An Evaluation Of Healthcare Expenditure Policies And Development Of A University-Based Sustainable Healthcare Financing Model

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Date
2017-02
Authors
Al-Shami, Abdulkareem Mohammed Ahmed
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Publisher
Universiti Sains Malaysia
Abstract
Escalation of healthcare cost is a world-wide problem. Assessing and improving the healthcare financing system should be a part of any agenda for healthcare reforms. To balance the current health accounts, especially in the case of deficit, three variables can be considered- the government subsides, the co-payment and the contribution rate of the insurance. In this thesis, evaluations for health care financing system at University Sains Malaysia (USM) and simulation model were used to address the issues in the current USM healthcare financing system. Then, examine a number of alternative scenarios using health insurance simulation model “SimIns”, by paying special attention to forecasted changes in health expenditure and feasibility of financing those changes. Overall, this thesis is a cross-sectional study consisting of three parts. Part one is an evaluation and cost analysis study evaluating the current healthcare financing model at USM. Part Two of this thesis examined the utilisation rate of staff, students, and their departments in the presence of different cost policies applied by USM. In this part, the trend of the utilisation and cost of all health services provided by the health centre or panel of clinics was evaluated. The health utilisation categories were modelled and then used as inputs in part three to build a sustainable model. The new health care schemes were built by modelling the health services provided by the USM health care system to their beneficiaries. The data required for this part were obtained from USM computerised databases, which keep electronic medical records (EMR) of patients. Part Three of this thesis sought to build and develop a sustainable health care financing model.
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Keywords
Healthcare expenditure policies and development , sustainable healthcare financing model
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