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1.
Journal of the Egyptian Public Health Association [The]. 2007; 82 (5-6): 473-490
in English | IMEMR | ID: emr-83885

ABSTRACT

Utilization of care is very important because of its link to access, quality of care and because of its importance to outcome. The aim of the study was to clarify the barriers towards accessibility to the Health Insurance of the Medical Union plan and to explain reasons why participants covered by other health insurance systems are using the Health Insurance Medical Union [HIMU]. The study was carried out at the health insurance project situated in Alexandria Medical Syndicate. The insured members of HIMU included four specialties namely; physicians, pharmacists, dentists and veterinarians and their families. The sample amounted to 782 members. The highest reasons for participation in the project were freedom of choice of laboratory and/or radiology clinics 73.9%, affiliated providers [physicians and hospitals] offer good quality care to members 62.6%, and simplicity of getting services and/or referral system 59.2%. Whereas the highest reasons for not participating or continuing with the project were high premiums for members: high premium of parents accounted for the highest percentage [13.8%] followed by that of the spouse 9.3%, then high premium for members 5%, and high premium for children 4.9%. The reason that the period of participation was unsuitable for members [October-November-December] accounted for 4.9%. From the results of the current study, it was be recommended that as a result of reviewing the system of determining premiums there were possibilities of a decrease in the annual premium for those beneficiaries who revealed low subsidies, decreasing cost sharing paid by beneficiaries for both outpatient and inpatient services in some essential services e.g. pregnancy and delivery. As well as?? vigorous control procedures regarding quality of medical care provided, art of care and price of medical services


Subject(s)
Humans , Male , Female , Health Personnel , Surveys and Questionnaires , Physicians , Dentists , Pharmacists , Quality of Health Care , Health Services Accessibility
2.
Bulletin of High Institute of Public Health [The]. 2000; 30 (1): 87-100
in English | IMEMR | ID: emr-53573

ABSTRACT

The important demographic changes which occurred all over the world in the last decade have led to the marked increase of the number of elderly persons. Such changes have imposed the necessity for profound studies for the assessment of the health status of older adults required for planning and resources allocation for their health care. A house to house survey was conducted in a poor urban area in Alexandria and included 83 elderly males and 147 elderly females. Socio-demographic, lifestyle, and functional abilities were assessed by using a pre-coded interviewing questionnaire. The majority of the elderly were illiterate [87.4%], non-working [92.2%] depending mainly on pension [71.3%] which was not enough in 51.7% of the cases. Most of the elderly males were married [79.5%], living with spouse and sons and daughters [57.8%], while most of the elderly females were widowed [67.3%] and living with their children [55.8%]. More than half of the elderly were caring for themselves, spouse was the main care giver for elderly males [25.3%] while sons and daughters were the main care givers for elderly females [43.5%]. Adequate social contact of the elderly with sons and daughters was revealed [89.6%] but not with their friends especially among elderly females [30.6%]. High smoking rate among elderly males [41%], lack of exposure to sun [45.2%] and sedentary lifestyle [87.8%] was detected among both sexes. Limitations in ADL, was detected among 16.1% of the elderly while limitations of IADL was detected among 49.2% of them


Subject(s)
Humans , Male , Female , Demography , Social Class , Life Style , Poverty Areas , Epidemiologic Studies , Health Surveys , Surveys and Questionnaires , Urban Population
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