Low enrollment intention threatens the funding pools of rural insurance schemes in developing countries. The purpose of this study is to investigate how social capital enhances the enrollment of health insurance among rural middle-aged and elderly. We propose that social capital directly increases health insurance enrollment, while indirectly influences health insurance through health risk avoidance. We used data from the China Health and Retirement Longitudinal Study (wave 4) dating the year of 2018, instrumental variable estimation was introduced to deal with the endogeneity problem, and the mediation analysis was used to examine the mechanism of social capital on insurance enrollment. The results show that social capital is positively related to social health insurance enrollment, and the relationship between social capital and social health insurance enrollment is mediated by health risk avoidance.
The increase in energy consumption is closely linked to environmental pollution. Healthcare spending has increased significantly in recent years in all countries, especially after the pandemic. The link between healthcare spending, greenhouse gas emissions and gross domestic product has led many researchers to use modelling techniques to assess this relationship. For this purpose, this paper analyzes the relationship between per capita healthcare expenditure, per capita gross domestic product and per capita greenhouse gas emissions in the 27 EU countries for the period 2000 to 2020 using Error Correction Westerlund, and Westerlund and Edgerton Lagrange Multiplier (LM) bootstrap panel cointegration test. The estimation of model coefficients was carried out using the Augmented Mean Group (AMG) method adopted by Eberhardt and Teal, when there is heterogeneity and cross-sectional dependence in cross-sectional units. In addition, Dumitrescu and Hurlin test has been used to detect causality. The findings of the study showed that in the long run, per capita emissions of greenhouse gases have a negative effect on per capita health expenditure, except from the case of Greece, Lithuania, Luxembourg and Latvia. On the other hand, long-term individual co-integration factors of GDP per capita have a positively strong impact on health expenditure per capita in all EU countries. Finally, Dumitrescu and Urlin’s causality results reveal a significant one-way causality relationship from GDP per capita and CO2 emissions per capita to healthcare expenditure per capita for all EU countries.
Strengthening the integration of elementary school mental health education and moral education is of great significance in comprehensively cultivating students' ideological and moral qualities as well as values. In order to fully implement quality education, schools need to carry out diversified teaching in conjunction with family forces to further optimize the integration effect of elementary school mental health education and moral education, cultivate high-quality talents for the country and society, and contribute to the construction of socialism with Chinese characteristics in the new era. This paper discusses the integration strategy of elementary school mental health education and moral education.
The health of employees is so paramount for employee productivity. While emphasis is often placed on the physical health of employees, less emphasis is placed on the psychological or mental health of the employees. Similarly, it seems as if health challenges are more occurring in manufacturing industries, but the service organizations employees are as well susceptible to mental health challenges. Understanding the predictive factors to mental health challenges therefore becomes imperative. It is on this note that the present research examines how employee mental health is predicted by work safety measures like perceived workplace safety, work overload and pay satisfaction. The workplace safety variables include perception of job, co-worker, supervisor, management, and safety programs. A cross sectional survey method was adopted, using ex-post-facto research design. Data were gathered from 258 employees, including 150 (58.1%) females and 108 (41.9%) males of a non-governmental organization. Correlation and regression analyses were used to analyze data obtained from the standardized psychological scales that were administered. The results showed that mental health correlated positively with perceived job safety, but negatively with perceived co-worker, supervisor, management, safety programs and pay satisfaction. Workplace safety variables jointly predicted mental health, accounting for 23% variance, but only perceived job safety and supervisor safety were significant. The higher employees perceived job safety, the lower their mental health challenges. Similarly, the higher they perceived supervisor safety, the lower their mental health issues. Pay satisfaction accounted for 3% variance in mental health, and the higher the pay satisfaction, the lower the level of employee mental health issues. It is implied that the human resource unit of service organizations should intermittently examine their organizations to identify and prevent possible job and supervisor safety threats. Supervisors should be trained on how to be discrete in communicating safety measures to subordinates so that it will not boomerang to hamper mental health. The human resources unit should also intermittently organize workshop, training, and employee-assisted programs for younger and lower grade employees on adaptive mechanisms for reducing mental health challenges.
This study aims to identify gaps in Indonesia’s national social health insurance scheme (Jaminan Kesehatan Nasional or JKN) in meeting the right to health for disabled persons in the country and to propose strategies to mitigate the gaps. This study employed descriptive qualitative methodologies. A questionnaire survey and structured interviews were undertaken from the period of October to December 2021, with a purposive sample of 317 disabled persons at their working age. Data collection also included on-site observations to sample of healthcare providers in six provinces and focused group discussions with key stakeholders. This study found that JKN is the primary source of hope for disabled persons. Nevertheless, approximately ten percent of disabled persons have been omitted from the scheme. Moreover, respondents of the survey expressed notably lower satisfaction level compared to the national average. Meanwhile, 25% of them also reported that JKN did not cover certain disability-specific benefits. The findings suggest that the national social health insurance scheme is not well prepared to offer disability-inclusive services. Thereby, policymakers should implement various interventions to improve the admission processes for disabled persons and to develop a system to identify disabled members based on their specific disabilities. Additionally, stipulating standards for disability-friendly minimum services for healthcare providers and incorporating the standards into the credentialing systems, providing regular training on disability-friendly services for healthcare personnel, also enhancing benefits coverage for disabled members in the Indonesian Case Base Groups (INA-CBGs) are the necessary strategies to mitigate the gaps.
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