Although these words were spoken by a fictional hero, the master detective Sherlock Holmes, they express a sentiment which is frequently felt by many physicians today. This issue was examined by Covell et al. in the Annals of Internal Medicine. They looked at the information needs of medical practitioners in their office practice and whether those needs were being met on a day-to-day basis. Wha...

Health equity is the basic theory of universal health insurance and the objective of reform of the medical welfare system. Based on health equity theory with the perspective of giving priority to disadvantaged groups, this article takes Zhejiang province as an example and adopts a mixed-method approach to explore the effects of the reform of the medical welfare system on health equity for older...

OBJECTIVE In China, despite a high coverage rate, health insurance is not used for all illness episodes. Our goal is to identify subjects' characteristics associated with insurance utilization and the association between utilization and medical expenditure. METHODS A survey was conducted in January and February of 2012. 2093 middle-aged and elderly subjects (45 years old and above) were surve...

About half the growth in real per capita medical spending from 1960 to 1993 and two-thirds of its growth from 1983 to 1993 resulted from either the level or the growth of insurance coverage, chiefly the former. Dividing all factors determining the 1960-1993 growth in real per capita medical spending into two major categories, we find that 70 percent of this growth resulted from cost-increasing ...

The legal system depends on the medical expert for evidence. Doctors readily complain about frivolous cases that go to trial, yet a lawyer cannot bring a frivolous claim to trial without a physician expert witness stating that the claim is not frivolous. An insurance company cannot raise premiums without medical expert witnesses servicing the increasing litigation against the insured. Physician...

STUDY OBJECTIVES Health care utilization has progressively increased, especially among Medical Aid beneficiaries in South Korea. The Medical Aid classifies beneficiaries into two categories, type 1 and 2, on the basis of being incapable (those under 18 or over 65 years of age, or disabled) or capable of working, respectively. Medical Aid has a high possibility for health care utilization due to...

WCI (Workers' Compensation Insurance) is a large-scale social security programme. In contrast to health insurance, this type of insurance covers all medical expenses, regardless how much the covered individual provides. The study's key objectives are increase policy understanding and satisfaction with Employee State Insurance Corporation (ESIC). benefits Employees' (ESIS) were investigated as p...

OBJECTIVES To determine insurance-related disparities in hospital care for patients with acute myocardial infarction (AMI), heart failure (HF) and pneumonia. SETTING AND PARTICIPANTS A total of 22 392 patients with AMI, 8056 patients with HF and 17 161 patients with pneumonia were selected from 31 tertiary hospitals in Shanxi, China, from 2014 to 2015 using the International Classification of...

During the past three decades, medical malpractice insurance has experienced periodic crises of lack of available coverage and/or increased price of coverage.1 One solution in some states has been the implementation of public medical malpractice insurance plans, the most common type being Patient Compensation Funds (PCFs).2 By definition, PCFs offer insurance for medical malpractice liability t...