Abstract:
OBJECTIVE:To evaluate the impact of two medical insurers' policies on the hospitalization of people with schizophrenia and the economic burden they faced during a period of rapid health services reform in China. METHODOLOGY:A comparative analysis was made of Urban Employee-Basic Medical Insurance (UE-BMI) and Urban Residents-Basic Medical Insurance (UR-BMI) policies on the medical management of schizophrenics, and was compared with hospitalization expenses, insurer reimbursement data and other information collected from the HMO (health maintenance organization) and social insurance agencies on the care of people with schizophrenia in Changsha in 2010. In-depth interviews were also conducted with relevant managers. RESULTS:Compared with inpatients covered by UR-BMI, the inpatients of UE-BMI were admitted to higher level medical institutions and were prescribed expensive second generation antipsychotics (SGA) medicines. Nevertheless, the hospitalization service utilization and cost of inpatients' hospitalization under UE-BMI were far less than that of inpatients under UR-BMI. CONCLUSIONS:The insurance level difference between two medical insurance schemes influences the treatment regimens and benefits received by patients. Furthermore, the integration of schizophrenia management into the outpatient services pooling fund for special diseases(OS-PFSD) can appropriately reduce hospitalization utilization, which, together with the payment way reform and the prescription of reasonable medications, can significantly reduce the overall hospitalization cost for patients.
journal_name
Pak J Med Scijournal_title
Pakistan journal of medical sciencesauthors
Feng Y,Xiong X,Xue Q,Yao L,Luo F,Xiang Ldoi
10.12669/pjms.293.3273subject
Has Abstractpub_date
2013-05-01 00:00:00pages
793-8issue
3eissn
1682-024Xissn
1681-715Xjournal_volume
29pub_type
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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abstract:Objectives:The retrosternal goiter (RSG), which can be defined by different classification and its incidence between 2% and 26% of all thyroidectomized patients, is a thyroid gland disease. Our aim was to classify RSG cases with a couple of different ways, which we have detected in computed tomography (CT) imaging of t...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.346.15932
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journal_title:Pakistan journal of medical sciences
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doi:10.12669/pjms.305.5534
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To determine the clinical presentation, diagnostic investigations and laboratory workup done in admitted children with cystic fibrosis at Aga Khan University Hospital Karachi, Pakistan. METHODS:This is athree years retrospective study from January 2013 to December 2015 conducted at The Aga Khan University Ho...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.333.12188
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abstract:OBJECTIVE:The objective of the current study was to establish the reference ranges of haematological indices amongst five healthy infantile (<1 year) age groups. METHODOLOGY:It was a descriptive cross sectional study carried out at the Department of Haematology, Armed Forces Institute of Pathology (AFIP), Rawalpindi. ...
journal_title:Pakistan journal of medical sciences
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更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To study the association between Protein energy malnutrition and polio-specific immunoglobulin G antibodies production among children in Gadap Town Karachi, Pakistan. METHODS:Comparative cross sectional survey conducted at fixed EPI center and Pediatric OPD of a tertiary care hospital Karachi. Children were ...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.312.5366
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.301.4228
更新日期:2014-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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doi:10.12669/pjms.324.10037
更新日期:2016-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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doi:
更新日期:2014-03-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.311.5864
更新日期:2015-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type:
doi:10.12669/pjms.315.7807
更新日期:2015-09-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.343.14345
更新日期:2018-05-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type:
doi:10.12669/pjms.291.2277
更新日期:2013-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.292.3148
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To share our findings that the new treatment modality Video Assisted Anal Fistula Treatment (VAAFT) is a better alternate to the conventional treatments of Fistula in Ano in our setup with minor changes in the initial method described by Meinero. METHODS:Karl Storz Video equipment including Meinero Fistulosc...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.315.6836
更新日期:2015-09-01 00:00:00
abstract::Objective : To evaluate the characterization of normal prevertebral soft tissue width of cervicothoracic region using magnetic resonance images. Methods : Prevertebral soft tissue width in the cervicothoracic region of 165 patients was measured using magnetic resonance images (MRI). The mean and standard deviation of ...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.301.3706
更新日期:2014-01-01 00:00:00
abstract:Background and Objective:Dengue infection has evolved into an epidemic during last few years in Pakistan and has been associated with poor outcomes. Literature with respect to mortality risk factors in Dengue infection is not sufficient. This compelled us to conduct this study to find out major contributory factors to ...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.335.13051
更新日期:2017-09-01 00:00:00
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pub_type:
doi:10.12669/pjms.311.5858
更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章
doi:10.12669/pjms.331.10386
更新日期:2017-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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doi:
更新日期:2014-07-01 00:00:00
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pub_type: 杂志文章
doi:10.12669/pjms.316.8204
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:To determine the prevalence of dental caries, and associated social risk factors among preschool children in Riyadh, Saudi Arabia. METHODS:The study consisted of a random sample of 3 to 5 years- old preschool children who were examined in Riyadh, Saudi Arabia; 388 children (184 boys and 204 girls) were exam...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.322.9439
更新日期:2016-03-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.35.6.896
更新日期:2019-11-01 00:00:00
abstract:Objective:To explore the effectiveness of multidisciplinary comprehensive respiratory rehabilitation in combination with non-invasive positive pressure ventilation (NIPPV) in the treatment of elderly patients with severe chronic obstructive pulmonary disease (COPD). Methods:Eighty-eight elderly patients with severe CO...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.35.2.459
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine the perception of University students regarding the severity of unwanted pregnancy. METHODS:This cross sectional study involved 408 (206 females and 202 males) students residing within the university campus. Simple and systematic sampling methods were used to select ...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.294.3626
更新日期:2013-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.35.3.834
更新日期:2019-01-01 00:00:00
abstract:Background and Objective:Psycho-education of carers is a part of good mental health practice. Our objective was to translate and validate the English questionnaire "Assessment of Psycho-Education of Carers" (APEC) into Urdu (APEC-U), for use in Pakistan. Methods:Following development and validation of APEC, it was tra...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.35.4.661
更新日期:2019-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.36.5.1993
更新日期:2020-07-01 00:00:00