Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study investigated the Medicare coverage and out-of-pocket costs of quadruple therapy for patients with heart failure. The findings showed that Medicare drug plans restrict coverage of quadruple therapy through cost sharing, making it unaffordable for many patients unless medication prices and cost sharing are reduced.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study examines the Medicare coverage and out-of-pocket costs of quadruple therapy and regimens excluding ARNI or SGLT2i. The findings suggest that Medicare drug plans restrict the coverage of quadruple therapy through cost sharing, leading to substantially higher out-of-pocket costs compared to generic regimens.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Economics
Alexandra-Anca Purcel, Cristian Mihai Dragos, Codruta Mare, Simona Laura Dragos
Summary: This study examines the determinants of voluntary health insurance (VHI) and out-of-pocket payments (OOP) at the cross-country market level and the impact of financial development on the choice between the two in 26 European OECD countries from 2000 to 2018. The findings suggest that citizens from less developed countries with lower GDP tend to rely on VHI and OOP to compensate for insufficient public coverage. Moreover, VHI is preferred over OOP in countries with higher financial development and formal financial activities.
ECONOMIC MODELLING
(2023)
Article
Public, Environmental & Occupational Health
Masanori Kuroki
Summary: This study examines the link between health insurance and out-of-pocket medical expenses at the state level. It finds that the new law allowing more taxpayers to take medical expense deductions increased the share of tax returns with deductions and the total deduction amounts, with a greater increase observed in states with larger uninsured populations. The findings highlight the role of employer-sponsored and private health insurance in reducing out-of-pocket medical expenses among the general population.
Article
Economics
Jingxuan Zhao, Zhiyuan Zheng, Leticia Nogueira, Robin Yabroff, Xuesong Han
Summary: The study examined the impact of the preexisting condition protections under the Affordable Care Act (ACA) on insurance coverage, premiums, and out-of-pocket spending. The results showed that the ACA increased nongroup insurance coverage for individuals with or without preexisting conditions, and decreased premium contributions for families with nongroup private coverage. Additionally, there were greater decreases in out-of-pocket spending for individuals with preexisting conditions, especially among those covered by nongroup insurance.
Article
Pediatrics
Florence Francis-Oliviero, Benedicte Driollet, Francois Alla
Summary: This study investigated healthcare professionals' perceptions of social health inequalities in the context of pediatric chronic disease and their insights regarding proportionate universalism as a potential solution. The study found that healthcare professionals often associated inequalities with socioeconomic precariousness or geographical disparities and proposed potential solutions to reduce them.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Article
Health Care Sciences & Services
Pragyan Monalisa Sahoo, Himanshu Sekhar Rout, Mihajlo Jakovljevic
Summary: The present study assessed the awareness of the public about Biju Swasthya Kalyan Yojana (BSKY), identified its determinants, and examined its utilization among households in Khordha district of Odisha. The study found low procedure-specific awareness and low benefits received among the BSKY beneficiaries. The study highlights the need to increase scheme coverage and improve administrative efficiency.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2023)
Article
Environmental Sciences
Samuel Lopez-Lopez, Raul del Pozo-Rubio, Marta Ortega-Ortega, Francisco Escribano-Sotos
Summary: This study examines the financial risks faced by Spanish households in paying for healthcare from 2008 to 2015, revealing the presence of catastrophic households and emphasizing the necessity for designing financial protection policies to mitigate these risks.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Economics
Rosalind Bell-Aldeghi, Nicolas Sirven, Morgane Le Guern, Christine Sevilla-Dedieu
Summary: This study examines out-of-pocket payments (OOP) at the end of life for individuals aged 65 or older in France. Using data from a major French health insurance company, the study finds that OOP expenses increase in the last year of life and accelerate in the last trimester. The French system overall protects individuals from catastrophic OOP, but the expenses are still income elastic and driven by personal convenience demands.
EUROPEAN JOURNAL OF HEALTH ECONOMICS
(2022)
Article
Public, Environmental & Occupational Health
Aniqa Islam Marshall, Kanang Kantamaturapoj, Kamonwan Kiewnin, Somtanuek Chotchoungchatchai, Walaiporn Patcharanarumol, Viroj Tangcharoensathien
Summary: Participatory and responsive governance in Thailand's Universal Health Coverage (UHC) systems are governed through three public insurance schemes, with each scheme having individual laws. The legislative provisions promote citizen representation and involvement in UHC governance, implementation and management, but not all schemes equally bolster citizen participation and government responsiveness. Adequate implementation capacity and commitment to the legislative provisions are crucial for the success of UHC.
Article
Multidisciplinary Sciences
Vishnu Prasad Sapkota, Umesh Prasad Bhusal, Govinda Prasad Adhikari
Summary: This study aims to analyze the financial protection situation across occupations and geography in Nepal using nationally representative household survey data. The results show that households engaged in informal occupations are more susceptible to poverty and financial hardships due to healthcare payments. Additionally, there is a significant urban/rural and provincial disparity in financial protection. These findings provide valuable insights for policymakers involved in designing health-financing reforms for achieving universal health coverage.
Article
Public, Environmental & Occupational Health
Yaoguang Zhang, Di Dong, Ling Xu, Zhiwen Miao, Wenhui Mao, Frank Sloan, Shenglan Tang
Summary: China has achieved significant progress in advancing universal health coverage through the introduction of the New Cooperative Medical Scheme (NCMS) in 2003. The study assessed the impact of changing NCMS policies on service utilization, financial burden, and equity for NCMS enrollees between 2003 and 2013. The findings showed increased service utilization, reduced financial risk, and identified priority targets for future reforms to improve equity and financial protection for the rural population.
Article
Public, Environmental & Occupational Health
Michelle Weinberger, Nicole Bellows, John Stover
Summary: The study highlights the significant role of private sector expenditures in family planning, with spending on contraceptive pills being particularly high. Subsidised commodity expenditures are more prominent in low-income countries, while unit prices are found to be significantly higher in upper-middle-income countries compared to low-income countries. There is a need for financing approaches to ensure a wide range of contraceptives are accessible and affordable.
Article
Public, Environmental & Occupational Health
Sanjay K. Mohanty, Ashish Kumar Upadhyay, Suraj Maiti, Radhe Shyam Mishra, Fabrice Kaempfen, Jurgen Maurer, Owen O'Donnell
Summary: This study assessed the impact of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY) on the health insurance coverage of the poorest 40% of the population in India. The implementation of the program led to the largest increase in coverage in rural areas and a decrease in inequality, but it was insufficient to achieve universal coverage for the poor.
Review
Health Care Sciences & Services
Abigail Nyarko Codjoe Derkyi-Kwarteng, Irene Akua Agyepong, Nana Enyimayew, Lucy Gilson
Summary: The study found that in sub-Saharan Africa, even though some services are theoretically covered by health insurance, clients still have to pay out-of-pocket, mainly due to coping strategies of street level bureaucrats and resource constraints leading to conflicting practical norms. In addition, these payments are related to structural violence and the "corruption complex" governed by practical norms.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2021)
Article
Public, Environmental & Occupational Health
Justin Rodgers, Hwa-Young Lee, Rockli Kim, Nachiket Mor, S. V. Subramanian
Summary: The overall prevalence of caesarean delivery in India in 2016 was 19.3%, with most geographic variation attributable to states (44%), communities (32%), and districts (24%). After adjusting for all risk factors, the variance explained was 44%, 52% and 46% for states, districts, and communities, respectively. In public facilities, individual risk factors accounted for a larger proportion of variation compared to private facilities.
PAEDIATRIC AND PERINATAL EPIDEMIOLOGY
(2022)
Article
Medicine, General & Internal
Mi Jin Lee, Woo Young Nho, Haewon Jung, Jae Wan Cho, Jun Seok Seo, Hyung Min Lee, Kwang Hyun Cho, Yun Jeong Kim, Jong Kun Kim
Summary: Approximately one-third of EM residents in South Korea report depression and sleep-wake problems, with female residents showing a higher risk than male residents. Difficulty in trading the shift schedule and frequent night shifts are associated with depression.
ANNALS OF MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Nam-Hee Kim, Jarvis T. Chen, Ichiro Kawachi
Summary: This study examined the impact of dental insurance coverage for older adults in Korea. The results showed a decrease in chewing difficulty in the study population but it could not be attributed solely to the insurance extension.
JOURNAL OF EPIDEMIOLOGY
(2022)
Article
Environmental Sciences
Jiyun Jung, Jae Yoon Park, Woojae Myung, Jun-Young Lee, Hyunwoong Ko, Hyewon Lee
Summary: Higher levels of residential greenness are associated with a decreased risk of Parkinson's disease incidence, particularly in individuals over 50 years old, females, overweight/obese individuals, non-urban residents, non-smokers, alcoholics, and those with comorbidities.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Review
Oncology
Tomotaka Ugai, Naoko Sasamoto, Hwa-Young Lee, Mariko Ando, Mingyang Song, Rulla M. Tamimi, Ichiro Kawachi, Peter T. Campbell, Edward L. Giovannucci, Elisabete Weiderpass, Timothy R. Rebbeck, Shuji Ogino
Summary: The incidence of early-onset cancers (diagnosed in individuals <50 years of age) has increased in many countries in recent decades. This increase is probably due to greater use of screening programs and changing patterns in early-life exposures. Evidence suggests that risk factor exposures in early life and young adulthood play an etiological role in the development of these cancers.
NATURE REVIEWS CLINICAL ONCOLOGY
(2022)
Article
Multidisciplinary Sciences
Hwa-Young Lee, Rockli Kim, Soong-Nang Jang, Ichiro Kawachi
Summary: This study examined the relative importance of ecological factors in reducing the geographic variation in suicide rates in Seoul. The findings suggest that ecological micro-area units play a significant role in reducing the variability in suicide rates. More diverse ecological-level data should be collected to develop targeted suicide prevention policies in specific areas.
Article
Public, Environmental & Occupational Health
Nam-Hee Kim, Hawazin W. Elani, Ichiro Kawachi
Summary: In 2012, the South Korean government expanded dental insurance for the elderly to improve access to dental care. Through analysis, it was found that the insurance expansion resulted in a paradoxical increase in perceived unmet dental needs among elderly individuals, while also leading to improvements in dental prosthetics outcomes. Among low-income older adults, the increase in unmet dental needs was smaller compared to high-income adults.
JOURNAL OF EPIDEMIOLOGY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Young-Eun Jang, Nam-Hee Kim
Summary: This study aimed to investigate the influence of job autonomy on job crafting of dental hygienists in South Korea. The results showed a positive correlation between high job autonomy and job crafting. Therefore, job autonomy should be redesigned to promote the task competency and social responsibility of dental hygienists for better population health outcomes.
INTERNATIONAL JOURNAL OF DENTAL HYGIENE
(2023)
Article
Psychiatry
Hwa-Young Lee, So Young Kim, Kyoung Eun Yeob, Yeon Yong Kim, Jong-Hyock Park
Summary: This study investigated the prevalence and incidence of depressive disorders in the entire Korean adult population, focusing on disabled individuals. It found that the prevalence and incidence of depressive disorders were higher among the disabled than the non-disabled, with severity of disabilities being inversely associated with incidence. Additionally, financial hardships or comorbidities rather than disabilities themselves contribute significantly to depressive disorders in disabled individuals.
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY
(2023)
Article
Multidisciplinary Sciences
Hwa-Young Lee, Rockli Kim, Soong-Nang Jang, Ichiro Kawachi
Summary: The study found that within-Gu, between-Dong differences played a significant role in the geographic variation of suicide rates in Seoul, with the contribution of the Gu level being relatively small. The number of divorce cases per 100,000 population explained a large fraction of the variation in suicide rates at the Dong level.
Article
Public, Environmental & Occupational Health
Samantha Horn, Yana Litovsky, George Loewenstein
Summary: This study suggests that curiosity can be a useful tool in increasing demand for and engagement with aversive health information. By manipulating curiosity through various methods, researchers found that participants were more likely to view and engage with information about their drinking habits, cancer risk, and the sugar content in drinks. Overall, curiosity prompts provide a simple and effective way to increase engagement with aversive health information.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Sandra Gillner
Summary: Despite high expectations, the extensive and rapid adoption of AI in medical diagnostics has not been realized. This study investigates the perception and navigation of AI providers in complex healthcare systems, revealing their self-organization to increase adaptability and the practices utilized to mitigate tensions within the healthcare subsystems.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Fabian Duartea, Alvaro Jimenez-Molina
Summary: This study found that violence related to social protest has a significant impact on depressive symptoms, leading to an increase in depression among the population in Chile. The effect varies by gender and age, with a stronger influence on men and young adults.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Nick Graetz, Carl Gershenson, Sonya R. Porter, Danielle H. Sandler, Emily Lemmerman, Matthew Desmond
Summary: Investments in stable, affordable housing may be an important tool for improving population health. This study, using administrative data, found that high rent burden, increases in rent burden during midlife, and evictions were associated with increased mortality.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Wan Wei
Summary: This study explores the phenomenon of other patient participation in Traditional Chinese Medicine (TCM), uncovering the various roles that third parties can assume during medical interactions. The findings contribute to existing research on patient resistance and triadic medical interactions, providing insights into the dynamics and implications of third-party involvement in medical consultations.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Harry Scarbrough, Katie Rose M. Sanfilippo, Alexandra Ziemann, Charitini Stavropoulou
Summary: This paper examines the contribution of pilot implementation studies to the wider spread and sustainability of innovation in healthcare systems. Through an empirical examination of an innovation intermediary organization in the English NHS, the study finds that their work in mobilizing pilot-based evidence involves configuring to context, transitioning evidence, and managing the transition. The findings contribute to theory by showing how intermediary roles can support the effective transitioning of pilot-based evidence, leading to more widespread adoption and sustainability of innovation.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Marta Seiz, Leire Salazar, Tatiana Eremenko
Summary: This study examines the impact of maternal educational selection on birth outcomes during an economic recession, and finds that more educated mothers are more likely to give birth during high unemployment periods. Additionally, maternal education mitigates the adverse effects of unemployment on birth outcomes and is consistently associated with better perinatal health.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Jingyuan Shi, Hye Kyung Kim, Charles T. Salmon, Edson C. Tandoc Jr, Zhang Hao Goh
Summary: This study examines the influence of individual and collective norms on COVID-19 vaccination intention across eight Asian countries. The findings reveal nuanced patterns of how individual and collective social norms influence health behavioral decisions, depending on the degree of cultural tightness-looseness.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Elliot Friedman, Melissa Franks, Elizabeth Teas, Patricia A. Thomas
Summary: This study found that positive relations with others have a significant impact on functional limitations and longevity in aging adults, independent of social integration and social support.
SOCIAL SCIENCE & MEDICINE
(2024)
Article
Public, Environmental & Occupational Health
Zhuolin Pan, Yuqi Liu, Ye Liu, Ziwen Huo, Wenchao Han
Summary: This study examines the effects of age-friendly neighbourhood environment and functional abilities on life satisfaction among older adults in urban China. The findings highlight the importance of transportation, housing, and social and physical environment factors in influencing functional abilities and life satisfaction. The study provides valuable insights for policymakers in enhancing older adults' life satisfaction in the Chinese urban context.
SOCIAL SCIENCE & MEDICINE
(2024)