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192 Results Found

  • Article
  • Open Access
4 Citations
2,918 Views
10 Pages

(1) Background: Korea operates its national health insurance (NHI) system as a form of public health insurance, and is commonly regarded as having achieved universal health coverage (UHC). However, many Korean households register for additional priva...

  • Article
  • Open Access
1,719 Views
28 Pages

10 May 2023

This paper investigates the optimal private health insurance contract design problem, considering the joint interests of a policyholder and an insurer. Both the policyholder and the insurer jointly determine the premium of private health insurance. I...

  • Review
  • Open Access
34 Citations
10,867 Views
21 Pages

Background: We conducted a systematic review on the role of private health insurance to complement the social health insurance system towards achieving universal health coverage in China. This review presents the impacts of private health insurance o...

  • Article
  • Open Access
16 Citations
5,218 Views
15 Pages

The objective of this study was to assess the determinants of the decision to purchase private health insurance (PHI) in China. Nationally representative data from the fourth wave of the China Household Finance Survey from 2017 were used, and the dat...

  • Article
  • Open Access
2 Citations
2,937 Views
13 Pages

This study focuses on the effect of private health insurance on financial risk taking in Spanish households. According to the arguments related to the background risk, we propose two hypotheses: the first predicts a positive relationship between heal...

  • Article
  • Open Access
2 Citations
1,904 Views
20 Pages

Financial Knowledge and Private Health Insurance: Does Age Matter?

  • Inmaculada Aguiar-Díaz and
  • María Victoria Ruiz-Mallorquí

14 October 2023

(1) Background: The paper focuses on the relationship between financial knowledge (FK) and holding private health insurance (PHI), and also focuses on the effect of age on the aforementioned relationship. (2) Method: The study was carried out on a sa...

  • Article
  • Open Access
8 Citations
3,190 Views
17 Pages

Health literacy (HL) is a competence to find, understand, appraise, and apply health information and is necessary to maneuver the health system successfully. People with low HL are, e.g., under the risk of poor quality and safety of care. Previous re...

  • Article
  • Open Access
2,466 Views
19 Pages

8 July 2025

Healthcare cost acceleration and resource allocation issues have worsened across European health systems, where a small group of patients drives excessive healthcare spending. The prediction of high-cost utilization patterns is important for the sust...

  • Article
  • Open Access
24 Citations
3,304 Views
22 Pages

Q-ROF Fuzzy TOPSIS and VIKOR Methods for the Selection of Sustainable Private Health Insurance Policies

  • Babek Erdebilli,
  • Ebru Gecer,
  • İbrahim Yılmaz,
  • Tamer Aksoy,
  • Umit Hacıoglu,
  • Hasan Dinçer and
  • Serhat Yüksel

7 June 2023

As a result of the inability of people to meet their demands in the face of increasing demands, people tend to have private health insurance in addition to the general health insurance offered as a public service. Due to the increasing trend of takin...

  • Article
  • Open Access
1 Citations
2,435 Views
9 Pages

22 July 2022

This study aimed to investigate pediatric health access by describing the ecology of medical care for children and adolescents in a medical environment where a well-balanced system between national health insurance (NHI) and private medical insurance...

  • Article
  • Open Access
16 Citations
4,208 Views
15 Pages

Older adults with multiple chronic conditions have a higher risk than those without multiple conditions of developing a mental health condition. Individuals with both physical and mental conditions face many substantial burdens. Many such individuals...

  • Article
  • Open Access
1 Citations
2,316 Views
11 Pages

Out-of-Pocket Expenditure (OOPE) Among COVID-19 Patients by Insurance Status in a Quaternary Hospital in Karnataka, India

  • Rajesh Kamath,
  • Chris Sebastian,
  • Varshini R. Jayapriya,
  • Siddhartha Sankar Acharya,
  • Ashok Kamat,
  • Helmut Brand,
  • Reshma Maria Cocess D’Souza,
  • Prajwal Salins,
  • Aswin Sugunan and
  • Sanjay B. Kini
  • + 2 authors

Out-of-pocket expenditure (OOPE) comprises 62% of national health expenditure in India. This heavy reliance on direct payments has engendered economic vulnerability and catastrophic financial pressures (typically defined as out-of-pocket spending exc...

  • Article
  • Open Access
8 Citations
4,471 Views
17 Pages

Background: One of the fundamental objectives of the basic medical security system is to provide institutional guarantees for the appropriate medical needs of different groups. Among them, achieving fairness of benefits is the first principle of the...

  • Article
  • Open Access
1,028 Views
15 Pages

Targeted Outreach by an Insurance Company Improved Dietary Habits and Urine Sodium/Potassium Ratios Among High-Risk Individuals with Lifestyle-Related Diseases

  • Sunao Tanaka,
  • Junji Fukui,
  • Akira Otsu,
  • Shintaro Yokoyama,
  • Tsukasa Tanaka,
  • Kaori Sawada,
  • Shigeyuki Nakaji,
  • Yoshinori Tamada,
  • Koichi Murashita and
  • Tatsuya Mikami

27 June 2025

Background/Objectives: The urine sodium/potassium (Na/K) ratio can potentially be used to detect dietary habits that contribute to hypertension. In this prospective cohort interventional trial, we aimed to verify whether private insurance sales staff...

  • Article
  • Open Access
18 Citations
8,975 Views
12 Pages

Lack of health insurance (HI) is a particular problem for near-older Americans aged 50–64 because they tend to have more chronic health conditions than younger age groups and are at increased risk of disability; however, little recent research...

  • Review
  • Open Access
3 Citations
3,169 Views
13 Pages

This paper aims at finding the suitable healthcare financial model, focusing on their pros and cons, as debated by several scholars. The focus is on the potential benefits for both Romanian and Russian healthcare systems. To reach this goal, a system...

  • Article
  • Open Access
7 Citations
4,393 Views
15 Pages

“I’m Still on Track”: A Qualitative Exploration of Participant Experiences of a Weight Loss Maintenance Program

  • Bronwyn McGill,
  • Blythe J. O’Hara,
  • Philayrath Phongsavan,
  • Adrian Bauman,
  • Luke Lawler and
  • Anne C. Grunseit

Qualitative evidence of participants’ experiences of real-life weight loss maintenance programs is important for ongoing participant engagement and can inform program improvements. The purpose of this study was to understand how participants ac...

  • Article
  • Open Access
15 Citations
3,989 Views
15 Pages

Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults

  • Sean Mahoney,
  • Adam Bradley,
  • Logan Pitts,
  • Stephanie Waletzko,
  • Sheria G. Robinson-Lane,
  • Timothy Fairchild,
  • Donna J. Terbizan and
  • Ryan McGrath

Over a third of adults in the United States have prediabetes, and many of those with prediabetes will progress to type 2 diabetes within 3–5 years. Health insurance status may factor into a proper diagnosis of prediabetes and diabetes. This stu...

  • Article
  • Open Access
19 Citations
17,579 Views
19 Pages

We apply several estimators to Indonesian household data to estimate the relationship between health insurance and the number of outpatient visits to public and private providers. Once endogeneity of insurance is taken into account, there is a 63 per...

  • Article
  • Open Access
4 Citations
1,505 Views
17 Pages

Background: Structural inequalities in healthcare access may influence how individuals experience the psychological effects of psychedelic substances, potentially limiting positive outcomes among vulnerable populations. Objectives: This study uses da...

  • Article
  • Open Access
22 Citations
6,227 Views
12 Pages

14 January 2019

This study aims to examine the determinants of catastrophic health expenditure in households with cancer patients by conducting a panel analysis of three-year data. Data are adopted from surveys administered by Korea Health Panel for 2012–2014....

  • Article
  • Open Access
828 Views
8 Pages

Public Policies and Type of Insurance Are Associated with the Burden of Bladder Cancer – Related Inpatient Health Care in Chile: A Two-Decade Analysis

  • Ignacio Eltit,
  • Joaquín Cristi,
  • Iris Delgado,
  • Paula Huerta,
  • Sergio Fuentes,
  • Alberto Bustamante and
  • Mario I. Fernández

19 July 2023

Objective: To quantify changes in the burden of bladder cancer (BC) inpatient health care in Chile between 2001 and 2019, focusing on the impact of public policies and the type of medical insurance (public or private) held by patients. Methods: We re...

  • Article
  • Open Access
1,920 Views
10 Pages

23 October 2024

Background: Penile squamous cell carcinoma is an aggressive malignancy with significant physical and psychological impacts. Socioeconomic factors influence prognosis in genitourinary cancers, making the investigation of insurance status critical for...

  • Article
  • Open Access
3 Citations
3,687 Views
9 Pages

16 January 2022

Metastatic breast cancer (MBC) patient outcomes may vary according to distinct health care payers and different countries. We compared 291 Alberta (AB), Canada and 9429 US patients < 65 with de novo MBC diagnosed from 2010 through 2014. Data were...

  • Article
  • Open Access
12 Citations
3,550 Views
10 Pages

Relationship between Patient Experience Scores and Health Insurance

  • Walter Markowitz,
  • Khadeja Kausar and
  • Edward Coffield

26 October 2022

(1) Background: the patient experience may be a performance indicator in value-based reimbursement. Accordingly, providers have an incentive to understand factors that affect their patients’ experiences. This study evaluated the relationship be...

  • Article
  • Open Access
3 Citations
4,399 Views
10 Pages

Every US state requires private health insurers to cover certain conditions, treatments, and providers. These benefit mandates were rare as recently as the 1960s, but the average state now has more than forty. These mandates are intended to promote t...

  • Article
  • Open Access
36 Citations
6,276 Views
11 Pages

2 January 2020

This study aimed to analyze the demographic characteristics and health behaviors related to chronic diseases and to identify factors that may affect chronic diseases. Data from the Seventh Korea National Health and Nutrition Examination Survey were u...

  • Article
  • Open Access
11 Citations
3,583 Views
7 Pages

Long-Term Mortality after Histoplasma Infection in People with HIV

  • Joseph Cherabie,
  • Patrick Mazi,
  • Adriana M. Rauseo,
  • Chapelle Ayres,
  • Lindsey Larson,
  • Sasinuch Rutjanawech,
  • Jane O’Halloran,
  • Rachel Presti,
  • William G. Powderly and
  • Andrej Spec

8 May 2021

Histoplasmosis is a common opportunistic infection in people with HIV (PWH); however, no study has looked at factors associated with the long-term mortality of histoplasmosis in PWH. We conducted a single-center retrospective study on the long-term m...

  • Article
  • Open Access
10 Citations
4,115 Views
10 Pages

Background: Teachers are more likely to use a loud voice at work than the general working population, but few longitudinal studies have been conducted on their risk of voice disorders. The occurrence of voice disorders in private school teachers was...

  • Article
  • Open Access
7 Citations
2,749 Views
13 Pages

Functional dyspepsia (FD) significantly reduces quality of life, and Korean medicine treatment, including herbal medicine, is frequently used in the clinical setting. We aimed to analyze the factors affecting Korean medicine health care (KMHC) use fo...

  • Article
  • Open Access
1,408 Views
10 Pages

Following the inauguration, the Trump administration authorized a series of anti-immigrant policies, including modifications to the public charge regulation. This study analyzed the effect of the publication of a proposed public charge rule in 2018 o...

  • Article
  • Open Access
2,190 Views
11 Pages

Given the increasing aging population in South Korea, the quality of life of older adults must be ensured. This cross-sectional descriptive study investigated the gender-specific factors associated with health-related quality of life in obese older a...

  • Article
  • Open Access
1,916 Views
11 Pages

This study is the first to examine factors in the utilization of physician services, dentist services, hospital care, and prescribed medications focusing exclusively on insured children in the United States. Data describing 48,660 insured children we...

  • Article
  • Open Access
20 Citations
5,459 Views
14 Pages

16 October 2020

This study examined the effects of healthcare inequality on personal health. It aimed to determine how health insurance type and income level influence catastrophic health expenditure and unmet healthcare needs among South Koreans. Unbalanced Korean...

  • Article
  • Open Access
12 Citations
3,191 Views
10 Pages

31 July 2022

As genetic testing becomes increasingly incorporated into clinical practice to aid in both the diagnosis and risk assessment of genetic diseases, patients benefit from genetic counseling to support their understanding of test results either before an...

  • Article
  • Open Access
3 Citations
2,615 Views
11 Pages

Financial Toxicity in Japanese Patients with Metastatic Renal Cell Carcinoma: A Cross-Sectional Study

  • Go Kimura,
  • Yasuhisa Fujii,
  • Kazunori Honda,
  • Takahiro Osawa,
  • Yosuke Uchitomi,
  • Miki Kondo,
  • Ariko Otani,
  • Tetsuya Wako,
  • Daisuke Kawai and
  • Nobuo Shinohara
  • + 2 authors

16 May 2024

Information on the financial toxicity experienced by Japanese patients with metastatic renal cell carcinoma (mRCC) is lacking, even though Japan has its own unique public health insurance system. Thus, a web-based survey was conducted to evaluate the...

  • Article
  • Open Access
9 Citations
5,824 Views
22 Pages

20 July 2021

Background: Until now, the cost of allergy treatment in the insured public health care system and the non-insured self-financing private health care system in Indonesia has not been well documented and published, as well as the cost of allergy treatm...

  • Article
  • Open Access
5 Citations
3,246 Views
10 Pages

15 July 2022

Genetic testing is increasingly used in clinical practice to assist with the diagnosis of genetic diseases and/or provide information about disease risk, and genetic counseling supports patient understanding of test results before and/or after geneti...

  • Article
  • Open Access
2 Citations
1 Views
3 Pages

Factors Influencing the Future of Paediatric Private Practice in Malta

  • Victor Grech,
  • Charles Savona-Ventura,
  • Miriam Gatt and
  • Simon Attard-Montalto

In Malta, the health system is hybrid, with similarities to both UK system and the US system, where the National Health Service is supplemented by private practice. This is widely performed either as a primary job or as a supplement to a government s...

  • Article
  • Open Access
7 Citations
2,990 Views
10 Pages

20 August 2020

Asthma is a leading cause of health disparity in children. This study explores the joint effect of race/ethnicity and insurance type on risk for reuse of urgent services within a year of hospitalization. Data were collected from 604 children hospital...

  • Article
  • Open Access
719 Views
33 Pages

8 December 2025

Most low- and middle-income governments are unwilling and unable to adequately fund their health systems using tax resources. Despite this route’s popularity in public discourse, it is neither a feasible nor a desirable route for financing Univ...

  • Article
  • Open Access
5 Citations
6,871 Views
15 Pages

Private Hospitals Generally Offer Better Treatment and Facilities”: Out-of-Pocket Expenditure on Healthcare and the Preference for Private Healthcare Providers in South India

  • Sagarika Kamath,
  • Mahalakshmi Poojary,
  • Harshith Shetty,
  • Kshithija Umesh,
  • Soham Kar,
  • Vani Lakshmi Ramesh,
  • Gaurav Hajare,
  • Albi Thomas,
  • Helmut Brand and
  • Rajesh Kamath
  • + 1 author

Out-of-pocket expenditure (OOPE) directly reflects households’ financial burden for healthcare. Despite efforts to enhance accessibility and affordability through government initiatives and insurance schemes, OOPE remains problematic, especiall...

  • Article
  • Open Access
1,356 Views
8 Pages

BRIGHT-HD—A Brazilian Research Investigation on Public Health Gains Comparing Survival Rates Between Hemodialysis and Hemodiafiltration: An Observational Study

  • Eduardo P. Luciano,
  • João Chang,
  • Elaine C. S. Arantes,
  • Aline Cordeiro,
  • Sandra F. S. Reis,
  • Douglas V. Andrade,
  • Whelington F. Rocha,
  • Andrea O. Magalhães,
  • Cynthia M. Borges and
  • Rosilene M. Elias

5 June 2025

Background/Objectives: High-flux online hemodiafiltration (OL-HDF) appears to be associated with better survival than hemodialysis (HD). In Brazil, OL-HDF is only affordable for patients with private health insurance. Although observational studies h...

  • Article
  • Open Access
1,855 Views
11 Pages

21 November 2023

The goal of this study was to assess the joint role of race/ethnicity and a health insurance coverage type (private, Medicare, Medicaid) in current cigarette use among adults in the U.S. Data from the 2019 Tobacco Use Supplement and the 2019 Annual S...

  • Article
  • Open Access
8 Citations
4,714 Views
13 Pages

Healthcare Services Utilisation and Financial Burden among Vietnamese Older People and Their Households

  • Long Thanh Giang,
  • Tham Hong Thi Pham,
  • Phong Manh Phi and
  • Nam Truong Nguyen

Background: This research examined differences in the utilisation of healthcare services and financial burden between and within insured and uninsured older persons and their households under the social health insurance scheme in Vietnam. Methods: We...

  • Article
  • Open Access
1 Citations
3,584 Views
14 Pages

In this paper, the impact of both gender and age on the claim rates of dread disease and cancer insurance policies were examined using unique data taken from Taiwan’s private health insurance policies issued by non-life insurers during the 2012...

  • Article
  • Open Access
2,476 Views
14 Pages

Determinants of Government Expenditures with Health Insurance Beneficiaries in the Brazilian Health System

  • Leonardo Moreira,
  • João Vitor Marques Teodoro de Lima,
  • Murilo Mazzotti Silvestrini and
  • Flavia Mori Sarti

22 November 2024

Background/Objectives: The Brazilian health system provides healthcare financed by the public and private sector, being the first designed to encompass universal healthcare coverage delivered to the population without charge to patients (Sistema &Uac...

  • Article
  • Open Access
8 Citations
3,750 Views
38 Pages

Wealth Status and Health Insurance Enrollment in India: An Empirical Analysis

  • Preshit Nemdas Ambade,
  • Joe Gerald and
  • Tauhidur Rahman

Since 2005, health insurance (HI) coverage in India has significantly increased, largely because of the introduction of government-funded pro-poor insurance programs. As a result, the determinants of HI enrollment and their relative importance may ha...

  • Article
  • Open Access
18 Citations
3,885 Views
15 Pages

We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based c...

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