Determinants of Demand for Health Card in Thailand
The health insurance card scheme was introduced as the Health Card Project (HCP) in 1983. This program was based on the risk sharing of health expenditures with no cost sharing in a voluntary health insurance prepayment scheme. Frequent adjustments...
| Main Author: | |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2001/09/3916825/determinants-demand-health-card-thailand http://hdl.handle.net/10986/13627 |
| id |
okr-10986-13627 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-136272021-04-23T14:03:09Z Determinants of Demand for Health Card in Thailand Supakankunti, Siripen ACCESSIBILITY ADVERSE SELECTION AGRICULTURE CHILD HEALTH SERVICES CLINICS COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY HOSPITALS COMMUNITY PARTICIPATION CROPS DENTAL SERVICES DISCRIMINATION DISTRICTS DOCTORS ECONOMIC DEVELOPMENT EMPLOYMENT FAMILIES HEALTH CARE HEALTH CARE FINANCING HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PLANS HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HOSPITALS HOUSEHOLDS INCOME INCOME DISTRIBUTION INFORMAL SECTOR INJURIES INPATIENT CARE ISOLATION LIFE INSURANCE LOW INCOME LOW-INCOME COUNTRIES MARKETING MEDICAL CARE MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINES MORAL HAZARD NUTRITION OUTPATIENT CARE PARENTS PATIENTS PHYSICIANS PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REHABILITATION RISK SHARING RURAL AREAS SCHOOL HEALTH SOCIAL DEVELOPMENT SOCIAL RESEARCH SOCIAL SERVICES SUPERVISION SUSTAINABILITY TRANSPORT URBAN AREAS VICTIMS VILLAGES WORKERS HEALTH ECONOMICS HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH CARE HEALTH CARE POLICIES CHILD HEALTH CARE FAMILY HEALTH CARE HEALTH CARE INSURANCE The health insurance card scheme was introduced as the Health Card Project (HCP) in 1983. This program was based on the risk sharing of health expenditures with no cost sharing in a voluntary health insurance prepayment scheme. Frequent adjustments in both the strategies and objectives of the program have included voluntary risk sharing with cost recovery in addition to service provision. The HCP needs a large enough number of enrollees to ensure a sufficient pool of risks. However, the newly elected government of Thailand has committed to rapidly extending health care coverage to all Thai citizens. Even though the HCP was suppressed and replaced by this program in October 2001, this study of the determinants of demand for the prepaid health card is still important. The HCP can be assessed as relatively progressive, serving rural areas, poor and near poor groups. This study has found that employment, education, and the presence of illness are significant factors influencing card purchase. The third factor is related to the problem of adverse selection of the program; families with symptoms of sickness are more likely to buy cards and increase their use of health services. The results also show an improvement in accessibility to health care and a high level of satisfaction among cardholders, both key objectives of the program. Problems of program performance include issues of program and financial management: marketing, quality control and cost recovery; ineffective referral systems, and lack of limits on episodes and ceilings for expenses. There is a need for an efficient and consistent health policy, which would involve revised criteria for card use, standard reimbursement agreements with hospitals, government subsidies, and an overall strengthening of the program. 2013-05-29T15:46:50Z 2013-05-29T15:46:50Z 2001-09 http://documents.worldbank.org/curated/en/2001/09/3916825/determinants-demand-health-card-thailand http://hdl.handle.net/10986/13627 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Thailand |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESSIBILITY ADVERSE SELECTION AGRICULTURE CHILD HEALTH SERVICES CLINICS COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY HOSPITALS COMMUNITY PARTICIPATION CROPS DENTAL SERVICES DISCRIMINATION DISTRICTS DOCTORS ECONOMIC DEVELOPMENT EMPLOYMENT FAMILIES HEALTH CARE HEALTH CARE FINANCING HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PLANS HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HOSPITALS HOUSEHOLDS INCOME INCOME DISTRIBUTION INFORMAL SECTOR INJURIES INPATIENT CARE ISOLATION LIFE INSURANCE LOW INCOME LOW-INCOME COUNTRIES MARKETING MEDICAL CARE MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINES MORAL HAZARD NUTRITION OUTPATIENT CARE PARENTS PATIENTS PHYSICIANS PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REHABILITATION RISK SHARING RURAL AREAS SCHOOL HEALTH SOCIAL DEVELOPMENT SOCIAL RESEARCH SOCIAL SERVICES SUPERVISION SUSTAINABILITY TRANSPORT URBAN AREAS VICTIMS VILLAGES WORKERS HEALTH ECONOMICS HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH CARE HEALTH CARE POLICIES CHILD HEALTH CARE FAMILY HEALTH CARE HEALTH CARE INSURANCE |
| spellingShingle |
ACCESSIBILITY ADVERSE SELECTION AGRICULTURE CHILD HEALTH SERVICES CLINICS COMMUNITIES COMMUNITY DEVELOPMENT COMMUNITY HOSPITALS COMMUNITY PARTICIPATION CROPS DENTAL SERVICES DISCRIMINATION DISTRICTS DOCTORS ECONOMIC DEVELOPMENT EMPLOYMENT FAMILIES HEALTH CARE HEALTH CARE FINANCING HEALTH CENTERS HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PLANS HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HOSPITALS HOUSEHOLDS INCOME INCOME DISTRIBUTION INFORMAL SECTOR INJURIES INPATIENT CARE ISOLATION LIFE INSURANCE LOW INCOME LOW-INCOME COUNTRIES MARKETING MEDICAL CARE MEDICAL INSURANCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINES MORAL HAZARD NUTRITION OUTPATIENT CARE PARENTS PATIENTS PHYSICIANS PRIMARY HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REHABILITATION RISK SHARING RURAL AREAS SCHOOL HEALTH SOCIAL DEVELOPMENT SOCIAL RESEARCH SOCIAL SERVICES SUPERVISION SUSTAINABILITY TRANSPORT URBAN AREAS VICTIMS VILLAGES WORKERS HEALTH ECONOMICS HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH CARE HEALTH CARE POLICIES CHILD HEALTH CARE FAMILY HEALTH CARE HEALTH CARE INSURANCE Supakankunti, Siripen Determinants of Demand for Health Card in Thailand |
| geographic_facet |
East Asia and Pacific Thailand |
| relation |
HNP discussion paper series; |
| description |
The health insurance card scheme was
introduced as the Health Card Project (HCP) in 1983. This
program was based on the risk sharing of health expenditures
with no cost sharing in a voluntary health insurance
prepayment scheme. Frequent adjustments in both the
strategies and objectives of the program have included
voluntary risk sharing with cost recovery in addition to
service provision. The HCP needs a large enough number of
enrollees to ensure a sufficient pool of risks. However, the
newly elected government of Thailand has committed to
rapidly extending health care coverage to all Thai citizens.
Even though the HCP was suppressed and replaced by this
program in October 2001, this study of the determinants of
demand for the prepaid health card is still important. The
HCP can be assessed as relatively progressive, serving rural
areas, poor and near poor groups. This study has found that
employment, education, and the presence of illness are
significant factors influencing card purchase. The third
factor is related to the problem of adverse selection of the
program; families with symptoms of sickness are more likely
to buy cards and increase their use of health services. The
results also show an improvement in accessibility to health
care and a high level of satisfaction among cardholders,
both key objectives of the program. Problems of program
performance include issues of program and financial
management: marketing, quality control and cost recovery;
ineffective referral systems, and lack of limits on episodes
and ceilings for expenses. There is a need for an efficient
and consistent health policy, which would involve revised
criteria for card use, standard reimbursement agreements
with hospitals, government subsidies, and an overall
strengthening of the program. |
| format |
Publications & Research :: Working Paper |
| author |
Supakankunti, Siripen |
| author_facet |
Supakankunti, Siripen |
| author_sort |
Supakankunti, Siripen |
| title |
Determinants of Demand for Health Card in Thailand |
| title_short |
Determinants of Demand for Health Card in Thailand |
| title_full |
Determinants of Demand for Health Card in Thailand |
| title_fullStr |
Determinants of Demand for Health Card in Thailand |
| title_full_unstemmed |
Determinants of Demand for Health Card in Thailand |
| title_sort |
determinants of demand for health card in thailand |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2001/09/3916825/determinants-demand-health-card-thailand http://hdl.handle.net/10986/13627 |
| _version_ |
1764424424189067264 |