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The Economics of Rural Health Insurance

The Economics of Rural Health Insurance
Author: Isaac Osei-Akoto
Publisher: Peter Lang Publishing
Total Pages: 158
Release: 2004-01-01
Genre: Health insurance
ISBN: 9780820473055

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Many households in Ghana are exposed to risks from preventable diseases, poor weather, and economic mismanagement but they have limited access to quality health care because of existing ineffective financing options, especially for the poor and people who live in rural areas. This study uses data from the two oldest community-based health insurance schemes in Ghana to investigate the role of this type of schemes on access to health care and health care expenditures. It also examined how the schemes cover the people who need the advantages of insurance most; poor people and high risk individuals, who would find it difficult to pay for health care in the absence of insurance. The findings reveal strong positive effects on access to quality health care but portray remarkable exclusion of the poorest of the poor. The study highlights the need for improved rural health infrastructure and stronger linkages between modern and traditional means of risk sharing to make the newly introduced national health insurance scheme in Ghana more effective and equitable.


Application of the Political Economy to Rural Health Disparities

Application of the Political Economy to Rural Health Disparities
Author: Monica M. Taylor
Publisher: Springer
Total Pages: 58
Release: 2018-03-13
Genre: Medical
ISBN: 3319735373

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This thought-provoking monograph analyzes the longstanding political and economic structures underlying entrenched health inequities in rural areas worldwide. Bypassing familiar data on the subject, it critiques existing approaches to why core social determinants of health are underrepresented in rural communities, and synthesizes knowledge from health behaviors to spatial politics to make creative, equitable suggestions for intervention. The author reviews classic economic and current sociopolitical theory to pinpoint governments’ decision-making processes behind resource allocation as they translate into poor service access, service quality, and health outcomes. In reply, corrective policy measures are recommended to address these conditions at the root-cause level, in keeping with global goals of improved health for all. Included in the coverage: · Rural health disparities: the political economy. · Rural health disparities: the economic argument. · Social disorganization in rural communities. · Rural health disparities and social disorder: public policy responses. · The political economy: an era of institutional cynicism? With its forceful argument for dealing with a growing but often invisible crisis, Application of the Political Economy to Rural Health Disparities makes a significant text for graduate and undergraduate programs in public and international affairs, planning and public policy, public health, public administration, and economics. Public health and advocacy organizations will also benefit from the book’s vision.


Health Care Reform Legislation

Health Care Reform Legislation
Author: United States. Congress. House. Committee on Small Business. Subcommittee on Development of Rural Enterprises, Exports, and the Environment
Publisher:
Total Pages: 112
Release: 1994
Genre: Law
ISBN:

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Rural Health and Medical Care

Rural Health and Medical Care
Author: Frederick Dodge Mott
Publisher:
Total Pages: 636
Release: 1948
Genre: Medical economics
ISBN:

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Health Status and Health Care Access of Farm and Rural Populations

Health Status and Health Care Access of Farm and Rural Populations
Author: Carol Adaire Jones
Publisher: DIANE Publishing
Total Pages: 72
Release: 2010
Genre: Social Science
ISBN: 143792154X

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Rural residents have higher rates of age-adjusted mortality, disability, and chronic disease than their urban counterparts. Contributing negatively to the health status of rural residents are their lower socioeconomic status, higher incidence of both smoking and obesity, and lower levels of physical activity. Contributing negatively to the health status of farmers are the high risks from workplace hazards; contributing positively are farmers¿ higher socioeconomic status, lower incidence of smoking, and more active lifestyle. Both farm and rural populations experience lower access to health care along the dimensions of affordability, proximity, and quality, compared with their non-farm and urban counterparts. Charts and graphs.


Quality Through Collaboration

Quality Through Collaboration
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 289
Release: 2005-04-24
Genre: Medical
ISBN: 0309094399

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Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.


A Shared Destiny

A Shared Destiny
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 294
Release: 2003-03-05
Genre: Medical
ISBN: 0309168570

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A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community's economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.


Care Without Coverage

Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 213
Release: 2002-06-20
Genre: Medical
ISBN: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.


Extending Health Insurance to the Rural Population

Extending Health Insurance to the Rural Population
Author:
Publisher: World Bank Publications
Total Pages: 40
Release: 2007
Genre: Child development
ISBN:

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Abstract: In 2003, after over 20 years of minimal health insurance coverage in rural areas, China launched a heavily subsidized voluntary health insurance program for rural residents. The authors use program and household survey data, as well as health facility census data, to analyze factors affecting enrollment into the program and to estimate its impact on households and health facilities. They obtain estimates by combining differences-in-differences with matching methods. The authors find some evidence of lower enrollment rates among poor households, holding other factors constant, and higher enrollment rates among households with chronically sick members. The household and facility data point to the scheme significantly increasing both outpatient and inpatient utilization (by 20-30 percent), but they find no impact on utilization in the poorest decile. For the sample as a whole, the authors find no statistically significant effects on average out-of-pocket spending, but they do find some-albeit weak-evidence of increased catastrophic health spending. For the poorest decile, by contrast, they find that the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. They find evidence that the program has increased ownership of expensive equipment among central township health centers but had no impact on cost per case.


Economic Restructuring and Family Well-being in Rural America

Economic Restructuring and Family Well-being in Rural America
Author: Kristin E. Smith
Publisher: Penn State Press
Total Pages: 414
Release: 2011
Genre: Social Science
ISBN: 0271048611

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"A compilation of policy-relevant research by a multidisciplinary group of scholars on the state of families in rural America in the twenty-first century. Examines the impact of economic restructuring on rural Americans and provides policy recommendations for addressing the challenges they face"--Provided by publisher.