A Study Of The Impact Of Economic Status On The Opinion Of Beneficiary Candidates Of The Scheme Of Developing High Quality Research About The Scheme Benefits

Continuous improvement and evolution in various fields are crucial to ensure a better living environment for everyone. To achieve this, researchers have a significant responsibility to produce valuable research in concerned areas. However, dedicated researchers often face various obstacles, such as financial stress, which can hinder their ability to conduct research. To support Ph.D. scholars, many central and state government funding agencies offer financial assistance schemes. In this regard, the Government of Gujarat has initiated a scheme called SHODH – ScHeme Of Developing High quality research to provide financial support to Ph.D. scholars from recognized universities/institutes of the state to produce quality research in various disciplines. However, it is essential to understand the impact of the scheme's benefits from the perspective of the beneficiary candidates, especially those belonging to different economic statuses. Therefore, a study has been conducted to explore the opinions of beneficiary candidates of the SHODH scheme about the scheme's selected aspects and whether their opinions differ based on their economic status. The study adopts a causal-comparative research method to gain insight into the requirements of research scholars belonging to different economic statuses. This information will enable better facilitation of scholars to produce meaningful research in their respective fields.

Out of pocket expenditure among Rashtriya Swasthya Bima Yojana beneficiary and non-beneficiary patients admitted to a tertiary care centre, Berhampur, India: a comparative study

Background: RSBY, a health insurance scheme, was launched by the Indian government to protect BPL families from incurring financial liabilities which are likely to occur due to hospitalization. Objectives was to compare over all OOPE among RSBY beneficiaries and non-beneficiaries and to estimate its extent during hospitalization in different domains among RSBY beneficiaries and non-beneficiaries.Methods: It was a cross-sectional study conducted for 2 months (January-February 2018) among BPL families residing in Ganjam district, Odisha. Multistage random sampling was done. Total sample size was 256, the number of beneficiaries and non beneficiaries taken was 128 each.Results: Non beneficiaries incurred higher overall OOPE higher i.e. 95.3% than the Beneficiaries and it was found to be statistically significant with x²=74.8 and P-value <0.001. Among beneficiaries out of pocket expenditure was found in 46.1% of the study population. 45.3% of beneficiaries had to borrow partially from friends and relatives to fulfil their hospital related expenses followed by 32% borrowing fully for their treatment. Among beneficiaries, most out of pocket expenditure was for life support services as they sought treatment mostly for surgical conditions.Conclusions: Health insurance coverage should be improved by increasing enrolment. People should be made aware about the services covered under the schemes.

Problematizando a política de assistência social brasileira / Problematizing the brazilian social assistance policy / Problematizando la política social brasilenã asistencial

Este artigo problematiza a Política de Assistência Social a partir de articulações entre diferentes linhas de subjetivação. O foco é colocar em análise as figuras do beneficiário/demandatário, constituídas por um campo no qual convergem linhas de segmentaridade: Mercado - direitos sociais - acesso a bens e serviços - benesse social - trabalho. Nesse jogo, encontramos a articulação de uma Política Social com o Neoliberalismo no Brasil, o que criará contornos singulares nos modos de subjetivação das figuras do beneficiário/demandatário das Políticas. Essas linhas permitem pensar trajetórias de vida e de acesso nas quais acessar não significa estar incluído, tampouco estar incluído significa acessar. Há um jogo entre acesso e inclusão no qual as figuras do beneficiário e demandatário se constituem, tanto no sentido de subsumirem-se uma à outra, quanto no sentido de marcarem diferentes planos de composição. (AU)

This article problematizes the Social Assistance Policy based on articulations between different lines of subjectivation. The focus is to analyze the figures of the beneficiary/respondent constituted by a field in which lines of segmentarity converge: Market - social law - access to goods and services - social welfare - work. In this game we find the articulation of a Social Policy with Neoliberalism in Brazil, which will create singular contours in the modes of subjectivation of the beneficiary/demander figures of the Policies. These lines allow us to think about life and access trajectories, in which access does not mean to be included, nor is inclusion meant access. There is a game between access and inclusion in which the figures of the beneficiary and the respondent are constituted both in the sense of subsuming one another and in the sense of marking different plans of composition. (AU)

Este artículo problematiza la Política de Asistencia Social a partir de articulaciones entre diferentes líneas de subjetivación. El enfoque es poner en análisis las figuras del beneficiario/demandante constituidas por un campo en el que convergen líneas de segmentación: Mercado - derecho social - acceso a bienes y servicios - benéjese social - trabajo. En ese juego encontramos la articulación de una Política Social con el Neoliberalismo en Brasil, lo que creará contornos singulares en los modos de subjetivación de las figuras del beneficiario/demandante de las Políticas. Estas líneas permiten pensar las trayectorias de vida y de acceso, en las que el acceso no significa estar incluido, tampoco, estar incluido significa acceso. Hay un juego entre acceso e inclusión en el cual las figuras del beneficiario y demandante se constituyen, tanto en el sentido de subsumirse una a otra, cuando en el sentido de marcar diferentes planes de composición. (AU)

Determination of Health Insurance Fee Schedule and Strengthening Policy for Health Insurance Coverage / 대한내과학회지

The resource-based relative value scale (RBRVS) was introduced in Korea as a payment system in 2001. However, the health insurance fee schedule had many problems. Unbalanced insurance fee schedules still occur, and the relative value was not divided between physicians' work and practice expenses. Furthermore, malpractice fees were not included in the total RBRVS. The first refinement project of the health insurance relative value scales was conducted in 2003 and the second project started in 2010. In the first project, final relative values were calculated under budget neutrality by medical departments, and imbalances within the departments were resolved. However, imbalances still existed between departments. In the second project, final relative values were classified and computed by the type of medical treatment. The final RBRVS has been applied step by step since 2017 and the imbalance problem of the insurance fee schedule has been partially resolved. The government recently announced strengthening the plan for health insurance coverage. The current coverage rate for total medical costs by national health insurance is 63%. The purpose of this plan was to increase the coverage rate by up to 70%. The government has suggested detailed plans but there remain many controversial issues and limitations with regard to the practical aspects. Thus, further research and suggestions are needed.

Factors associated with complex regional pain syndrome in surgically treated distal radius fracture / Fatores associados à síndrome de dor regional complexa em fratura do distal do rádio tratada cirurgicamente

ABSTRACT Objective: The aim of this study was to identify factors associated with developing complex regional pain syndrome (CRPS) after surgical treatment for distal radius fracture (DRF). Methods: This case-control study analyzed patients seen from January 2014 to January 2016. Results: In our sample of 249 patients, 4% developed CRPS. Associated factors were economic compensation via work disability (odds ratio [OR] 14.3), age (OR 9.38), associated fracture (OR 12.94), and level of impact (OR 6.46), as well as psychiatric history (OR 7.21). Conclusions: Economically-productive aged patients with a history of high-impact trauma and patients with a history of psychiatric disorders have greater risk of developing CRPS after DRF. Level of Evidence III, Case-Control Study.

RESUMO Objetivo: Este estudo tem como objetivo identificar fatores de risco associados ao desenvolvimento de síndrome de dor regional complexa (CRPS) após o tratamento cirúrgico da fratura distal do rádio (DRF). Métodos: Este estudo de caso/controle analisou pacientes atendidos de janeiro de 2014 a janeiro de 2016. Resultados: Em nossa amostra de 249 pacientes, 4% desenvolveram CRPS. Os fatores associados foram compensação econômica (razão de chances [RC] 14,3), idade (RC 9,38), fratura associada (RC 12,94) e nível de impacto (RC 6,46), bem como história psiquiátrica (RC 7,21). Conclusões: Os pacientes com idade produtiva e história de trauma de alto impacto e os com história de transtornos psiquiátrico têm maior risco de desenvolver CRPS depois de DRF. Nível de Evidência III, Estudo de Caso Controle.

Analysis of the medical expenditure beneficiary population in Liaoning province based on SHA2011 / 中华医院管理杂志

Objective To describe and analyze the distribution of medical expenditure of Liaoning province in 2014 in terms of population beneficiary based on the System of Health Accounts 2011(SHA 2011).Methods By means of multistage and stratified sampling, a total of 252 medical institutions were selected from four cities in Liaoning province according to their economic status and geographical distribution.Macro data including the outpatient income and hospitalization income were taken into account, to calculate the beneficiary population of the province in 2014 according to SHA2011.Results GBD classification found that the highest medical expenditure category was non-communicable diseases, accounting for 63.02% in total medical expenditure.ICD classification found that respiratory disease as consuming the highest medical expenses (43.76%).The average medical expenditure of the elderly population was the highest per person, up to 3 041.70 yuan per person.Conclusions Medical expenses of non-communicable diseases, respiratory disease and elderly population were still high.Thus we need to emphasize disease prevention, and take efficient measures against such key diseases to curb the medical expenses.The elderly population calls for specific and effective measures to reduce their medical expenses.

The Construction of Ethics Review Capacity in China under the Current International Conditions:Conception and Practice / 中国医学伦理学

Based on the experiences and lessons in the practice of international ethics review,this paper discusses 8 related issues in order to strengthen the capacity in ethics review in China.The relevant issues of ethics review board construction and professional personnel training are also included.