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

[Warin]

On 20/06/19 16:17, Joseph Eisenberg 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.

There are also tourist, some have insurance of many kinds, some have no insurance.

Then there are reciprocal medical care agreements between countries for nationals travelling to the respective countries using the national medical care programs.

One local hospital requires a flat $200 fee before admittance... the specialist I went to there charged about that for a 10 minute consultation.. I had 3 of them.

>
> 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
>>
>>