Is universal coverage a solution for disparities in health care? Findings from three low-income provinces of Thailand
Is universal coverage a solution for disparities in health care? Findings from three low-income provinces of Thailand
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DOI：
10.1016/j.healthpol.2004.11.019
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发表时间：
2005-09-08
期刊：
影响因子：
3.3
通讯作者：
Tangcharoensathien, V
中科院分区：
文献类型：
--
作者：
Suraratdecha, C;Saithanu, S;Tangcharoensathien, V
自2001年4月以来，泰国政府逐步通过和实施了全民保健政策，目的是为没有保险的人口提供获得保健的机会。然而，UC的成功取决于其设计和实施安排在覆盖人口和影响家庭寻求健康的行为以及利用UC益处的能力方面的有效性。在三个低收入省份（Tak、萨科尔Nakorn、Narathiwat）对1，834名受访者进行的家庭调查结果显示，有豁免计划的金卡有利于穷人，而其他保险计划则倾向于富人，2.6%的受访者报告有一种以上的医疗保险，8.9%的人没有医疗保险。保险状况与卫生保健利用、计划生育知识、性病知识有显著相关。此外，消费者偏好和社会经济因素是造成医疗保健利用差异的关键。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
The policy on universal coverage (UC) of health care has been adopted and implemented incrementally by the government of Thailand since April 2001 with the aim of providing the access to care for the uninsured population. The success of UC, however, depends on how effective its design and implementation arrangements are in reaching population and affecting households' health seeking behavior and abilities to take up benefits of UC. The results from the household survey of 1834 respondents conducted in three low-income provinces (Tak, Sakol Nakorn, Narathiwat) show that the Gold card with exemption scheme was pro-poor while other insurance schemes tended to favor the rich with 2.6% of respondents reported having more than one type of health insurance coverage and 8.9% without health insurance. The insurance status had statistically significant association with health care use, and knowledge on family planning method and sexually transmitted diseases. Additionally, consumer preferences and socioeconomics factors are a key to disparities in health care utilization. (c) 2004 Elsevier Ireland Ltd. All rights reserved.