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Enregistrement W7133070229

Critical Illness Insurance: Reviewing and Comparing International and Finnish Approaches

2025· dissertation· en· W7133070229 sur OpenAlexaboutno aff
Tatu Eräkanto

Notice bibliographique

RevueTrepo - Institutional Repository of Tampere University · 2025
Typedissertation
Langueen
DomaineMedicine
ThématiqueSepsis Diagnosis and Treatment
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésPaymentHealth careCover (algebra)Health insuranceInsurance policyHealth policyCompensation (psychology)Loan
DOInon disponible

Résumé

récupéré en direct d'OpenAlex

Critical illness insurance (CII) is an insurance policy that usually pays a lump sum compensation after diagnosis of critical illness. The definition of critical illness varies by policy, but most policies cover conditions such as cancer, stroke, cardiovascular conditions, and multiple sclerosis. Compensation can be used according to individual needs, with loan payments and expedited care access being equally viable uses. While CII exists in several countries, the real usefulness and adoption of the policy is heavily influenced by local alternative insurance options and the health systems. CII is an awkward policy especially in countries such as Finland where the national health insurance system is comprehensive and private healthcare providers are not equipped to treat most critical illnesses. Additionally, national research is non-existent. This thesis investigates international examples of CII and the factors and systems affecting its adoption and usage and whether Finnish CII could be developed based on the findings. The thesis has two main objectives. The first is to review international CII implementations and identify various factors that might influence CII usage and implementation. The second is to reflect the findings on the current state of CII in Finland to compare approaches and additionally present ideas for improvement based on international examples. The study employs a mixed approach, first building a strong theoretical background to support the later empirical chapters, which contain a thorough literature review chapter and a comparative analysis chapter. First, different health systems and health insurance schemes are looked at with focus on Finland and additionally countries appearing in the reviewed articles: Australia, Canada, Germany, and China. Then, CII is looked at from the same perspectives internationally as well as nationally in Finland. The theoretical chapters rely heavily on public sources and easily accessible online materials that complement the more detailed information found in the articles that are identified through the literature review. The literature review is close to systematic and semi-systematic reviews, with the focus on peer reviewed journal articles on CII published between 2010 to 2025. The initial results go through several screening rounds used to identify the most relevant examples, with the final articles being carefully studied in the comparative analysis chapter. The comparative analysis chapter is based on five key themes through which each article is analysed. The themes are research trends, financial situation, role, awareness and marketing, and policy design. Each theme presents different perspectives that might concern CII to make comparison effective and comprehensive. Each theme contains several examples from all countries, with some countries contributing more due to varying amounts of identified articles. Results indicate that Finnish CII is already very similar to other Western examples where CII is often a highend policy benefiting consumers with excess income. The primary role is that of a tool for strong financial security, with potential uses being limited by several factors such as comprehensive NHI systems and more specified alternative insurance options. Australian and German CII is more beneficial for direct healthcare purposes, as private healthcare providers are equipped to treat most critical illnesses. Chinese CII is surprisingly found to be very different from Western examples, with implementations influenced heavily by regional and societal needs and government guidance. Differences between Finnish and Chinese CII are significant enough that policy improvements and changes are next to impossible unless heavy systemic changes were made. However, piloting some of the approaches seen in Western examples is possible in Finland, depending primarily on the willingness of Finnish insurers to invest in and develop CII further.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,000
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Observationnel · Signal consensuel: Observationnel
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,055
Score d'incertitude au seuil0,796

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0000,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,000
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0000,000
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,092
Tête enseignante GPT0,310
Écart entre enseignants0,217 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeObservationnel
Domainenon disponible
GenreEmpirique

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2025
Routes d'admission1
Résumé présentoui

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