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Comparison of disability duration of lumbar intervertebral disc disorders among types of insurance in Korea.

The incidence of work-related musculoskeletal disorder including low back pain sharply increased since 2000 in Korea. The objectives of the present study are to compare disability duration of lumbar intervertebral disc displacement among types of insurances, and to obtain its appropriate duration. The medical records of all patients whose final diagnosis in discharge summary of chart was lumber specified intervertebral disc displacement (LIVD) in 6 large general hospitals in Korea were reviewed to compare the length of admission and disability among different types of insurances. The informati…

Elevated serum aminotransferase level as a predictor of intracerebral hemorrhage: Korea medical insurance corporation study.

BACKGROUND AND PURPOSE: Serum aminotransferase levels are known to be associated with cardiovascular risk factors, but the relation with stroke incidence is not well known. We investigated the relation between serum aminotransferase levels and the incidence of stroke. METHODS: We measured serum aspartate and alanine aminotransferase levels and traditional cardiovascular risk factors in 108 464 Korean men, aged 35 to 59 years, in 1990 and 1992. Serum aminotransferase levels were classified into 3 categories (<35, 35 to 69, and > or =70 IU/L). The outcomes were hospital admissions and deaths fr

Birth outcomes and maternal morbidity in abused pregnant women with public versus private health insurance.

PURPOSE: To compare the effects of recent intimate partner abuse on maternal and infant health in publicly versus privately insured pregnant … ant health indicators in abused and nonabused women. Data from women with public and private health insurance then were examined separately, using logistic regression to control for low education and single marital status while examining the odds of adverse maternal and infant outcomes in abused and nonabused women. FINDINGS: In the sample as a whole, rece …

Health insurance for Americans approaching age sixty-five: an analysis of options for incremental reform.

This article provides a systematic evaluation of the options for incremental health insurance reforms aimed at older Americans nearing age sixty-five. It presents three basic arguments for giving special consideration to this age group: (1) early retirement and its effect on access to employer insurance; (2) changes in health and health care expenses associated with increasing age; (3) the vulnerability to unexpected economic or health "shocks" that will affect people throughout their retirement. The analysis of policy options begins by specifying criteria for evaluating alternative approaches…

Language proficiency and the enrollment of Medicaid-eligible children in publicly funded health insurance programs.

OBJECTIVES: The purpose of the study was to examine the effect of language proficiency on enrollment in a state-sponsored child health insurance program. METHODS: 1055 parents of Medicaid-eligible children, who were enrolled in a state-sponsored child health insurance program, were surveyed about how they learned about the state program, how they enrolled their children in the program, and perceived barriers to Medicaid enrollment. We performed weighted chi2 tests to identify statistically significant differences in outcomes based on language. We conducted multivariate analyses to evaluate th…

Antibiotic usage in primary care units in Taiwan after the institution of national health insurance.

To understand antibiotic usage in primary care units in Taiwan after the institution of national health insurance, we collected all prescriptions for one week in March each year from 1996 to 1999 from out-patient clinics of randomly sampled public health stations located in various parts of Taiwan. We sampled 114 health stations with 40,891 patient-visits and 68,386 diagnoses made in 1996; 154 health stations were sampled with 53,992 patient-visits and 99,466 diagnoses in 1997; 166 health stations were sampled with 49,112 patient-visits and 96,161 diagnoses in 1998; and 162 health stations wer…

The effect of health maintenance organization vs commercial insurance status on obstetrical management and outcome.

OBJECTIVE: To compare obstetrical management and birth outcomes between patients with health maintenance organization (HMO) insurance and those with private commercial insurance. DESIGN: Retrospective population-based cohort study. SETTING: King County, Washington. PATIENTS: Among newborns delivered in 1992 and 1993, a random sample of 4000 birth records listing HMO insurance for prenatal care was compared with a random sample of 4000 birth records listing private commercial insurance as the primary coverage. MAIN OUTCOME MEASURES: Use of ultrasonography and amniocentesis; rate of primary …

[Occupational supraspinatus tendinitis. The rotator cuff syndrome seen from a medical insurance point of view].

The medical insurance course concerning a woman aged 53 years is described. Throughout two years she had stacked more than 20 tons of cheese daily in units of 4.5 kg from a conveyer belt to shelves from ankle to shoulder height. During a period in which great quantities of cheese consisted of units of 18 kg which had to be stacked at over head height, she developed bilateral supraspinatus tendinitis. The patient was no longer able to work and she was subsequently awarded disability pension. The course of this case of occupational insurance is described and criticised.

[Traumatic chondropathia patellae, its significance for medical insurance in expert testimony concerning accident sequellae therapy].

The connection between chondropathia patellae and a trauma is discussed. Apart from direct traumas the indirect ones can also cause a chondropathia patellae as a result of the incongruence in the femoropatellar joint. In compiling the case history a preceding trauma of different forms and intensity can be found out in about 17 per cent out of all chondropathia patellae patients. When giving an expert's opinion on a case of chondromalacia sport and occupational lesions must be differentiated from genuine traumatic chondropathy. A chondropathia patellae is characterized by the above-mentioned pa

Higher-level functional capacity and incident long-term care insurance certification: a competing risks analysis.

BACKGROUND: Higher-level functional capacity (HLFC) may capture functional vulnerability beyond basic activities of daily living in older adults. However, the association of baseline HLFC with subsequent incident long-term care insurance (LTCI) certification remains unclear when death is considered a competing event. METHODS: This prospective cohort study included 688 community-dwelling Japanese adults aged 65 years or older who participated in the 2017 wave of the Community Empowerment and Care for Well-being and Healthy Longevity Study. HLFC was assessed once at baseline using the Tokyo Met…

Maintaining the viability of private psychiatric hospitals: The role of independently determined health insurance payments.

Private psychiatric hospitals provide access to care for the approximately 46% of Australians who pay for private health insurance with hospital coverage. However, although private health insurance coverage has gradually increased, activity in private psychiatric hospitals has stagnated, particularly when measured by separations and Medicare-funded inpatient services. The funding and cost structure of private hospitals may be significant factors in this discrepancy because insurers are making record profits while private hospitals maintain that their costs are not covered. The burden falls on …

Improving insurance deduction identification: a hybrid artificial intelligence model using machine learning and expert systems.

PURPOSE: Financial challenges in healthcare systems worldwide, especially in low- and middle-income countries like Iran, have increased hospitals' reliance on insurance reimbursements. Unrecognized insurance deductions often cause severe financial shortages, making efficient deduction management crucial. This study aimed to design a hybrid intelligent system for identifying and predicting insurance deductions by combining machine learning and expert system frameworks. DESIGN/METHODOLOGY/APPROACH: A mixed-methods design was applied in four stages. First, a scoping review identified the causes …

Association of Health Insurance Literacy on Financial Toxicity Among Adolescent and Young Adult Cancer Patients.

We explored how sociodemographics and health insurance literacy (HIL) are associated with financial toxicity (FT) among adolescent and young adult (AYA) cancer patients using linear regression. Participants (N = 86; ages: 18-39) diagnosed with cancer in the past year completed baseline surveys of an intervention trial assessing HIL (range: 4-36, lower scores = worse literacy) and the COmprehensive Score for financial Toxicity (COST; range: 0-44, lower scores = higher toxicity). Policyholders had higher FT (β = -5.24, p = 0.02). Among AYAs aged 26-39, each one-point HIL increase correlated with…

Medical insurance coverage and its associated factors among children in urban and rural Chongqing, China.

BACKGROUND: Children face a heavy disease burden, while healthcare utilization remains low. This study seeks to assess the proportions of children in Chongqing covered by medical insurance and identify associated factors. METHODS: From March to June 2019, a stratified cluster sampling was employed to cover 4705 participants in Chongqing's urban and rural districts. In a cross-sectional survey, univariate and multivariate mixed logistic regression analysis were performed to explore the determinants of medical insurance enrolment. RESULTS: The participation rates of basic medical insurance (BM…

Association of Insurance Type and PROMIS Scores Following Ankle Fracture Surgery: A Retrospective Comparative Study.

BACKGROUND: It remains unclear whether insurance as a proxy for socioeconomic status and social determinants of health is associated with functional outcomes after ankle fracture surgery. This study assesses the association between insurance and Patient-Reported Outcomes Measurement Information System (PROMIS) measures of physical function (PF) and pain interference (PI) after ankle fracture surgery. METHODS: All patients who underwent ankle fracture surgery (2016-2021) were reviewed retrospectively. Multiple injuries, open fractures, pilon variants, and nonanatomically reduced fractures were…

Insurance Coverage and Distribution of DXA Screening in Saudi Arabia: Evidence from Major Healthcare Settings.

Background: Osteoporosis is a major public health concern, and early detection through dual-energy X-ray absorptiometry (DXA) has been pivotal. However, evidence on how insurance coverage relates to the distribution of patients receiving DXA examinations in Saudi Arabia remains limited. This study examines the distribution of patients receiving DXA examinations across different insurance types and healthcare settings among adult patients in Saudi Arabia. Methods: This retrospective observational study used de-identified electronic health record data from a public tertiary academic center and a…

Расовые различия в выживании нескольких миелом: ассоциации с трансплантацией стволовых клеток, страхованием и расширением сети медицинских учреждений.

На уровне населения чернокожие пациенты с множественной миеломой (ММ) могут выжить хуже, чем белые. Авторы изучили вопрос о том, как автологическая трансплантация стволовых клеток (ASCT), страхование и расширение сети &quot; Медикэйд &quot; связаны с расовыми различиями в общем уровне выживания (rwOS) в реальном мире. МЕТОДЫ: Данные, полученные 4932 больные MM (MM)24% Блэк) в Флатиронской базе данных исследований в области здравоохранения анализировался с использованием моделей &quot; Кокс регрессиал &quot; (rwOS), &quot; Файн энд срей &quot; (ASCT) и &quot; политомная регрессия &quot; (страхо

Совпадение в аннотации оригинала
BACKGROUND: At the population level, Black patients with multiple myeloma (MM) may experience worse survival than White patients. The authors examined how autologous stem cell transplantation (ASCT), insurance, and Medicaid expansion relate to racial differences in real-world overall survival (rwOS). METHODS: Data from 4932 patients with MM (24% Black) in t…

Medical care cost dynamics during COVID-19 pandemic: financial implications for Japanese health insurance system.

BACKGROUND: While the COVID-19 pandemic globally affected healthcare utilization, economic impacts on medical care costs and insurance finances remain underexamined. In Japan, where aging-related medical care cost increases are becoming serious concerns, quantitative evaluation is crucial for sustainable health insurance system design. This study analyzed the economic impact of COVID-19 on medical care expenditure and utilization rates for non–COVID-19 diseases among the working-age population in Japan. METHODS: We analyzed continuously enrolled workers aged 20–74 using medical claims data fro…