Hasil untuk "Insurance"

W. V. D. Ven, B. Praag

J. Newhouse

J. Rogowski, Lynn A. Karoly

Va, CHAMPVA1 Medicaid, Medicare et al.

Kaivan Munshi, M. Rosenzweig

Degfie Teku, Tarekege Derbib

IntroductionEthiopia’s livestock sector is critically vulnerable to a wide range of geological and hydrometeorological hazards that undermine animal health, productivity, and the livelihoods of pastoral communities. The country’s geographic location along the East African Rift System increases its susceptibility to geological threats such as volcanic eruptions, earthquakes, and landslides, while climate variability exacerbates hydrometeorological risks including droughts and floods.MethodsThis systematic review adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and employs a structured search strategy across major academic databases including Scopus, Web of Science, and Google Scholar. Studies were selected based on predefined inclusion and exclusion criteria to ensure the relevance and quality of the literature reviewed.ResultsThe review synthesizes findings from high-quality studies to qualitatively assess the compound impacts of geological and hydrometeorological hazards on livestock production in Ethiopia, particularly within pastoral and agro-pastoral systems. Drought emerges as the most significant hazard, with more than 6.8 million livestock deaths reported since 2020 due to successive failed rainy seasons. Floods have also caused severe damage; for instance, the 2006 flooding in the Southern Nations, Nationalities, and Peoples’ Region (SNNPR) resulted in the loss of approximately 15,600 livestock. In contrast, direct data on geological hazards such as volcanic eruptions and earthquakes remain limited, though their indirect effects—such as ashfall on grazing lands, water contamination, and disruption of grazing routes—further compromise livestock productivity and resilience.DiscussionThe review highlights critical gaps in data and research, particularly regarding the direct impacts of geological hazards. It identifies key adaptation and mitigation strategies, including early warning systems, hazard mapping, veterinary service enhancement, livestock diversification, and the promotion of livestock insurance schemes. Strengthening policy frameworks, community engagement, and economic instruments is essential to build resilience in the livestock sector. Evidence-based interventions are urgently needed to safeguard livelihoods, ensure food security, and promote sustainable adaptation in Ethiopia’s hazard-prone regions.

Stefano Bonnini, Michela Borghesi, Gianfranco Piscopo et al.

The methodology carried out in this work is based on non-parametric inference. The problem is framed as a regression analysis, and the solution is derived using the permutation approach. The proposed test does not rely on the assumption that the distribution of the response follows a specific family of probability laws, unlike other parametric approaches. This makes the test powerful, particularly when the typical assumptions of parametric approaches, such as the normality of data, are not satisfied and parametric tests are not reliable. Furthermore, this method is more flexible and robust with respect to parametric tests. A permutation test on the goodness-of-fit of a multiple regression model is applied. Hence, proposed solution consists of the application of permutation tests on the significance of the single coefficients and then a combined permutation test (CPT) to solve the overall goodness-of-fit testing problem. Furthermore, a Monte Carlo simulation study was performed to evaluate the power of the previously mentioned permutation approach, comparing it with the conventional parametric <i>F</i>-test for ANOVA and the bootstrap combined test, both commonly discussed in the literature on this statistical problem. Finally, the proposed non-parametric test was applied to real-world data to investigate the impact of age and smoking habits on medical insurance costs in the USA. The findings suggest that smoking and being at least 50 years old significantly contribute to increased medical insurance costs.

J I Gisbtarani, M N Huda, H Setiyaningsih et al.

The population of Australian sheep blowflies, Lucilia cuprina, in Australia is of concern to many researchers because it causes several problems. These problems occur in the sheep industry where there is a term "flystrike" in the industry. Flystrike is a fly attack on sheep that causes myiasis on the sheep's skin, affecting the quality and quantity of wool. In the worst cases, the sheep may die if not treated. This issue has attracted researcher to conduct a population control study of fly growth to suppress flystrike in the Australian sheep industry. In this paper, fly growth will be approached using a difference equation to better represent the industry’s situation. This equation will be analyzed using its approximate solution that is obtained through linearization of perturbation method, Cardano’s formula, and Galois solution’s method. By studying fly growth, Australian sheep farmers may find it easier to handle and prevent fly infestations using the solution.

Sita Acharya, Ujjal Tiwari, Rishi Ram Kattel et al.

Dairy production is one of the risky businesses, which seeks effective risk management strategies. Adoption of a livestock insurance scheme is one of the most effective risk management strategies for dairy entrepreneurs. However, in Nepal, insurance coverage is very low in the dairy sub-sector. The study aimed to assess the dairy farmer’s willingness to pay for the livestock insurance scheme. The study was carried out in Kavrepalanchowk district of Nepal in 2022. The simple random sampling technique was used to select 146 dairy farmers. Double Bounded Dichotomous Choice Contingent Valuation technique was used to estimate Willingness to Pay (WTP). About 93% of the respondent farmers were the member of cooperatives which was the major source of information flow for livestock insurance scheme to them. The result revealed that number of cattle reared, awareness about livestock insurance scheme, and experience of livestock loss have significant positive influences in the decision regarding the adoption of livestock insurance. Farmers are willing to pay more than the current premium rate for livestock insurance. Hence, only increasing the subsidy might not be the solution in expanding the livestock insurance adoption rate. Rather, alternative approach like mobilizing institutions (cooperative) in expanding the insurance scheme is required.

Sungjoon Cho, Sungjae Shin, Seunghyun Lee et al.

Background Osteoporosis and fragility fractures are crucial musculoskeletal complications in long-term survivors of gastric cancer. However, the relationship between changes in body composition after gastrectomy and bone loss has not been investigated. Therefore, this study aimed to explore whether computed tomography (CT)-derived body composition parameters are associated with bone loss after gastrectomy in patients with gastric cancer. Methods We retrospectively reviewed medical records and abdomen CT scans of patients who underwent gastrectomy at Yonsei University Severance Hospital between 2009 and 2018. Patients with non-metastatic gastric adenocarcinoma and preoperative and postoperative non-contrast CT scans were analyzed. Section area of skeletal muscle (SMA), visceral fat (VFA), and subcutaneous fat (SFA) were assessed using semi-automatic segmentation software. Changes in trabecular bone attenuation of L1 mid-vertebra level (L1 Hounsfield units [HU]) were measured. Results Fifty-seven patients (mean age, 65.5±10.6; 70.2% males) were analyzed, and the median duration was 31 months. Fortyseven patients (82.5%) lost weight after gastrectomy. Baseline SMA and VFA did not differ between the bone loss and preserved groups; however, baseline SFA was significantly higher in the bone preserved group than in the bone loss group (P=0.020). In a multivariable linear regression model adjusted for confounding factors, one standard deviation higher VFA at baseline was associated with greater annualized L1 HU loss (%) (P=0.034). However, higher preoperative SFA was associated with protection against bone loss after gastrectomy (P=0.025). Conclusion Higher preoperative SFA exhibited a protective effect against bone loss after gastrectomy in patients with non-metastatic gastric cancer, whereas VFA exhibited a negative effect.

Stanisław Fel, Krzysztof Jurek, Katarzyna Lenart-Kłoś

Abstract There is still a gap in scientific knowledge in relation to civilian participants in hostilities. This is despite the fact that there is an extensive body of literature on major depressive disorder (MDD) in individuals who have experienced armed conflict. The purpose of this article is to identify socio-demographic factors which are related to levels of depression among civilian participants in the war in Ukraine, based on a cross-sectional study that was conducted in 2019 from a convenience sample of 314 Ukrainian adults (235 males). Depression was assessed via the Beck Depression Inventory. Multiple regression analyses were conducted to identify possible predictors of depression. Significant predictors were: loss of a loved one, place of residence, age, health insurance, financial situation, and marital status (F (6, 224) = 10.515, p < 0.001, R 2 = 0.21; Adjusted R 2 = 0.19). They also show that symptoms of depression resulting from the loss of a loved one due to war can be reduced through participation in an educational system. Having children is associated with a risk of more severe depression. Specialists are encouraged to engage in face-to-face interviews and to maintain a supportive and safe environment for participants in hostilities, e.g., in the area of education.

Young-Taek Park PhD, Hyeoun-Ae Park PhD, Jae Meen Lee MD et al.

Insufficient information exists on the associations between hospitals’ adoption of mobile-based personal health record (mPHR) systems and patients’ characteristics. This study explored the associations between patients’ characteristics and hospitals’ adoption of mPHR systems in Korea. This cross-sectional study used 316 hospitals with 100 or more beds as the unit of analysis. Previously collected data on mPHR adoption from May 1 to June 30, 2020 were analyzed. National health insurance claims data for 2019 were also used to analyze patients’ characteristics. The dependent variable was mPHR system adoption (0 vs 1) and the main independent variables were the number of patients, age distribution, and proportions of patients with cancer, diabetes, and hypertension among inpatients and outpatients. The number of inpatients was significantly associated with mPHR adoption (adjusted odds ratio [aOR]: 1.174; 1.117-1.233, P < .001), as was the number of outpatients (aOR: 1.041; 1.028-1.054, P  < .001). The proportion of inpatients aged 31 to 60 years to those aged 31 years and older was also associated with hospital mPHR adoption (aOR: 1.053; 1.022-1.085, P  = .001). mPHR system adoption was significantly associated with the proportion of inpatients (aOR: 1.089; 1.012-1.172, P  = .024) and outpatients (aOR: 1.138; 1.026-1.263, P  = .015) with cancer and outpatients (aOR: 1.271; 1.101-1.466, P  = .001) with hypertension. Although mPHR systems are useful for the management of chronic diseases such as diabetes and hypertension, the number of patients, younger age distribution, and the proportion of cancer patients were closely associated with hospitals’ introduction of mPHR systems.

Trisninik Ratih Wulandari, Doddy Setiawan, Ari Kuncara Widagdo

Related party transactions (RPT) are a common transaction conducted among companies and are the focus of the business world today. The purpose of this study is twofold, as follows: first, to provide empirical evidence for whether the RPT of related party loans in manufacturing companies in Indonesia is an opportunistic transaction or an efficient transaction, and second, to provide evidence for whether there are differences in company perspectives before and during the COVID-19 pandemic. This study employs data from all manufacturing companies listed on the Indonesia Stock Exchange (IDX). The data analysis techniques include descriptive statistical and hypothesis testing. The results of this study in the period 2018–2021 show that RPT has a positive effect on company value. During this period, that is, the years prior to the COVID-19 pandemic, RPT had a negative effect on company value. In contrast, the 2020–2021 period (during the COVID-19 pandemic) shows the opposite result: RPT has a positive effect on company value. The results of this study suggest that in the 2018–2021 and the pandemic period (2020–2021), companies conducted RPT for efficiency purposes, while prior to the pandemic (2018–2019) RPT was conducted for opportunistic purposes.

Yeliz Polat

During the global Covid-19 pandemic crisis, many countries, especially European countries, placed the practice of short-time work, which is a passive employment policy, at the center of labor market measures. Fundamental factors, such as application procedures and principles, eligibility requirements, duration, the amount of allowance, and social security contributions differ between countries. In addition, to minimize the negative effects of the crisis, which affected all labor markets, relaxation of regulations regarding the practice of short-time working brought international practices closer together. This study investigated the similarities and differences of the short-time working practices in European Union member countries during the pandemic crisis, evaluating current and potential reverberations in labor markets. Consequently, it isclearly inevitable and necessary to extend the regulations regarding short-time working practices, which has an important role in protecting employment during general economic crises.

Hee-Soon Juon, Donna T. Sheler, Jane Pan et al.

Hepatitis B vaccination protects newborns from contracting the hepatitis B virus that may lead to chronic infection, liver failure, or death. Trends and racial differences in the administration of the hepatitis B (HepB) birth dose in 2018–2020 were examined in the targeted region. A retrospective analysis of electronic birth dose vaccination data of newborns in 2018–2020 was performed. Birth data from six birthing facilities and home delivery records were obtained from the DC Health Department Vital Statistics Division. This data represented 40,269 newborns and included the mother’s race and ethnicity, health insurance type, birthing facility, and administration of the HepB birth dose. Descriptive analysis and multivariable logistic regression analysis were conducted. In addition, subgroup analysis by health insurance type was also conducted with a significant interaction of race/ethnicity and health insurance type. A total of 34,509 (85.7%) received the HepB birth dose within 12 h or before discharge from the facility. The rates of birth dose vaccination have seen an increase over the 3-year period (83.7% in 2018, 85.8% in 2018, 87.7% in 2020, <i>p</i> < 0.01). Multivariable logistic regression analysis revealed racial differences in HepB birth dose vaccination rates. Asian Americans had the highest rate of newborn vaccination consistently over the 3-year period. Conversely, African American infants were less likely to have the birth dose than non-Hispanic Whites (aOR = 0.77, 95% CI: 0.71–0.83). Our research indicates that further studies are needed to explore HepB birth dose hesitancy among African Americans.

Young-Hoon Joo, Hyun-Jin Lee, Jun-Ook Park et al.

<h4>Background</h4>Whether herpes zoster infection (HZI) affects laryngitis incidence remains unknown.<h4>Objective</h4>The purpose of this population-based retrospective study was to analyze the relationship between laryngitis and HZI using data from the Korean Health Insurance Review and Assessment Service-National Sample Cohort.<h4>Methods</h4>This study analyzed 1,197,093 medical claim codes from 2018. Patients with HZI (ICD-10: B02) were retrospectively identified. Laryngeal diseases were defined by ICD-10 codes for five subgroups: 1) malignant disease, 2) benign disease, 3) vocal cord palsy, 4) inflammatory disease, and 5) reflux disease.<h4>Results</h4>Among the Korean population older than 20 years, 12,809 experienced HZI. Subjects with HZI were more likely to be older (mean age: 51.54 years vs. 48.06 years, p <0.0001). The proportion of subjects with laryngeal disease was higher in those with HZI than in those without HZI (55.55% vs. 41.37%, p <0.0001). Laryngeal disease was significantly associated with HZI in multiple regression analysis (odds ratio (OR) = 1.77, 95% confidence interval: 1.71-1.84) after adjusting for age, sex, hypertension, diabetes, dyslipidemia, ischemic heart disease, cerebral stroke, and depression. Among laryngeal disease subgroups, inflammatory disease (OR = 1.05; 95% CI: 1.01-1.09) and reflux (OR = 1.20; 95% CI: 1.15-1.25) were associated with HZI.<h4>Conclusions</h4>HZI is independently associated with laryngitis. Results of this study have implications for etiological investigations and prevention strategies for laryngitis.

Andi Nur Awaliah Ramadhani, Zulkifli Aspan, Muh. Hasrul

Despite the reality that the JKN program is necessary for all Indonesian residents, there are still individuals who have not enrolled as JKN members. The purpose of this research is to evaluate and explain the application of individual health services and the government's impediments to citizens receiving legal protection under the BPJS health health social security system. The research approach adopted is one of normative legal research. A descriptive legal approach was adopted in the assessment process. According to the findings of this study, the application of individual health services in the framework of legal protection for people who are not enrolled in the BPJS Health social security system is restricted to the supply of health facilities. The state does not offer legal protection in the form of duty for delivering health care, because individuals who are not enrolled as BPJS Health participants will be registered as general patients, requiring them to pay for treatments individually or through private insurance. While the idea of BPJS Health as given in the BPJS Law requires everyone to register for BPJS Health, BPJS Health still has several inadequacies, which causes some individuals to be hesitant and unwilling to register as BPJS Health participants. The government cannot claim that the lack of legal protection in health services is the responsibility of those who do not register as BPJS Health participants, because this is a result or implication of the numerous deficiencies in health services that continue to employ BPJS Health.

Jing Cai

Wenjuan Wang, Gheda Temsah, Lindsay M. Mallick

Abstract While research has assessed the impact of health insurance on health care utilization, few studies have focused on the effects of health insurance on use of maternal health care. Analyzing nationally representative data from the Demographic and Health Surveys (DHS), this study estimates the impact of health insurance status on the use of maternal health services in three countries with relatively high levels of health insurance coverage—Ghana, Indonesia and Rwanda. The analysis uses propensity score matching to adjust for selection bias in health insurance uptake and to assess the effect of health insurance on four measurements of maternal health care utilization: making at least one antenatal care visit; making four or more antenatal care visits; initiating antenatal care within the first trimester and giving birth in a health facility. Although health insurance schemes in these three countries are mostly designed to focus on the poor, coverage has been highly skewed toward the rich, especially in Ghana and Rwanda. Indonesia shows less variation in coverage by wealth status. The analysis found significant positive effects of health insurance coverage on at least two of the four measures of maternal health care utilization in each of the three countries. Indonesia stands out for the most systematic effect of health insurance across all four measures. The positive impact of health insurance appears more consistent on use of facility-based delivery than use of antenatal care. The analysis suggests that broadening health insurance to include income-sensitive premiums or exemptions for the poor and low or no copayments can increase use of maternal health care.