Health Services

The health insurance is effective tool in making the health policies in many countries suffered a disease is sudden event and unpredictable. Therefore, it should have a system for sharing the hazard. This is a foundation of the health insurance system. The system help predicting the hazard level in the range of the large community.
Health services ; Insurance, Health

Background: The recently enacted Universal Health Care (UHC) Act prioritizes the provision of a comprehensive set of quality and accessible services. However, the devolution of health services has led to inequitable investments in healthcare resulting to disparities in health outcomes between areas. One of the strategies considered that could minimize these differences is the contracting out of health services to the private sector. This review focuses on mapping equity-related issues and concerns with regard to contracting out health services. Methods: A modified systematic search of literature using published journal articles through PubMed and Google Scholar and other pertinent reports and manuals was conducted on issues of equity and health service contracting. Results and Discussion: There is currently a dearth of literature on the effect of contracting services on health equity outcomes, particularly on the impact of contracting out on equity. Limited studies showed that contracting out can potentially improve equity by increasing service utilization. Mechanisms on how contracting out could potentially affect equity were also found. Results mainly suggest that concrete steps should be taken to ensure equitable access and improvement in health outcomes among population subgroups. To provide a framework in applying possible insights from the review, discussion of the literature review was framed in the context of establishing performance-based contracting. It was emphasized that including representatives from the underserved populations and patient groups during stakeholder consultations were crucial to provide localized context for the inclusive development of contracting arrangements. Other strategies that were highlighted included: establishing monitoring systems that disaggregate data between groups, selecting contractors that have the capacity to reach and provide services to the underserved, and making sure that these contractors are also open to data sharing for economic evaluation of services. Conclusion and Recommendations Despite the paucity of data on the impact of contracting out services on equity, mechanisms explaining the effect of contracting on equity were put forward and illustrated. These findings can be considered by policy makers and program developers in the operationalization of service agreements between the public and private sectors.
Health Equity ; Contract Services ; Health Services

The health of adolescents in Papua New Guinea requires urgent attention. At stake is the health and wellbeing of a sizeable proportion of a generation. Adolescence is defined by the World Health Organization as occurring between the ages of 10 and 19 years. For many this can be a time of working through issues and progressing their education to become happy, well-rounded adults. But young people without adequate guidance and education are vulnerable to negative influences and risk-taking, and these can have adverse consequences for health and wellbeing in the short and long term. Many adolescents with chronic mental or physical health currently do not get the services they need. This paper briefly outlines disease burdens for adolescents, and the challenges for health and education services.
Health services administration, Child health services

In accordance with the Republic Act (RA) 11036, also known as the Mental Health Act of 2017, the Department of Health (DOH) was tasked to "establish a balanced system of community-based and hospital-based mental health services at all levels of the public health care system from the barangay, municipal, city, provincial, regional to the national level." It is also expected that the Local Government Units (LGUs) "promote deinstitutionalization and other recovery-based approaches to the delivery of mental health care services."1 Even before RA 11036 was enacted, the Davao Center for Health Development (DCHD) had already facilitated the establishment of several Community-Based Mental Health Programs (CBMHPs) in rural health units (RHUs) within the region since 2015. These programs are guided by six principles–coordinated level of referral system for better patient care, optimizing the expertise of the regional mental hub to guarantee rational use of drugs, community-based patient care for a more cost-effective treatment, capitalizing family and patient's support groups for better patient outcomes, optimizing innovative long-acting injections for better compliance and decreased relapse, and neutralizing the stigma against schizophrenia to improve mental health.2 The aim of this article is to recommend health care policies based on the report on observations and lessons learned from the implementation of the CBMHPs by the DCHD in four municipalities in Davao Region.
Community Health Services ; Mental Health Services

The conception of health care or health services socialization was the first mentioned in the resolution of the fourth conference held by the seventh Party Central Committee. In the last twelve years, we reached many achievements in order to translate the policy of health services socialization into reality: People have many improvements in terms of self-defense consciousness and health care. There are many new organizational forms: health insurance, charity fund, health care fund for the poor. Besides public health establishments, there are many private health establishments with various economic forms. However, the socialization of health services has many limits: the contrary of market mechanism put new pressures on health sector. On the other hand, health establishments lack of budget to pay essential health services
Health Services ; Socialization

The study was carried out on 5,579 households of 28 rural communes, among them 1,463 households had olders. The needs of medical service were very high (prevalence of self-reported illness was 1.8-2.4 times a year). Prevalence of olders who accessed clean water was very low, and the rate of medical insurance cover was 10.96%. Access time of local infirmaries was 12.3 minutes, of private drugstores was 11.1 minutes, and of hospitals was 14 minutes. The average cost of 1 illness course was 134,500VND. It’s necessary to strengthen communication about drug use, to increase amount of physicians in local infirmaries, and to promote local medical services.
Health Services ; Aged ; Epidemiology

Studying on the patient's compliance for the public and semipublic health services showed that the quality of service in the semipublic health facilities was better than this in the public health facilities such as attitude of health staffs, confidence of patients.
Hospitals ; Health Services

To evaluate user fee the situation of, in 2001, at the Khammouane provincial hospital Lao PDR by a cross study. 109 in-patients and 204 out- patients were interviewed and, 20 groups of health staffs were discussed and the information (2001) on statistic, finances and exemptions in the hospital office were analyzed. The results showed that: With the minus government budget, the very low fees and many free services, the quality of the health service is not progressive and it is very difficult to apply the exemptions. The rate of using the patients' bed is very low because both the rich and poor patients don't like to take health care in this hospital. When the patients come to hospital, all of them prepare enough money to pay because they don't know who will be exemption. If they can't get enough money, they don't come yet. Both the patients and health staffs accepted the low user fees but the providers need to raise the quality of health services and apply better the exemptions. The very low fees and many free services in the hospital aren't the suitable solution to help the poor patients can take health care when the another sources can't supply sufficiently for these services.
Hospitals ; Health Services

A study on 6165 pediatric patients with ages of 11-16 and 167 health staffs who were working in Hoan Kiem district and response of the health services to children has shown that the first health service was pharmacy and drug store, 62,6% followed by hospitals.
Health Services ; Child