Abstract:
BACKGROUND:Struggling to correct the public-private imbalance in its health care system, the Hong Kong SAR Government seeks to introduce a government-regulated voluntary health insurance scheme, or VHIS, a distinctive financing instrument that combines the characteristics of private insurance with strong government regulation. This study examines citizens' responses to the new scheme and their willingness to subscribe. METHODS:First-hand data were collected from a telephone survey that randomly sampled 1793 Hong Kong adults from September 2014 to February 2015. Univariate and multivariate methods were employed in data analysis. RESULTS:More than one third of the respondents explicitly stated intention of subscribing to the VHIS, a fairly high figure considering the scheme's voluntary nature. Multivariate analysis revealed moderate evidence of adverse selection, defined as individuals' opportunistic behaviors when making insurance purchasing decision based on their own assessment of risks or likelihood of making a claim. CONCLUSION:The excellent performance of Hong Kong's public medical system has had two parallel impacts. On the one hand, high-risk residents, particularly the uninsured, do not face a pressing need to switch out of the overloaded public system despite its inadequacies; this, in turn, may reduce the impact of adverse selection that may lead to detrimental effects to the insurance market. On the other hand, high satisfaction reinforces the interests of those who have both the need for better services and the ability to pay for supplementary insurance. Furthermore, the high-risk population demonstrates a moderate interest in the insurance despite the availability of government subsidies. This may offset the intended effect of the reform to some extent.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
He AJdoi
10.1186/s12913-017-2559-7subject
Has Abstractpub_date
2017-08-25 00:00:00pages
603issue
1issn
1472-6963pii
10.1186/s12913-017-2559-7journal_volume
17pub_type
杂志文章,评审abstract:BACKGROUND:Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The objective of this study was to characterize the use of health-care services and costs associated with BC among patients who underwent radical cystectomy (RC) in the province of Quebec. METHODS:We conducted a descrip...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0972-3
更新日期:2015-08-05 00:00:00
abstract:BACKGROUND:As healthcare systems around the world are facing increasing physician shortages, more physicians are migrating from low to high income countries. As an illustrative case of international migration of physicians, we evaluated the current number and historical trends of Lebanese medical graduates (LMG) in the...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-49
更新日期:2007-04-05 00:00:00
abstract:BACKGROUND:Chronic disease is a leading cause of death globally, where inadequate fruit and vegetable consumption and inadequate physical activity are consistently implicated as key contributing risk factors for such diseases. People with a mental health condition are reported to experience a higher prevalence of such ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5059-0
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Prior studies of patients leaving hospital against medical advice (AMA) have been limited by not being population-based or assessing only one type of patient. METHODS:We used administrative data at the Manitoba Centre for Health Policy to evaluate all adult residents of Manitoba, Canada discharged alive fro...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-415
更新日期:2013-10-14 00:00:00
abstract:BACKGROUND:Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceive...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2990-4
更新日期:2018-04-05 00:00:00
abstract:BACKGROUND:Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their disease, improving clinical outcomes and their quality of life. However, many patients with T2DM do not ac...
journal_title:BMC health services research
pub_type: 临床试验,杂志文章
doi:10.1186/s12913-019-4572-5
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:Strong evidence exists to support preoperative pelvic floor muscle training (PFMT) to reduce the severity and duration of urinary incontinence after radical prostatectomy. Receipt of preoperative PFMT amongst men having radical prostatectomy in Western Sydney, however, is suboptimal. This study was undertake...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-305
更新日期:2013-08-13 00:00:00
abstract:BACKGROUND:Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This stu...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-2878-3
更新日期:2018-01-30 00:00:00
abstract:BACKGROUND:The safety culture has recently attracted the attention of healthcare organizations. Considering the importance of the roles of nurses with regard to patient safety, their knowledge and experiences of the challenges that influence patient safety culture can facilitate the development and implementation of be...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3467-1
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1144-1
更新日期:2015-10-24 00:00:00
abstract:BACKGROUND:For a patient, drug switches are not desirable (either between a brand-name drug and a generic drug, or between two generic drugs of the same active substance). Research into the causes of drug switches, and related adverse drug reactions, is hampered by the absence of quantitative data on drug switches. ME...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05494-x
更新日期:2020-07-13 00:00:00
abstract:BACKGROUND:Compared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This st...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1609-x
更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:Health insurance (HI) plays an important role in ensuring the financial equity by the risk pooling mechanism and reducing the economic burden of healthcare for HIV/AIDS patients. However, there is a lack of evidence to clearly understand HI coverage in regard to people living with HIV (PLWH). We conducted th...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-017-2464-0
更新日期:2017-08-03 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life. METHODS:A cross-sectional study with a multicentre sample was carried out including 162 institutionalized individuals with...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3856-5
更新日期:2019-01-23 00:00:00
abstract:BACKGROUND:Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to promote adherence have been developed, cost-effectiveness from the patient's perspective, has not been w...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2451-5
更新日期:2017-08-07 00:00:00
abstract:BACKGROUND:The Europe Against Cancer programme was initiated in the late 1980s, recognising, among other risk factors, the problematic relationship between tobacco use and cancer. In an attempt to reduce the number of smokers in the European Community, the European Commission proposed a ban on tobacco advertising. The ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-77
更新日期:2008-04-08 00:00:00
abstract:BACKGROUND:For the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. A screening method for depression is the patient health questionnaire (PHQ-9). The aim of this study is to validate the 9-item Patient Health Questionnaire (PHQ-9) as a screening instrument ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-235
更新日期:2010-08-12 00:00:00
abstract:BACKGROUND:Intermittent preventive treatment of malaria in pregnancy (IPTp) using sulphurdoxine-pyrimethamine (SP) is one of key malaria control strategies in Africa. Yet, IPTp coverage rates across Africa are still low due to several demand and supply constraints. Many countries implement the IPTp-SP strategy at anten...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-15
更新日期:2014-01-13 00:00:00
abstract:BACKGROUND:Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-291
更新日期:2010-10-14 00:00:00
abstract:BACKGROUND:Physicians are encouraged to counsel obese patients to lose weight, but studies measuring the quality of physicians' counseling are rare. We sought to describe the quality of physicians' obesity counseling and to determine associations between the quality of counseling and obese patients' motivation and inte...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-159
更新日期:2010-06-09 00:00:00
abstract:BACKGROUND:P.Re.Val.E. is the most comprehensive comparative evaluation program of healthcare outcomes in Lazio, an Italian region, and the first Italian study to make health provider performance data available to the public. The aim of this study is to describe the P.Re.Val.E. and the impact of releasing performance d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-25
更新日期:2012-01-27 00:00:00
abstract:BACKGROUND:The number of independent treatment centres (ITCs) has grown substantially. However, little is known as to whether the volume-quality relationship exists within this sector and whether other possible organisational factors mediate this relationship. The aim of this study is to gain a better understanding of ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4467-5
更新日期:2019-11-21 00:00:00
abstract:BACKGROUND:Russia is one of the very few industrialised countries in the world where life expectancy has been declining. Alcohol has been implicated as a major contributor to the rapid fluctuations observed in male life expectancy since 1985 that have been particularly marked among working-age men. One approach to redu...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-8-69
更新日期:2008-03-31 00:00:00
abstract:BACKGROUND:Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women's access to health care services in Rorya District, Mara, Tanzania, we conduct...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3463-5
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory w...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-12-29
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes. METHODS:A comprehensive literature search of electronic bibliographic databases was performed to identify care man...
journal_title:BMC health services research
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1472-6963-12-72
更新日期:2012-03-22 00:00:00
abstract:BACKGROUND:We studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability. METHODS:A questionnaire was sent to all (n = 958) hospital physicians of one academic medical center, u...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-292
更新日期:2012-08-31 00:00:00
abstract:OBJECTIVE:This online cross-sectional survey assesses the signs/symptoms, the protective measures taken and the awareness and risk perception regarding COVID-19 among Italian dental hygienists. All Italian dental hygienists were invited to participate. The ad hoc online questionnaire was divided into four domains: pers...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05842-x
更新日期:2020-10-31 00:00:00
abstract:BACKGROUND:Whether activity-based financing of hospitals creates incentives to treat more patients and to reduce the length of each hospital stay is an empirical question that needs investigation. This paper examines how the level of the activity-based component in the financing system of Norwegian hospitals influences...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-172
更新日期:2013-05-07 00:00:00
abstract:BACKGROUND:Blood samples are usually collected daily from different collection points, such hospitals and health centers, and transported to a core laboratory for testing. This paper presents a project to improve the collection routes of two of the largest clinical laboratories in Spain. These routes must be designed i...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-12
更新日期:2014-01-09 00:00:00