[Tagging] Feature Proposal - RFC - Tag:insurance:health

Mark Herringer mark at healthsites.io
Thu Jul 11 19:10:11 UTC 2019


We would like to support the following user story, ' As a pregnant mother I
would like to know if a clinic will cover my health costs through the
government health plan or not so that I can select the best clinic for me.'

Perhaps the values for this tag should be localised per country, just as
medicare would be an option for the insurance:health tag in the United
States. This information would be invaluable in African countries where it
could really make a difference for individuals to know where their
treatment is covered.
ᐧ

On Thu, 20 Jun 2019 at 08:17, Joseph Eisenberg <joseph.eisenberg at gmail.com>
wrote:

> 5) insurance:health
>
> The proposal suggests values of "no", "public", "private" and "unknown".
>
> Most of these values are not very helpful in most countries.
>
> "insurance:health=no" might be useful in the rare instance that a
> private clinic or facility does not directly accept any form of health
> insurance for payment, however this is rare.
>
> "insurance:health=public" is not very specific. This might be
> sufficient in a country where there is only one public,
> government-administered insurance plan. However, here in Indonesia
> there are 2 common public insurance plans in my province, so it would
> be much more useful to use the name of the insurance as the value, eg
> "insurance:health=BPJS" and "insurance:health=Papua_Sehat". In the USA
> there is Medicare and various local versions of Medicaid in each
> state, in addition to hmo-managed Medicare and Medicaid plans.
>
> "insurance:health=private" is even less useful. I don't think this tag
> is helpful at all, because each private insurance plan is different.
> Similarly, "insurance:health=unknown" should not be used, because it
> doesn't provide any information.
>
> This suggests a problem for counties like the USA or Germany where
> there are dozens or hundreds of health insurance companies with many
> different health plans, each of which may be accepted by a different
> list of physicians and health facilities. Would a USA hospital be
> tagged with a list of 100 different insurance company and plan
> combinations? This would be hard to manage and maintain by most
> openstreetmap mappers.
>
> -Joseph Eisenberg M.D.
>
> On 6/20/19, Mhairi O'Hara <mhairi.ohara at hotosm.org> wrote:
> > Hello Tagging Mailing List,
> >
> > We would like to bring your attention and comments on the proposal for
> the
> > staff_count:doctors and staff_count:nurses tags, which helps identify the
> > number of doctors and nurses at a given health facility [1][2]. The
> > operational_status tag, which has been proposed before and I would like
> to
> > highlight again, as this is used to document an observation of the
> current
> > functional status of a mapped feature (i.e. health facility) [3]. The
> > health_amenity:type tag is also being proposed, as this indicates what
> type
> > of speciality medical equipment is available at the health facility [4]
> and
> > the final tag is insurance:health which describes the type of health
> > insurance accepted at a health facility [5].
> >
> > Some of these are already in use but have never been formally accepted,
> or
> > properly described as to how they should be applied, which we would like
> to
> > try and achieve if possible for the Healthsites.io project. Please take a
> > look at the proposal pages on the OSM Wiki, as well as the Global
> > Healthsites Mapping Project page [2] which is at the core of the recent
> > work focused on creating a health facility data model. We look forward to
> > discussing these proposals on the respective Wiki discussion pages.
> >
> > Kind regards,
> >
> > Mhairi
> >
> > [1]
> >
> https://wiki.openstreetmap.org/wiki/Proposed_features/Tag:staff_count:doctors
> > [2]
> >
> https://wiki.openstreetmap.org/wiki/Proposed_features/Tag:staff_count:nurses
> > [3]
> >
> https://wiki.openstreetmap.org/wiki/Proposed_features/Tag:operational_status
> > [4]
> >
> https://wiki.openstreetmap.org/wiki/Proposed_features/Tag:health_amenity:type
> > [5]
> >
> https://wiki.openstreetmap.org/wiki/Proposed_features/Tag:insurance:health
> > [6]
> >
> https://wiki.openstreetmap.org/wiki/Global_Healthsites_Mapping_Project#Tag_Proposal
> >
> >
> > --
> > *Mhairi O'Hara*
> > Project Manager
> > mhairi.ohara at hotosm.org
> > @mataharimhairi
> >
> >
> > *Humanitarian OpenStreetMap Team*
> > *Using OpenStreetMap for Humanitarian Response & Economic Development*
> > web <http://hotosm.org/>
> >  |      twitter <https://twitter.com/hotosm>
> >  |      facebook <https://www.facebook.com/hotosm>
> >  |      donate <http://hotosm.org/donate>
> >
>


-- 
Kind regards
Mark Herringer
www.healthsites.io
https://medium.com/healthsites-io
@sharehealthdata <https://twitter.com/sharehealthdata>
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