Thesis (M. Publ. Admin.)--Kutztown University. / Source: Masters Abstracts International, Volume: 45-06, page: 2947. Typescript. Includes bibliographical references (leaves 82-84).

Published also as Thesis (Ph. D.)--Cornell University, 1915.

Thesis (MTech (Public Management)--Cape Peninsula University of Technology, 2011 / In South Africa’s two-tiered health system, some enjoy health care based on ability to pay and others utilize services in an under-funded sector. The rift in the two, public and private sectors, primarily exists because income categories either curb or allow the necessary contributions. This thesis reports on the various contributing mechanisms, through which health care can be ensured universally, without causing impoverishment. The framework or criteria selected for this study includes feasibility, equity, efficiency and sustainability of a contributing mechanism. Furthermore, the contributing mechanisms – tax-funded, NHI, voluntary health insurance and out-ofpocket – are resident within four health care models namely, Beveridge, Bismarck, NHI and Out-of-pocket. These models are discussed as well as relevant country examples are provided. In the pursuit of answering whether the NHI scheme is suitable for South Africa, the study shows that government or tax-funding and NHI provides the contributing mechanisms that are applicable to the South African situation within the context of different challenges. It is recommended that, in the government’s discussions about health care reform, prepayment, universalism and health care expenditure, amongst others, be considered.

LL.D. / Please refer to full text to view abstract

M.Com. (Business Management) / The success of National Health Insurance (NHI) according to literature depends on a number of factors; this includes awareness and knowledge of the benefit of the policy by the public, and the increase and equitable utilisation of the healthcare facilities once the policy is promulgated into a law. The aim of this study is to provide insight into what the effect of government communication and public debate has been on creating awareness and building knowledge on the NHI subject amongst university students, and to establish the attitude and readiness status of students to utilize the NHI platform to access healthcare service. A cross-sectional, descriptive, empirical survey was conducted amongst a sample of one hundred and thirteen (n=113) students at the University of Johannesburg to address the research questions. The survey used self-administered questionnaires to gather primary quantitative data. This study deployed rigorous statistical analysis that included both descriptive and inferential statistical analyses methods. Findings from this study revealed that the majority of the students are aware of NHI; albeit possess a low level of functional knowledge on the subject. The majority of the students prospectively show less preference to use NHI to access health compared to using medical aids, and this is more apparent amongst the male students. From this study, undergraduates show more preference to use NHI over medical aids to access healthcare than postgraduate students. This insight about university students will inform policy makers and businesses on how to develop communication and engagement strategies geared at achieving success on NHI development and healthcare access. The study acknowledges the limitations of a small sample size, and the influence of the respondents’ family socio-economic standing on their attitude to NHI as a healthcare access platform.

Please read the abstract in the section 00front of this document / Dissertation (MCom (Actuarial Science))--University of Pretoria, 2005. / Insurance and Actuarial Science / unrestricted

Please read the abstract in the section 00front of this document / Dissertation (MOcc (Occupational Therapy))--University of Pretoria, 2005. / Occupational Therapy / unrestricted

Social health insurance is a form of health care financing that has gained increased attention in African countries in the past decade. Tanzania introduced social health insurance by the establishment of the National Health Insurance Fund (NHIF) in 1999 with, inter alia, the objective of improvement of the quality and availability of health services. The goal of this study was to determine the perceptions of services providers on the quality and accessibility of health services following the introduction of social health insurance. A qualitative approach was used to gain an insider's perspective from the service providers of how the services have changed following the introduction of the scheme. Individual interviews, observation and field notes were used to gather information on the quality and accessibility of health services under the policy of social health insurance. Data were analysed using Tesch's method of data analysis. The health workers generally perceived the fund as being beneficial to its members as it reduced the financial barriers to receiving health care. However, the objectives of the NHIF as a health financing mechanism were not adequately understood by the health workers. Although they perceived the quality of health services as having improved compared to previous years, they did not associate this improvement with the NHIF. The health workers also perceived accessibility of health services as having improved for insured patients but not for non-insured patients.

The main purpose of this thesis is to analyze the development of insurance market in Czech Republic between years 2000 and 2008 and make forecast of the market's development. The first chapter differs social and commercial insurance based on the way of financing and describes the basic characteristics of the commercial insurance market. The goal of the second chapter is to describe the macroeconomic conditions which where essential for the development of Czech insurance market in 90's. The scope of the third chapter is the commercial insurance market and analysis of the premium, insurance claims, insured events and number of insurance companies in the market. The goal of the final chapter is to forecast the development of Czech insurance market till 2012 based on time series analysis (premium, GDP).

The goal of the project was to use the data in the Workers' Compensation Board (WCB) of British Columbia's data warehouse to develop a statistical model that could predict on an ongoing basis those short-term disability (STD) claims that posed a potential high financial risk to the WCB. We were especially interested in identifying factors that could be used to model the transition process of claims from the STD stratum to the vocational rehabilitation (VR) and long term disability (LTD) strata, and forecast their financial impact on the WCB. The reason for this focus is that claims experiencing these transitions represent a much higher financial risk to the WCB than claims that only progress to the health care (HC) and/or the short term disability (STD) strata. The sample used to investigate the conversion processes of claims consists of all STD claims (323,098) that had injury dates between January 1, 1989 and December 31, 1992. Although high-risk claims represent only 4.2 % of all STD claims, they have received 64.3% ($1.2 billion) of the total payments and awards ($1.8 billion) made to July 1999. Low-risk claims make up 95.8% of all the claims but only receive 35.7% ($651 million) of the payments and awards. Moreover, the average cost of high-risk claims ($86,200) is 41 times higher than the average cost of low-risk claims ($2,100). The main objective of the project was to build a reliable statistical model to identify high-risk claims that can be readily implemented at the WCB and thereby improve business decisions. To identify high-risk claims early on, we used logistic regression modeling. Since ten of the most frequently observed injury types make up 95.72% of all the claims, separate logistic regression models were built for each of them. Besides injury type, we also identified STD days paid and age of claimant as statistically significant predictors. The logistic regression models can be used to identify high-risk claims prior to or at the First Final STD payment date provided we know the injury type, STD days paid and age of claimant. The investigation showed that the more STD days paid and the older the injured worker, the higher the probability of the claim being high-risk. / Business, Sauder School of / Graduate