A desire to enhance protection against health care costs and improve equity of access to health care lies at the core of many health sector financing initiatives. Until recently, international debates about financing and health equity have focused primarily on mechanisms to promote equity in relation to very specific elements of health systems. However, in recent years there has been growing in...

The Malaysian health care system is a success story among countries of equivalent socio-economic status. However there are numerous challenges faced by the nation, which create the need for changes and reform. There is rising consumer demands and expectations for high technology and high cost medical care due to improved standards of living, changing disease patterns and demographic changes, in...

introduction: as the elderly population increases, chronic diseases and disabilities also become more prevalent. home care programs as hospital services supplement, not only can prevent elderly from get worse in their disabilities but also make it easier for governments to manage elderly people's needs therefore, we aimed to determine the home visit services provided for elderly residing i...

The inadequacies of our fragmented acute and long-term care financing and delivery systems have been well recognized for many years. Yet over the past two decades only a very small number of "boutique" initiatives have been able to improve the financing and the delivery of care to chronically ill and disabled populations. These initiatives share most of the following characteristics: prepaid, r...

Although future Medicare costs are highly uncertain, reasonable projections of those costs suggest a major financing problem. The Balanced Budget Act of 1997 will provide temporary relief, although it introduced some new problems, including its geographic adjustment of Medicare+Choice rates. For the future we propose a premium-support system and an expanded benefits package. Such a system would...

background: perceived self‑efficacy is a strong predictor for behavior. considering the importance of health‑promoting self‑care behaviors in increasing quality of life in the elderly, this study was aimed at defining the effect of nurse home visits on self‑care self‑efficacy of the elderly in rural areas. materials and methods: this is a pre and post quasi‑experimental study conducted on 33 ol...

Purpose: This paper aims to assess long-term care (LTC) spending in Poland broken down into public financing and beneficiaries' contributions, which depend on the financial resources available them. By focusing individual expense items from people's perspective requiring care, author takes stock of range services offer relative those need. Design/Methodology/Approach: The study examines expendi...

Previous studies have viewed Swiss health-care financing as particularly regressive. However, as the OECD Review of the Swiss Health System (2011) stated, the income-related inequities and the inter cantonal variations are still unexplored due to a lack of available information. The present paper aims to fill this information gap concerning the Swiss health system by exploring the differences i...