Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital
Background: End-stage renal disease (ESRD) consequences have reached epidemic proportions in India, and disease rates are expected to rise further. Every year, around 0.22 million new patients with renal diseases are diagnosed in India. ESRD poses a significant hurdle to receiving affordable therapy...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Clinical Epidemiology and Global Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398423001999 |
| _version_ | 1797389468704964608 |
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| author | Jarupala Gangadhar Naik Sreedhar Dharmagadda Virendra S. Ligade Shankar Prasad Nagaraju Manjunath Kulkarni |
| author_facet | Jarupala Gangadhar Naik Sreedhar Dharmagadda Virendra S. Ligade Shankar Prasad Nagaraju Manjunath Kulkarni |
| author_sort | Jarupala Gangadhar Naik |
| collection | DOAJ |
| description | Background: End-stage renal disease (ESRD) consequences have reached epidemic proportions in India, and disease rates are expected to rise further. Every year, around 0.22 million new patients with renal diseases are diagnosed in India. ESRD poses a significant hurdle to receiving affordable therapy due to the exorbitant charges associated with accessing treatment in corporate hospitals. Objective: To investigate hemodialysis patients' enrolment patterns, utilisation rates, and best practices concerning government and private health insurance schemes in a tertiary care hospital setting. Methods: A multi-centric and prospective cross-sectional study was conducted at tertiary care hospitals. Sources of data collection were patients and family members. The questionnaires included sections related to patient demographics, insurance enrollment details, utilisation patterns, and satisfaction with insurance coverage. Results: Responses were collected from 385 patients undergoing treatment at tertiary care hospitals. The most utilised plans were health cards 107 (29.8%), private schemes 99 (27.6%), Central Government schemes 66 (18.4%), followed by trust 50 (13.9%), society schemes 30 (8.4%), and state schemes 7 (1.9%). The most common Central Government insurance scheme was Employee State Insurance, with 63 (17.5%) of patients enrolled, followed by Ex-servicemen Contributory Health Scheme 2 (0.6%) and Central Government Health Scheme 1 (0.3%). Among those with State Insurance, the Chief Minister Relief Fund Government of Karnataka 3 (0.8%), followed by the Arogya Bhagya Scheme 1 (0.3%). Conclusions: The utilisation rates of insurance benefits were relatively high among hemodialysis patients, demonstrating the significance of insurance coverage in facilitating their healthcare needs. |
| first_indexed | 2024-03-08T22:56:24Z |
| format | Article |
| id | doaj.art-4f28dd85ec0b4b98bc093d65d0cba218 |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-03-08T22:56:24Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-4f28dd85ec0b4b98bc093d65d0cba2182023-12-16T06:07:12ZengElsevierClinical Epidemiology and Global Health2213-39842023-11-0124101412Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospitalJarupala Gangadhar Naik0Sreedhar Dharmagadda1Virendra S. Ligade2Shankar Prasad Nagaraju3Manjunath Kulkarni4Department of Pharmacy Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, IndiaDepartment of Pharmacy Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, India; Corresponding author. Department of Pharmacy Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Udupi District, Manipal, Karnataka, 576 104, India.Department of Pharmacy Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, IndiaDepartment of Nephrology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, IndiaDepartment of Nephrology, Father Muller Medical College, Rajiv Gandhi University of Health Sciences, Mangalore, Karnataka, 575 002, IndiaBackground: End-stage renal disease (ESRD) consequences have reached epidemic proportions in India, and disease rates are expected to rise further. Every year, around 0.22 million new patients with renal diseases are diagnosed in India. ESRD poses a significant hurdle to receiving affordable therapy due to the exorbitant charges associated with accessing treatment in corporate hospitals. Objective: To investigate hemodialysis patients' enrolment patterns, utilisation rates, and best practices concerning government and private health insurance schemes in a tertiary care hospital setting. Methods: A multi-centric and prospective cross-sectional study was conducted at tertiary care hospitals. Sources of data collection were patients and family members. The questionnaires included sections related to patient demographics, insurance enrollment details, utilisation patterns, and satisfaction with insurance coverage. Results: Responses were collected from 385 patients undergoing treatment at tertiary care hospitals. The most utilised plans were health cards 107 (29.8%), private schemes 99 (27.6%), Central Government schemes 66 (18.4%), followed by trust 50 (13.9%), society schemes 30 (8.4%), and state schemes 7 (1.9%). The most common Central Government insurance scheme was Employee State Insurance, with 63 (17.5%) of patients enrolled, followed by Ex-servicemen Contributory Health Scheme 2 (0.6%) and Central Government Health Scheme 1 (0.3%). Among those with State Insurance, the Chief Minister Relief Fund Government of Karnataka 3 (0.8%), followed by the Arogya Bhagya Scheme 1 (0.3%). Conclusions: The utilisation rates of insurance benefits were relatively high among hemodialysis patients, demonstrating the significance of insurance coverage in facilitating their healthcare needs.http://www.sciencedirect.com/science/article/pii/S2213398423001999ESRDHemodialysis health care policiesEligibilityFinanceUdupi region |
| spellingShingle | Jarupala Gangadhar Naik Sreedhar Dharmagadda Virendra S. Ligade Shankar Prasad Nagaraju Manjunath Kulkarni Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital Clinical Epidemiology and Global Health ESRD Hemodialysis health care policies Eligibility Finance Udupi region |
| title | Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| title_full | Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| title_fullStr | Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| title_full_unstemmed | Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| title_short | Enrolment, utilisation, and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| title_sort | enrolment utilisation and best practices followed by hemodialysis patients concerning government and private health insurance schemes in tertiary care hospital |
| topic | ESRD Hemodialysis health care policies Eligibility Finance Udupi region |
| url | http://www.sciencedirect.com/science/article/pii/S2213398423001999 |
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