An Evaluation Of Healthcare Expenditure Policies And Development Of A University-Based Sustainable Healthcare Financing Model
Loading...
Date
2017-02
Authors
Al-Shami, Abdulkareem Mohammed Ahmed
Journal Title
Journal ISSN
Volume Title
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.
Description
Keywords
Healthcare expenditure policies and development , sustainable healthcare financing model