semi-structured face-to-face interviews were conducted, with key informants from relevant stakeholders. Purposive and snowball sampling techniques were used for selecting the interviewees. The related policy documents were also reviewed and analyzed to supplement interviews. Data analysis was conducted through an existing health financing World Bank framework. RESULTS: This study demonstrated that for combining health insurance funds, operational challenges in the following areas should be taken into account: financing mechanisms, population coverage, benefits package, provider engagement, organizational structure, health service delivery and operational processes. It is also important to have adequate cogent reasons to "the justification of the consolidation process" in the given context. When moving towards combining health insurance funds, especially in countries with a purchaser-provider split, it is critical for policy makers to make sure that the health insurance system is aligned with the policies and Stewardship of the broader health care system. CONCLUSIONS: Implementation of major reforms in a health system with fragmented insurance schemes with different target populations, prepayment structures, benefit packages and history of development is inherently difficult, especially when different stakeholders have vetoing powers over the proposed reforms. Solving the differences and operational challenges in the main areas of health insurance system generated in this study may provide a platform for the designing and implementing merging process of social health insurance schemes in Iran and other countries with similar situations.


Assuntos
Administração Financeira/organização & administração , Política de Saúde/legislação & jurisprudência , Seguro Saúde/economia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Seguro Saúde/organização & administração , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Formulação de Políticas , Estudos Prospectivos , Pesquisa Qualitativa , Previdência Social/organização & administração , Participação dos Interessados/psicologia
3.
Rev Epidemiol Sante Publique ; 68(1): 1-8, 2020 Feb.
Artigo em Francês | MEDLINE | ID: mdl-31843361

RESUMO

BACKGROUND: Work and related exposures may play a role in suicide and there has been evidence in the literature that some occupational factors may be associated with suicide. The identification of occupational risk factors of suicide mortality among employees affiliated to the French special agricultural social security scheme (MSA), an understudied population, appears important. The objective of this study was to identify the occupational factors associated with suicide mortality among French employees from the MSA working between 2007 and 2013. METHODS: The study population included all the employees affiliated to the MSA working between 1st January 2007 and 31st December 2013, i.e. 1,699,929 men and 1,201,017 women. The studied occupational factors included: economic activity, skill level, and work contract. Survival analyses (Cox models) stratified on gender were performed using age as time scale and region and year of contract as adjustment variables. RESULTS: Among men, the factors associated with an elevated suicide risk were: economic activities of forestry, agriculture and related activities, and manufacture of food products and beverages (e.g. meat, wine), low-skilled level and working in the regions of Brittany, Burgundy Franche-Comté, Pays de la Loire, Normandy, Grand Est and Centre-Val-de-Loire. No association was observed among women. CONCLUSION: These results suggest that economic activity and low-skilled level may be associated with suicide among men affiliated to the MSA and may contribute to the implementation of prevention interventions. Further studies are needed to confirm and better understand these associations.


Assuntos
Agricultura , Agricultura Florestal , Exposição Ocupacional/estatística & dados numéricos , Previdência Social , Suicídio/estatística & dados numéricos , Adulto , Agricultura/organização & administração , Agricultura/estatística & dados numéricos , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/mortalidade , Emprego/classificação , Emprego/organização & administração , Emprego/estatística & dados numéricos , Feminino , Agricultura Florestal/economia , Agricultura Florestal/organização & administração , Agricultura Florestal/estatística & dados numéricos , França/epidemiologia , Humanos , Renda/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/organização & administração , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Fatores de Risco , Previdência Social/organização & administração , Previdência Social/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Adulto Jovem
4.
Int J Health Plann Manage ; 34(4): e1760-e1773, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31469198

RESUMO

Chronic disease patients have long suffered from mental health problems because of the long-lasting and costly treatments. Although the multilevel social health insurance system in China attempts to provide them with full-fledged health insurance coverage, the increasing prevalence of gig economy unexpectedly disrupts this situation. As the social health insurance system in China is closely associated with employment status, unemployed rural-to-urban migrant workers/regular urban workers have to accept the transition from urban employee basic medical insurance (UEBMI) to new cooperative medical scheme (NCMS)/urban resident basic medical insurance (URBMI). This study investigates the influence of this involuntary health insurance transition on the mental health of chronic disease patients. Empirical results show that the experience of transition from UEBMI to NCMS would significantly deteriorate the mental health of chronic disease patients, while the transition from UEBMI to URBMI would not. Accordingly, chronically ill rural-to-urban migrant workers are vulnerable to the involuntary health insurance transition that further deteriorates their mental health, and the multilevel social health insurance system in China cannot cope well with the emerging phenomenon of frequent employment change in labor market.


Assuntos
Doença Crônica/psicologia , Disparidades em Assistência à Saúde/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Transtornos Mentais/etiologia , População Rural/estatística & dados numéricos , Previdência Social/organização & administração , População Urbana/estatística & dados numéricos , China/epidemiologia , Doença Crônica/epidemiologia , Feminino , Humanos , Seguro Saúde/organização & administração , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Previdência Social/estatística & dados numéricos , Desemprego/psicologia , Desemprego/estatística & dados numéricos
6.
Salud trab. (Maracay) ; 27(1): 15-26, jun. 2019. tab, ilus
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1103364

RESUMO

El sistema chileno de salud laboral sobrevivió a las enormes transformaciones que introdujo en materia de seguridad social la Dictadura Militar, y se suele presentar como un modelo a seguir en otras latitudes. En el presente artículo se expone un breve análisis de dicho sistema, comenzado por la ley del Seguro contra Accidentes del Trabajo y Enfermedades Profesionales que le da origen, para luego evaluar la operación del sistema, a fin de identificar sus mayores fortalezas y debilidades. También se revisan algunas propuestas de cambio que han aparecido en los últimos años. Se concluye que el sistema cuenta con un alto nivel de reconocimiento y legitimidad, y que presenta un desarrollo importante en el plano curativo para las tres cuartas partes de los trabajadores que están afiliados. En contraste con la cobertura que reciben los accidentes del trabajo, presenta baja sensibilidad ante las enfermedades profesionales, además de importantes desafíos en el plano preventivo, que podrían llevar a revisar algunos supuestos sobre los cuales se construyó(AU)


The Chilean occupational health system survived the enormous transformations introduced by the Military Dictatorship with regard to social security. This system is often suggested as a model to emulate overseas. In this article, I analyze the system, beginning with the law that regulates the Insurance against work accidents and occupational diseases which origins the system. Then, I examine its performance, and as a whole I identify its strengths and weaknesses. I also review some of the proposals of modification that have appeared in the last years. I conclude that the system counts on a high level of recognition and legitimacy, and that it presents an important level of development at the therapeutics sphere three fourths parts of those workers who are affiliated. In contrast with the coverage given to accidents at work, the system presents low sensibility with regard to occupational diseases, on top of important challenges in the preventive sphere. These critical elements could take us to review the basic assumptions under which the system was built on(AU)


Assuntos
Humanos , Previdência Social/legislação & jurisprudência , Previdência Social/organização & administração , Riscos Ocupacionais , Sistemas de Saúde/organização & administração , Jurisprudência
7.
N Z Med J ; 132(1489): 8-14, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30703775

RESUMO

The 2018 year signalled the 80th anniversary of the Social Security Act 1938. In order to implement this legislation, a historic compromise between the government and the medical profession created institutional arrangements for the New Zealand health system that endure to this day. The 2018 year also marked the commencement of a Ministerial review of the New Zealand health system. This article considers two intertwined arrangements which stem from the post-1938 compromise that the Ministerial review will need to address if goals of equity and, indeed, the original intent of the 1938 legislation are to be delivered upon: general practice patient charges; and ownership models. It describes the problems patient charges create, and options for ownership that the Ministerial review might contemplate.


Assuntos
Assistência à Saúde , Medicina Geral , Previdência Social/organização & administração , Assistência à Saúde/métodos , Assistência à Saúde/organização & administração , Assistência à Saúde/tendências , Medicina Geral/economia , Medicina Geral/legislação & jurisprudência , Programas Governamentais , Humanos , Modelos Organizacionais , Nova Zelândia , Propriedade
8.
Int J Health Serv ; 49(1): 142-164, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30428268

RESUMO

This scoping review identified what kinds of work disability policy issues are critiqued in articles published in countries with cause-based versus comprehensive welfare systems. Drawing on a review of work disability policy research, we identified 74 English-language, peer-reviewed articles that focused on program adequacy and design. Articles on cause-based systems dwelled on system fairness and policies of proof of entitlement, while those on comprehensive systems focused more on system design complexities relating to worker inclusion and scope of medical certificates. Overall, we observed a clear difference in the nature of problems examined in the different systems. Gaps in work disability policy literature are identified, and challenges for comparative policy research are discussed.


Assuntos
Políticas , Previdência Social/organização & administração , Previdência Social/estatística & dados numéricos , Indenização aos Trabalhadores/organização & administração , Indenização aos Trabalhadores/estatística & dados numéricos , Documentação/normas , Definição da Elegibilidade/normas , Órgãos Governamentais/organização & administração , Órgãos Governamentais/estatística & dados numéricos , Humanos , Indústrias/organização & administração , Indústrias/estatística & dados numéricos , Seguradoras/estatística & dados numéricos , Retorno ao Trabalho , Fatores de Risco , Previdência Social/normas , Avaliação da Capacidade de Trabalho , Indenização aos Trabalhadores/normas
9.
Politics Life Sci ; 38(2): 144-167, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-32412205

RESUMO

Adequate income is a social determinant of health. In the United States, only Social Security beneficiaries receive inflation-protected guaranteed income. Social Security needs another 1983 compromise in which stakeholders accepted "shared pain" to avoid insolvency. We propose indexing the benefit using the chained consumer price index (CPI) for all urban consumers and providing a one-time bonus of 8% to 10% for beneficiaries in their mid-80s, when needs become greater. The chained CPI has little impact when beneficiaries start receiving benefits, but older beneficiaries need protection. The estimated 75-year savings from this restructured benefit amount to 14.2% to 18% of Social Security deficits. Modest increases in payroll taxes and maximum earnings taxed should make up most of the shortfall. Including unearned income with wages and salaries subject to the 6.2% individual tax would produce much more revenue. The discussion explores the proposal's political feasibility, grounding in current policy and political science literature, and the role of income as a social determinant of health.


Assuntos
Política , Política Pública , Determinantes Sociais da Saúde/economia , Previdência Social/organização & administração , Humanos , Renda , Modelos Econométricos , Previdência Social/normas , Estados Unidos
11.
Health Policy Plan ; 33(9): 1018-1025, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30371780

RESUMO

Similar to many other countries, Chile is facing the challenges of rapid ageing and the increase in long-term care (LTC) needs for this population. Implementation of LTC systems has been the response to these challenges in other countries, however, Chile still lacks a strategy for addressing LTC needs. This article advocates for the implementation of a LTC system in Chile, demonstrating that this could be an effective and efficient response to cope with the current and future challenges faced by the country. The rationale for implementing a LTC system is based on the principles of the country's social security system and on the fact that not having a LTC in place is not costless.


Assuntos
Assistência de Longa Duração/economia , Previdência Social/economia , Envelhecimento , Chile , Assistência à Saúde/economia , Feminino , Humanos , Assistência de Longa Duração/organização & administração , Masculino , Dinâmica Populacional/tendências , Política Pública , Previdência Social/organização & administração
12.
Rev. Asoc. Esp. Espec. Med. Trab ; 27(3): 132-140, sept. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-175362

RESUMO

La identificación de sujetos con alto riesgo cardiovascular constituye un desafío en población laboral. El proyecto IberScore ha derivado una función predictiva para eventos cardiovasculares a partir de una cohorte de 774.404 trabajadores, sin enfermedad cardiovascular previa y con 10 años de seguimiento. Durante el seguimiento, se identificaron 3.762 primeros eventos cardiovasculares en la cohorte de derivación (6‰; varones 90,7%; media edad=46,9±9,19 años). En el grupo con eventos se observó una presencia importante de factores de riesgo cardiovascular en la evaluación basal (tabaquismo 63,2%; dislipemia 20,6%; hipertensión 21,8%; diabetes 7,9%). Los resultados sugieren la utilidad clínica de un sistema de predicción del riesgo cardiovascular desarrollado específicamente en población trabajadora española. En esta población se produce un número no desdeñable eventos y hay una importante presencia de factores de riesgo, que pueden pasar desapercibidos debido al peso de la edad en los sistemas predictivos desarrollados para la población general


Identification of subjects at high cardiovascular risk is a challenge among working population. The IberScore Project has calculated a predictive function for cardiovascular events from a cohort of 774,404 Spanish workers without prior cardiovascular diseases, and 10-year follow-up. At follow-up, 3,762 first cardiovascular events were identified in the cohort of derivation (6‰; 90.7% men; mean age=46.9±9.19 years-old). In the group with events, it was observed a relevant presence of cardiovascular risk factors at baseline assessment (smoking 63.2%; dyslipidaemia 20.6%; hypertension 21.8%; diabetes 7.9%). The results suggest the clinical usefulness of a system to predict cardiovascular risk among specifically developed in Spanish working population. Among such population a significant number of events take place and there is a relevant presence of risk factors, which may go unnoticed due to the weight that age has in the predictive systems developed for the general population


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Previsões , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/prevenção & controle , Fatores de Risco , Prevenção Primária , Avaliação em Saúde , Previdência Social/organização & administração , Agentes Comunitários de Saúde/estatística & dados numéricos
13.
Int J Technol Assess Health Care ; 34(3): 248-253, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29888698

RESUMO

OBJECTIVES: Latin American countries are taking important steps to expand and strengthen universal health coverage, and health technology assessment (HTA) has an increasingly prominent role in this process. Participation of all relevant stakeholders has become a priority in this effort. Key issues in this area were discussed during the 2017 Latin American Health Technology Assessment International (HTAi) Policy Forum. METHODS: The Forum included forty-one participants from Latin American HTA agencies; public, social security, and private insurance sectors; and the pharmaceutical and medical device industry. A background paper and presentations by invited experts and Forum members supported discussions. This study presents a summary of these discussions. RESULTS: Stakeholder involvement in HTA remains inconsistently implemented in the region and few countries have established formal processes. Participants agreed that stakeholder involvement is key to improve the HTA process, but the form and timing of such improvements must be adapted to local contexts. The legitimization of both HTA and decision-making processes was identified as one of the main reasons to promote stakeholder involvement; but to be successful, the entire system of assessment and decision making must be properly staffed and organized, and certain basic conditions must be met, including transparency in the HTA process and a clear link between HTA and decision making. CONCLUSIONS: Participants suggested a need for establishing clear rules of participation in HTA that would protect HTA producers and decision makers from potentially distorting external influences. Such rules and mechanisms could help foster trust and credibility among stakeholders, supporting actual involvement in HTA processes.


Assuntos
Tomada de Decisões , Avaliação da Tecnologia Biomédica/organização & administração , Cobertura Universal do Seguro de Saúde/organização & administração , Indústria Farmacêutica/organização & administração , Política de Saúde , Humanos , Seguro Saúde/organização & administração , América Latina , Formulação de Políticas , Previdência Social/organização & administração , Fatores de Tempo
14.
Int J Equity Health ; 17(1): 89, 2018 06 25.
Artigo em Inglês | MEDLINE | ID: mdl-29940956

RESUMO

BACKGROUND: China has set up a universal coverage social health insurance system since the 2009 healthcare reform. Due to the inadequate funds, the social health insurance system reimbursed the inpatient expenditures with much higher ratio than outpatient expenditure. The gap in reimbursement ratios resulted in a rapid rising hospitalization rate but poor health outcomes among the Chinese population. A redistribution of social health insurance funds has become one of the main challenges for the performance of Social Health Insurance. METHODS: Two comparable counties, Dangyang County and Zhijiang County, in Hubei Province of China, were sampled as the intervention group and the control group, respectively. The Social Health Insurance Management Department of the intervention group budgeted 600 yuan per capita per year to the patients with 3rd stage hypertension to cover their outpatient expenditures. The outpatient spending in the control group were paid out-of-pocket. The inpatient expenditures reimbursement policies in both groups were not changed. Besides, the Social Health Insurance Management Department of the intervention group budgeted 100 yuan per patient per year to township physicians and hospitals to provide health management services for the patients. While, the health management services in the control group were still provided by health workers. A Propensity Score Matching model and Difference-in-differences model were used to estimate the net effects of the intervention in dimensions of medical services utilization, medical expenditures, SHI reimbursement, and health outcomes. RESULTS: One thousand, six hundred and seventy three pairs of patients were taken as valid subjects to conduct Difference-in-differences estimation after the Propensity Score Matching. The net intervention effect is to increase outpatient frequency by 3.3 (81.0%) times (P < 0.05), to decrease hospitalization frequency by 0.075 (- 60.0%) times (P < 0.05), and to increase the per capita total medical service utilization frequency by 3.225 (76.8%) times (P < 0.05). The per capita total medical expenditure decreased 394.2 (- 27.7%) yuan. The SHI reimbursed 90.3 yuan more per capita for the outpatient spending, but the per capita inpatient expenditure reimbursement and per capita total medical expenditure reimbursement decreased significantly by 282.6 (- 44.0%) yuan and 192.3 (- 28.5%) yuan, respectively (P < 0.05). The intervention reduced the per capita inpatient out-of-pocket expenditure and the per capita total out-of-pocket expenditure by 192.8 (- 36.7%) yuan and 201.9 (- 29.9%) yuan, respectively (P < 0.05). The intervention significantly decreased the diastolic blood pressure of the intervention group by 2.9 mmHg (P < 0.05) but had no significant impact on the systolic blood pressure (- 7.9 mmHg, P > 0.05). CONCLUSION: For China and countries attempting to establish a universal coverage SHI with inadequate funds, inpatient services were expensive but might not produce good health outcomes. Outpatient care for patients with chronic diseases should be fundamental, and outpatient expenditures should be reimbursed with a higher ratio.


Assuntos
Gastos em Saúde/tendências , Assistência Médica/organização & administração , Pacientes Ambulatoriais , População Rural , China/epidemiologia , Feminino , Programas Governamentais , Reforma dos Serviços de Saúde , Serviços de Saúde/economia , Serviços de Saúde/estatística & dados numéricos , Humanos , Hipertensão/epidemiologia , Masculino , Assistência Médica/economia , Previdência Social/organização & administração
15.
Int J Public Health ; 63(9): 1081-1088, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29926126

RESUMO

OBJECTIVES: Working age disability is a major challenge for policymakers in European countries. This pertains to both occupational reintegration and social benefits for work incapacity. In many states reforms have been initiated aimed at reducing disability scheme inflow and fostering return to work. Our study was motivated by the question as to which aspects of these reforms seem to have been effective. METHODS: Three different approaches were utilized: case vignettes, interviews and expert workshops in the respective countries (Netherlands and Germany in 2012; Finland in 2015), and a systematic search for relevant studies on occupational reintegration was performed. RESULTS: We found considerable differences as to the assessment of work incapacity and resulting monetary benefits in the three countries. Also, organisation and practices of occupational reintegration vary from one country to another. Major differences concern (1) the timing of interventions, (2) employer responsibility and workplace involvement, (3) incentives and sanctions and (4) organisational and procedural issues. CONCLUSIONS: Our results may partly explain why some reform strategies have been more successful than others, and thus contribute to the further development of social and labour policies in Europe.


Assuntos
Pessoas com Deficiência/legislação & jurisprudência , Políticas , Previdência Social/organização & administração , Previdência Social/estatística & dados numéricos , Finlândia , Alemanha , Humanos , Masculino , Países Baixos , Previdência Social/economia , Previdência Social/legislação & jurisprudência , Fatores de Tempo , Avaliação da Capacidade de Trabalho , Local de Trabalho
18.
Annu Rev Clin Psychol ; 14: 453-469, 2018 05 07.
Artigo em Inglês | MEDLINE | ID: mdl-29734828

RESUMO

The Social Security Administration (SSA) oversees two disability programs, Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). Adults with mental impairments represent a very large component of the programs. Policy makers and SSA are concerned about the accuracy of disability determination and also about low levels of labor force participation among individuals with disabilities. Adults with mental impairments are challenging to assess for work-related functional limitations. They are also a challenge to return to labor force participation. SSA has sponsored several demonstration research programs focusing on improving the accuracy of disability determination and on interventions in supported employment to return individuals with mental impairments to competitive employment. This article reviews the demonstration research focused on both entry into the disability system (at the "front door") and potential exit from it (through the "back door"). All of the research holds promise to "right-size" the SSA disability program.


Assuntos
Avaliação da Deficiência , Readaptação ao Emprego , Programas Governamentais , Seguro por Invalidez , Pessoas Mentalmente Doentes , Previdência Social , United States Social Security Administration , Programas Governamentais/organização & administração , Humanos , Seguro por Invalidez/organização & administração , Previdência Social/organização & administração , Estados Unidos , United States Social Security Administration/organização & administração
19.
Rev Med Inst Mex Seguro Soc ; 56(Suppl 1): S4-S5, 2018.
Artigo em Espanhol | MEDLINE | ID: mdl-29624333

RESUMO

For the Instituto Mexicano del Seguro Social (IMSS), population aging represents a major challenge as a social security institution. This is why the Epidemiological Research and Health Care Services Unit/Aging Area has developed multi-disciplinary research concerning the older adult population, in order to contribute with programs of prevention, detection and attention of that age group and develop policies with plural perspective in which the voices of the older adults can be heard.


Assuntos
Envelhecimento , Promoção da Saúde/organização & administração , Programas Nacionais de Saúde/organização & administração , Dinâmica Populacional , Academias e Institutos/organização & administração , Idoso , Idoso de 80 Anos ou mais , Promoção da Saúde/métodos , Humanos , México , Previdência Social/organização & administração
20.
Enferm. clín. (Ed. impr.) ; 28(supl.1): 250-255, feb. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-173098

RESUMO

Objective: Indonesia Medika has established "Garbage Clinical Insurance" (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program. Method: A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted. Recent news (post 2014) related with the implementation of GCI was also consulted. Results: The literature revealed that the foundation of GCI was informed by the Declaration of Alma Ata with the ideal of making health care services accessible to everyone. Unlike most health insurance, the mechanisms of GCI seem less likely to trigger moral hazard among its beneficiaries. However, as a micro insurance program, the sustainability of GCI continues to be called into question. Conclusions: The critical analysis of the present study has highlighted the application of GCI, a micro health insurance initiative, and its relevance to Indonesia. GCI tended to work well as it was able to utilise Indonesia's social capital. However, GCI should aim to increase the benefits package available to its members in order to maintain the sustainability of the program


No disponible


Assuntos
Humanos , Previdência Social/organização & administração , Seguro Saúde , Assistência à Saúde/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Indonésia , Reciclagem/tendências , Áreas de Pobreza
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA