Archive for the ‘Health’ Category
Posted by James

The expansion of Medicaid and the creation of SCHIP between 1997 and 2002 effectively increased public health insurance coverage of both children and adults. Uninsurance rates were reduced significantly for black, Hispanic and white children in low-income families. Black and white adults experienced no change in uninsurance during this period. The share of Hispanic adults without health insurance, however, increased significantly. Compared to black or white adults, Hispanic adults gained less in the expansion of public coverage, for which many Hispanic adults were (or believed themselves to be) ineligible due to restrictions on benefits for nonciti-zen immigrants. Hispanic adults were also the only group to see a drop in employer-sponsored coverage. Immigrants are less likely to be offered employer-sponsored health insurance than native-born workers, and the proportion of Hispanic adults born outside the United States increased during this period.
Read the rest of this entry »
Posted by James
Public health insurance coverage of adults rose by about one percentage point between 1997 and 2002 (Table 2). Despite this gain, the proportion of adults without health insurance was 17.0 in each year. Hispanic adults did not share in the overall increase in public coverage and were the only group to experience a decline in employer-sponsored health insurance. Consequently, uninsurance among Hispanic adults rose by four percentage points between 1997 and 2002, pushing their already high uninsurance rate to 40.7%.
Read the rest of this entry »
Posted by James
To measure health insurance coverage, the NSAF asks about multiple sources of coverage and follows with a verification question to confirm lack of coverage among those who do not identify a source. Coverage is measured at the time of the survey, defined using a hierarchy, and then grouped into four categories: employer-sponsored insurance (including coverage through the military); Medicaid, SCHIP or another state program; other (including coverage through private insurance, Medicare or other coverage of an unspecified type); and uninsur-ance. The estimates presented here differ slightly from those presented in the work of Zuckerman and Kenney, Haley and Tebay, which include 18-year-olds as children and not as adults.
Read the rest of this entry »
Posted by James

INTRODUCTION
Economic growth in the mid-1990s brought improvements in job quality and increased rates of employer-sponsored health insurance coverage, gains that were quickly reversed as the economy slipped into a succeeding recession. State implementation of the State Children’s Health Insurance Program (SCHIP), combined with many states’ decisions to expand Medicaid eligibility, offset declines in employer-sponsored insurance for both children and adults. The increase in public coverage among children was large enough to significantly increase the overall share of children with health insurance.
Read the rest of this entry »
Posted by James

Patients in Lesotho are the custodians of their own medical records as contained in the health book (Bukana). This is obtained from the health institution on first consultation. The book is presented at each consultation at any of the health institutions. This health book provides a quick reference to the medical history of the patients.
Read the rest of this entry »
Posted by James
It is generally considered that access to healthcare is a global concern, especially in developing countries. In the least-developed and developing nations, problems with access relate to fundamental issues, such as infrastructure, physical facilities, availability of equipment and trained personnel. Infrastructural issues include lack of transportation to healthcare facilities and lack of means to communicate with healthcare providers. Furthermore, the availability of high-quality healthcare for a nation is related to its overall economic activities.
Read the rest of this entry »
Posted by James
Health services in Lesotho are broadly organized into horizontal and vertical systems. The horizontal system (Figure 1) comprises the health centers and clinics at the community level providing primary healthcare, the district hospitals providing secondary care and the national referral (Queen Elizabeth II) hospital as well as the specialist psychiatric (Mohlo-mi) hospital, both in Maseru, providing tertiary care. The Ministry of Health is at the apex of health administration. The vertical system (Figure 2), comprises of the various programs and taskforces of the Ministry. Read the rest of this entry »