Health Care Experiences and Preferences of Uninsured Workers

Loon, Ruth Anne Van; Borkin, Joyce R.; Steffen, John J.

doi:10.1093/hsw/27.1.17

Cited by 8 publications

(3 citation statements)

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“…"Uninsured workers are active in seeking solutions to their health care needs," according to Van Loon (2002). The results of the evaluation showed 15% of those seeking help with their health care had no insurance.…”

Section: Resultsmentioning

confidence: 99%

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Delivering Health Care in a Large Urban Hotel: Cost Effective, Quality Care for an Underserved and Uninsured Population

Intili¹,

Laws

2003

AAOHN Journal

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A large international hotel chain staffs 30 of its largest hotels in the United States with a registered nurse (RN). The nurses are charged with two major functions: the close management of workers' compensation cases and the provision of basic health care services to the associates. The challenge for occupational health nurses "is to provide services supporting the primary mission and goals of the organization earning a profit and providing a safe and healthy working environment" (Nelson, 2001). The clinic at the hotel chain's flagship Atlanta hotel was established when the hotel was opened in 1985. In December 2000, the staff RN (author H.I.) completed his studies as a family nurse practitioner. He proposed to the hotel management that the basic clinic services be expanded to include the diagnosis and treatment of minor illness and injury using an in-house formulary. The additional costs of operating the expanded clinic would be offset by projected savings to the hotel in two areas: • Reduction in workers' compensation costs as initial evaluations, follow up visits, and physical therapy were provided in-house.

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Section: Resultsmentioning

confidence: 99%

“…One study reported 68% of the uninsured workers in that study population had received no free health care services during the past 2 years, with 34% reporting going without any prescription medications. The cost of health care was the main reason given for failure to seek medical intervention (Van Loon, 2002).…”

mentioning

confidence: 99%

Delivering Health Care in a Large Urban Hotel: Cost Effective, Quality Care for an Underserved and Uninsured Population

Intili¹,

Laws

2003

AAOHN Journal

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“…Specialists may order investigations and treatment, including surgery or hospitalisation, if needed. Uninsured individuals, in contrast, have no provision for regular health checks and receive primary care (including testing, medication and referral for specialised care) through community health centres either free or pay a sliding scale fee for care (Cheong et al, 2007; Van Loon et al, 2002; Wilper et al, 2008). In terms of provider ownership, the governments have largely kept themselves away from direct provisioning.…”

Section: International Experiencementioning

confidence: 99%

Universalising Healthcare in India: Managing the Provider–Purchaser Split

Nagarajan¹,

Tripathy

Sodani

et al. 2023

Journal of Health Management

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Several countries with diverse health systems have achieved universalization (UHC). The trajectory towards universal coverage almost always has three typical features: (i) a political process driven by a range of regulatory changes to simplify access; (ii) an increase in health spending; (iii) an increase in the share of pooled spending rather than paid out-of-pocket. Therefore, a study was undertaken to understand the extent of the provider-purchaser relationship of governments to achieve UHC while reforming healthcare. The present paper focuses on extensive secondary research across countries and evaluates the experiences of select developed and developing economies with India’s experiments on- Financing mechanisms, management arrangements, governance and health outcomes; to offer a comparison of practices and their impact. While Italy, the UK, Germany, Australia, Japan, Canada and most recently China are countries that have achieved UHC; countries like USA and Brazil are on the verge of achieving UHC. These nine countries represent the entire spectrum of pure purchasing models, mixed and pure provisioning models to help us leverage from their experience. All countries that have attained UHC have a well-defined package of services that the government commits to fund and provide for (both public and private). Additionalities around wellness and cosmetic care is managed through supplementary insurance. Overall funding is through an autonomous body, at arm’s length of government; primarily to govern and manage the state’s health priorities. And the government purely behaves as a regulator setting policy and giving directions to the providers. However, ensuring the sustenance of such a mixed model requires; (i) a well-regulated ecosystem that thrives on evidence, (ii) the governments must clearly define the role/s of each stakeholder and hold them accountable for their deliverables in attaining UHC.

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The Policy Context in the US, Germany, and Norway

Larsen

2016

Health Inequities Related to Intimate Partner Violence Against Women

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Health Care Experiences and Preferences of Uninsured Workers

Cited by 8 publications

References 0 publications

Delivering Health Care in a Large Urban Hotel: Cost Effective, Quality Care for an Underserved and Uninsured Population

Delivering Health Care in a Large Urban Hotel: Cost Effective, Quality Care for an Underserved and Uninsured Population

Universalising Healthcare in India: Managing the Provider–Purchaser Split

The Policy Context in the US, Germany, and Norway

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