This
is different type of insurance for social health insurance that
insurance community optional and therefore be used on a limited level,
targeting workers and farmers and entrepreneurs so it can be used for
those who have not covered other insurance, it is difficult to put this
type of insurance in a specific pattern to the presence disparity and
difference of where
its inception and its application from country to country, but differs
in the same country from one region to another as in Vietnam and
Thailand,
One of the most important differences
Difference in the benefits offered by these insurance programs at a time in which we find programs bother most expensive cases, infrequent, (such as the entry to the hospital), in order to protect patients from high costs, we find other programs interested in the frequent cases of low-cost (such as visiting health centers) , in order to raise the level of health services provided, and these are usually used at the village level.
And adopt regulations insurance community on the premiums paid by families, but this is targeting rural areas and middle-income rather than poorer areas, because premiums then would be unable to pay mandated benefits for their limitations, let's face it is becoming more common in these systems to cover insurance community part of the cost of services, while cover the rest of the cost through donor support and cooperation of civil society organizations and the participation rate paid by patients, as some villagers are helping to build clinics to reduce the costs of the necessary infrastructure.
And can increase the chance of success of these systems insurance to be part of the development program wider, in addition to the reorganization of health services in the regions, and the reduction of misuse of services, and coordination between local programs different to benefit from each other in design, training and information systems, as happened in the Philippines, it also It is very important inclusion in the design community insurance programs from the early stages and formulated a way that it is accessible to the community that raises the degree of interest of the community and encourage them to participate.
With limited distribution danger in this type of insurance being confined in limited areas, but when compared to direct payment or payment non-formal, the insurance community is still better for distribution of risk among a limited group, with the difficulty in covering the health services full (where has always exceptions and Bishop specific) but often get better service with time, especially if the benefit is designed in an attractive and accessible to take into account the balance between the priority and the need and ability to execute.
Source: agencies
One of the most important differences
Difference in the benefits offered by these insurance programs at a time in which we find programs bother most expensive cases, infrequent, (such as the entry to the hospital), in order to protect patients from high costs, we find other programs interested in the frequent cases of low-cost (such as visiting health centers) , in order to raise the level of health services provided, and these are usually used at the village level.
And adopt regulations insurance community on the premiums paid by families, but this is targeting rural areas and middle-income rather than poorer areas, because premiums then would be unable to pay mandated benefits for their limitations, let's face it is becoming more common in these systems to cover insurance community part of the cost of services, while cover the rest of the cost through donor support and cooperation of civil society organizations and the participation rate paid by patients, as some villagers are helping to build clinics to reduce the costs of the necessary infrastructure.
And can increase the chance of success of these systems insurance to be part of the development program wider, in addition to the reorganization of health services in the regions, and the reduction of misuse of services, and coordination between local programs different to benefit from each other in design, training and information systems, as happened in the Philippines, it also It is very important inclusion in the design community insurance programs from the early stages and formulated a way that it is accessible to the community that raises the degree of interest of the community and encourage them to participate.
With limited distribution danger in this type of insurance being confined in limited areas, but when compared to direct payment or payment non-formal, the insurance community is still better for distribution of risk among a limited group, with the difficulty in covering the health services full (where has always exceptions and Bishop specific) but often get better service with time, especially if the benefit is designed in an attractive and accessible to take into account the balance between the priority and the need and ability to execute.
Source: agencies
