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.oh...@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
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