Health Insurance Systems in Developed Countries, Comparisons of

Ellis, Randall P.; Chen, T.; Luscombe, Calvin

doi:10.1016/b978-0-12-375678-7.00905-6

Cited by 19 publications

(12 citation statements)

References 4 publications

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“…The USA is the only developed nation that does not provide universal health coverage [100,104,105]. About a tenth of the population has no health insurance coverage of any kind [101].…”

Section: Healthcare System Of the Usamentioning

confidence: 99%

International Perspective on Health Literacy and Health Equity: Factors That Influence the Former Soviet Union Immigrants

Kostareva

Albright

Berens

et al. 2020

IJERPH

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Among the world’s 272 million international migrants, more than 25 million are from the former Soviet Union (FSU), yet there is a paucity of literature available about FSU immigrants’ health literacy. Besides linguistic and cultural differences, FSU immigrants often come from a distinct healthcare system affecting their ability to find, evaluate, process, and use health information in the host countries. In this scoping review and commentary, we describe the health literacy issues of FSU immigrants and provide an overview of FSU immigrants’ health literacy based on the integrated health literacy model. We purposefully consider the three most common locations where FSU immigrants have settled: the USA, Germany, and Israel. For context, we describe the healthcare systems of the three host countries and the two post-Soviet countries to illustrate the contribution of system-level factors on FSU immigrants’ health literacy. We identify research gaps and set a future research agenda to help understand FSU immigrants’ health literacy across countries. Amidst the ongoing global population changes related to international migration, this article contributes to a broad-scope understanding of health literacy among FSU immigrants related to the system-level factors that may also apply to other immigrants, migrants, and refugees.

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“…The USA is the only developed nation that does not provide universal health coverage [100,104,105]. About a tenth of the population has no health insurance coverage of any kind [101].…”

Section: Healthcare System Of the Usamentioning

confidence: 99%

International Perspective on Health Literacy and Health Equity: Factors That Influence the Former Soviet Union Immigrants

Kostareva

Albright

Berens

et al. 2020

IJERPH

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“…Further, countries like Algeria, Mexico, Chile, Slovakia and Turkey have achieved a coverage of more than 90% [1]. At the same time, health insurance systems in some of the developed and particularly developing countries like Nepal also vary in a wide array of dimensions, including risk bearing, choices allowed, sources of revenue and its redistribution, cost saving strategies and presence of specialized and secondary insurance [2].…”

Section: Introductionmentioning

confidence: 99%

Status and determinants of enrollment and dropout of health insurance in Nepal: an explorative study

Ranabhat

Subedi²,

Karn³

2020

Cost Eff Resour Alloc

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Background Compared to other countries in the South Asia Nepal has seen a slow progress in the coverage of health insurance. Despite of a long history of the introduction of health insurance (HI) and a high priority of the government of Nepal it has not been able to push rapidly its social health insurance to its majority of the population. There are many challenges while to achieve universal health insurance in Nepal ranging from existing policy paralysis to program operation. This study aims to identify the enrollment and dropout rates of health insurance and its determinants in selected districts of Nepal. Methods The study was conducted while using a mixed method including both quantitative and qualitative approaches. Numerical data related to enrollment and dropout rates were taken from Health Insurance Board (HIB) of Nepal. For the qualitative data, three districts, Bardiya, Chitwan, and Gorkha of Nepal were selected purposively. Enrollment assistants (EA) of social health insurance program were taken as the participants of study. Focus group discussions (FGD) were arranged with the selected EAs using specific guidelines along with unstructured questions. The results from numerical data and focus group discussions are synthesized and presented accordingly. Results The findings of the study suggested variation in enrollment and dropout of health insurance in the districts. Enrollment coverage was 13,545 (1%), 249,104 (5%), 1,159,477 (9%) and 1,676,505 (11%) from 2016 to 2019 among total population and dropout rates were 9121(67%), 110,885 (44%) and 444,967 (38%) among total enrollment from 2016 to 2018 respectively. Of total coverage, more than one-third proportion was subsidy enrollment—free enrollment for vulnerable groups. The population characteristics of unwilling and dropout in social health insurance came from relatively well-off families, government employees, businessman, migrants’ people, some local political leaders as well as the poor class families. The major determinants of poor enrollment and dropout were mainly due to unavailability of enough drugs, unfriendly behavior of health workers, and indifferent behavior of the care personnel to the insured patients in health care facilities and prefer to take health service in private clinic for their own benefits. The long maturation time to activate health service, limited health package and lack of copayment in different types of health care were the factors related to inefficient program and policy implementation. Conclusion There is a high proportion of dropout and subsidy enrollment, the key challenge for sustainability of health insurance program in Nepal. Revisiting of existing HI policy on health care packages, more choices on copayment, capacity building of enrollment assistants and better coordination between health insurance board and health care facilities can increase the enrollment and minimize the dropout.

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“…But plenty of studies have compared those different healthcare systems by looking at diverse healthcare indicators and performances. Among those studies, Ellis, Chen, and Luscombe [9] provided a comprehensive evaluation on different types of healthcare systems, represented by five developed countries. Their study discussed about the comparisons from healthcare agents and choices, coverage and national expenses, revenue, cost control, specialized insurance programs, as well as the comparisons among different countries representing those different healthcare systems.…”

Section: Literature Reviewmentioning

confidence: 99%

Comparison of Single-Payer and Non Single-Payer Health Care Systems: A Study of Health Administration Efficiency

Yi¹

2017

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The United States spends nearly twice as much per capita on health care as several OECD countries. Based on previous research, universal health care decreases the total health care expenditure due to the single-payer system; it is still unknown whether a mixed health care system has superiority. In this study, we compare and evaluate both quality of care and administrative costs among six developed countries, upon three groups: single-payer universal health care system (Australia and Canada), two-tier health care system (France and Japan), and insurance mandate health care system (Switzerland and the US). The results show that both single-payer system and two-tier system are superior to insurance mandate system on health insurance administration costs. Also, regarding insurance mandate system, the healthcare system in Switzerland is more efficient than that in the US. So, we conclude that it is possible for the US to choose a diverse healthcare system, instead of focusing on one system, to trim the healthcare administration cost and improve the quality of care for the entire country.

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Health Insurance Systems in Developed Countries, Comparisons of

Cited by 19 publications

References 4 publications

International Perspective on Health Literacy and Health Equity: Factors That Influence the Former Soviet Union Immigrants

International Perspective on Health Literacy and Health Equity: Factors That Influence the Former Soviet Union Immigrants

Status and determinants of enrollment and dropout of health insurance in Nepal: an explorative study

Comparison of Single-Payer and Non Single-Payer Health Care Systems: A Study of Health Administration Efficiency

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