introduction: the rapid increase in health costs across the world has forced governments to use insurance programs. uncontrolled costs would reduce the financial ability of insurance organizations in providing services. abuse of health insurance wastes 3-15% of the health budget annually. this study was conducted to determine cases of violating the rules and regulations of medical services insu...

background: the iranian healthcare system is primarily an insurance based system. this structure has an important influence on the efficiency and equity of the provision of healthcare in iran. this paper reviews the history of the iranian healthcare system and the impact of the iranian health insurance system on healthcare performance based on the results of interviews with key opinion leaders ...

Poor vision health severely impacts school and work performance, quality of life, and life expectancy, and results in billions of dollars in medical expenditures each year. While eye and vision problems are often associated with age, low income and racial and ethnic minorities also have elevated risk of eye problems. Federally-funded community health centers, which are mandated to provide compr...

Immigrant Latino women represent about one fifth of the total Latino population; however, data on health status and access to care for this population is limited. Using secondary data, we used a cross-sectional study to examine sociodemographic, migration, health status, and access to health care characteristics of immigrant documented and undocumented Latino women in North Texas. Undocumented ...

INTRODUCTION Hispanic women in the United States have an elevated risk of cervical cancer, but the existing literature does not reveal why this disparity persists. METHODS We performed a retrospective cohort analysis of 17,828 low-income women aged 21 to 64 years seeking care at Oregon community health centers served by a hosted, linked electronic health record during 2009 through 2013. We as...

BACKGROUND Nigeria has included a regulated community-based health insurance (CBHI) model within its National Health Insurance Scheme (NHIS). Uptake to date has been disappointing, however. The aim of this study is to review the present status of CBHI in SSA in general to highlight the issues that affect its successful integration within the NHIS of Nigeria and more widely in developing countri...

The regulation of health insurance is an important and often controversial issue. Rules intended to improve access to insurance for high risk consumer have the potential to reduce overall coverage by inducing adverse selection. This paper examines the issue of adverse selection in the context of the market for private health insurance in Australia, where premiums are required to be community ra...

OBJECTIVE To evaluate an insurance awareness campaign carried out before the launch of three community-based health insurance (CBHI) schemes in rural India, answering the questions: Has the awareness campaign been successful in enhancing participants' understanding of health insurance? What awareness tools were most useful from the participants' point of view? Has enhanced awareness resulted in...

Medical diagnosis is a central component of physician competence, with mastery as a major objective of medical education (Elstein, 1978; Norman, 2005). It is widely recognized that diagnosing is highly individual, dependent on physicians’ perceived difficulty of a particular case and their relevant domain knowledge (Elstein, 2002). As a result, health consumers in practice often choose to seek ...