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Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme

Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme PDF Author: Syed Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 1543761720
Category : Health & Fitness
Languages : en
Pages : 114

Book Description
Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.

Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme

Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme PDF Author: Syed Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 1543761720
Category : Health & Fitness
Languages : en
Pages : 114

Book Description
Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.

Cumulated Index Medicus

Cumulated Index Medicus PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1470

Book Description


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Public Hospitals in Developing Countries PDF Author: Howard Barnum
Publisher:
ISBN: 9780801845321
Category : Business & Economics
Languages : en
Pages : 335

Book Description
Hospitals receive the lion's share of resources in developing countries although other types of care are more cost effective. This study shows how hospital waste can be cut, improvements in managerial and technical efficiency, and involvement of hospitals in the policy dialog regarding use of resources can yield great benefits. Published for the World Bank. Annotation copyright by Book News, Inc., Portland, OR

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Health Care Quality PDF Author: A. F. Al-Assaf
Publisher: World Health Organization
ISBN: 9789290222255
Category : Health & Fitness
Languages : en
Pages : 272

Book Description
This publication discusses both theoretical and practical approaches to health care quality. It considers the process of health care quality from the conception of an idea to its introduction and implementation, as well as in terms of planning, setting standards and monitoring areas for quality improvement. It includes case studies from Saudi Arabia, Jordan, Malaysia and Indonesia.

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Performing Arts Medicine PDF Author: Robert Sataloff
Publisher:
ISBN: 9780975886250
Category :
Languages : en
Pages : 416

Book Description


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Hospital Literature Index PDF Author:
Publisher:
ISBN:
Category : Health facilities
Languages : en
Pages : 568

Book Description


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Sepsis Management in Resource-limited Settings PDF Author: Arjen M. Dondorp
Publisher: Springer
ISBN: 3030031438
Category : Medical
Languages : en
Pages : 226

Book Description
This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.

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Hand Hygiene PDF Author: Didier Pittet
Publisher: John Wiley & Sons
ISBN: 111884680X
Category : Medical
Languages : de
Pages : 473

Book Description
Die erste umfassende und wegweisende Publikation zur Handhygiene, eines der grundlegendsten und wichtigsten Themen bei der Infektionsbekämpfung und Patientensicherheit. Für alle medizinischen Berufe ist dieses Handbuch zur Handhygiene ein wichtiges Referenzwerk, geschrieben von weltweit führenden Wissenschaftlern und Klinikern. - Geschrieben von weltweit führenden Experten des Fachgebiets. - Berücksichtigt umfassend die Richtlinien und Vorschriften der Weltgesundheitsorganisation (WHO). - Behandelt das Thema Handhygiene aus globaler Sicht, relevant für Industrie- und Entwicklungsländer. - Erörtert grundlegende sowie hochkomplexe klinische Anwendungen der Handhygiene. - Beinhaltet neue, ungewöhnliche Aspekte und Fragestellungen, wie religiöse und kulturelle Aspekte und die Einbeziehung der Patienten. - Bietet Leitlinien für nationale und weltweite Hygienekampagnen, für jeden Einzelnen, für Institutionen und Organisationen.

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Cumulative Index of Hospital Literature PDF Author: Library of the American Hospital Association, Asa S. Bacon Memorial
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 568

Book Description


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Acute Care Surgery PDF Author: LD Britt
Publisher: Lippincott Williams & Wilkins
ISBN: 1451153937
Category : Medical
Languages : en
Pages : 849

Book Description
Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.