Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection

Thailand has succeeded in expanding coverage of publicly-funded and publicly-managed health insurance schemes, following the introduction of universal health coverage policy in 2001. While Thailand’s achievement of universal health coverage (UC) is...

Full description

Bibliographic Details
Main Author: World Bank Group
Format: Report
Language:English
en_US
Published: Washington, DC 2015
Subjects:
PHO
Online Access:http://documents.worldbank.org/curated/en/2015/05/24435347/thailand-qualitative-assessment-health-equity-among-elderly-people-thailand-utilization-financial-protection
http://hdl.handle.net/10986/22810
id okr-10986-22810
recordtype oai_dc
spelling okr-10986-228102021-06-14T10:21:29Z Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection World Bank Group ACCESS TO HEALTH CARE EMPLOYMENT COMMUNITIES RISKS LOCAL POPULATION PEOPLE BIG CITIES FINANCING VITAMINS INCOME HEALTH CARE UTILIZATION PHO HEALTH EXPENDITURES DOCTORS HEALTH EDUCATION COMMUNITY HEALTH SERVICES HEALTH INSURANCE HEALTH CARE DRUGS LEGAL STATUS FAMILY MEMBERS HEALTH HEALTH PROFESSIONALS CITIES TOWNS NATIONAL LEVEL HEALTH SERVICE UTILIZATION HEALTH FACILITIES HOSPITAL PUBLIC HEALTH HEALTH CONDITIONS KNOWLEDGE CANCER PATIENTS RADIOTHERAPY DISEASES COSTS TRAINING PATIENTS PATIENT RENT PROBABILITY PUBLIC HEALTH CARE PUBLIC HOSPITALS HEALTH CENTERS MOBILITY NURSES EMERGENCIES HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES HOUSEHOLD INCOME DISSEMINATION SERVICE PROVIDER ELDERLY POPULATION SOCIAL SECURITY HOSPITAL SERVICES SERVICE DELIVERY HEALTH CARE COVERAGE HEALTH PROMOTION ELDERLY CANCER PROGRESS EQUITY HOUSEHOLD LEVEL RURAL COMMUNITIES TRANSPORTATION WORKERS SURGERY AGED CONTRACEPTIVES INSURANCE SCHEMES ECONOMIC STATUS CARE GENDER HEALTH CARE COSTS HOMES MEDICAL SERVICES LONG-TERM CARE URBAN AREAS HOUSEHOLD MEDICAL EQUIPMENT MEDICAL SUPPLIES EXPENDITURES PUBLIC HEALTH OFFICIALS HEALTH CARE FINANCING HEALTH CLINICS CHEMOTHERAPY SERVICE UTILIZATION HEALTH CARE EXPENDITURES ACCESS TO HEALTH CARE SERVICES ELDERLY PEOPLE POLICY SOCIAL WELFARE CITIZENS INSURANCE HEALTH CARE PROFESSIONALS COMMUNICABLE DISEASES RURAL RESIDENTS MINORITY CHILDREN MEDICAL BENEFITS FEMALES CLINICS LOCAL COMMUNITIES HOUSEHOLDS HEALTH PROVIDERS RURAL AREAS POVERTY HEALTH EXPENDITURE CONDOM INCIDENCE POPULATION FACILITIES MEDICAL DOCTORS RESEARCH METHODS RURAL DISTRICT COMMUNITY FEES FAMILIES MEDICINES HOME VISITS HOSPITALS DENTAL SERVICES HEALTH SERVICE FEMALE HEALTH SERVICES IMPLEMENTATION SERVICE DISTRICTS HEALTH OFFICIALS RENTING PROVIDER PAYMENT PATIENT CARE MEDICAL EXPENSES Thailand has succeeded in expanding coverage of publicly-funded and publicly-managed health insurance schemes, following the introduction of universal health coverage policy in 2001. While Thailand’s achievement of universal health coverage (UC) is well noted, recent researches and studies have indicated that there are still gaps in health utilization and financial protection. A recent study by Thailand’s health insurance system research office (HISRO) shows that utilization of health services by patients of three main health insurance schemes combined increased markedly after age 45 for both outpatient care and in-patient care but later dropped during an advanced age. Utilization of out-patient care services decreases among patients who are over 75 years of age while that of in-patient care services decreases after 85 years of age. The objective of the study is to identify the gaps of accessing UC scheme’s care system by the elderly population, focusing on utilization and financial protection aspects. The team conducted small-scale area-based qualitative case studies, focusing on elderly UC members who live in selected urban and rural areas in four different geographical regions of Thailand - Central, North, Northeastern, and South. The analysis confirms that there are poor elderly people who still need to pay for the costs of out-patient and in-patient care services at publicly run health facilities. 2015-11-03T16:06:14Z 2015-11-03T16:06:14Z 2015-05-20 Report http://documents.worldbank.org/curated/en/2015/05/24435347/thailand-qualitative-assessment-health-equity-among-elderly-people-thailand-utilization-financial-protection http://hdl.handle.net/10986/22810 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work Economic & Sector Work :: Other Social Protection Study 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 ACCESS TO HEALTH CARE
EMPLOYMENT
COMMUNITIES
RISKS
LOCAL POPULATION
PEOPLE
BIG CITIES
FINANCING
VITAMINS
INCOME
HEALTH CARE UTILIZATION
PHO
HEALTH EXPENDITURES
DOCTORS
HEALTH EDUCATION
COMMUNITY HEALTH
SERVICES
HEALTH INSURANCE
HEALTH CARE
DRUGS
LEGAL STATUS
FAMILY MEMBERS
HEALTH
HEALTH PROFESSIONALS
CITIES
TOWNS
NATIONAL LEVEL
HEALTH SERVICE UTILIZATION
HEALTH FACILITIES
HOSPITAL
PUBLIC HEALTH
HEALTH CONDITIONS
KNOWLEDGE
CANCER PATIENTS
RADIOTHERAPY
DISEASES
COSTS
TRAINING
PATIENTS
PATIENT
RENT
PROBABILITY
PUBLIC HEALTH CARE
PUBLIC HOSPITALS
HEALTH CENTERS
MOBILITY
NURSES
EMERGENCIES
HEALTH CARE SERVICES
ACCESS TO HEALTH SERVICES
HOUSEHOLD INCOME
DISSEMINATION
SERVICE PROVIDER
ELDERLY POPULATION
SOCIAL SECURITY
HOSPITAL SERVICES
SERVICE DELIVERY
HEALTH CARE COVERAGE
HEALTH PROMOTION
ELDERLY
CANCER
PROGRESS
EQUITY
HOUSEHOLD LEVEL
RURAL COMMUNITIES
TRANSPORTATION
WORKERS
SURGERY
AGED
CONTRACEPTIVES
INSURANCE SCHEMES
ECONOMIC STATUS
CARE
GENDER
HEALTH CARE COSTS
HOMES
MEDICAL SERVICES
LONG-TERM CARE
URBAN AREAS
HOUSEHOLD
MEDICAL EQUIPMENT
MEDICAL SUPPLIES
EXPENDITURES
PUBLIC HEALTH OFFICIALS
HEALTH CARE FINANCING
HEALTH CLINICS
CHEMOTHERAPY
SERVICE UTILIZATION
HEALTH CARE EXPENDITURES
ACCESS TO HEALTH CARE SERVICES
ELDERLY PEOPLE
POLICY
SOCIAL WELFARE
CITIZENS
INSURANCE
HEALTH CARE PROFESSIONALS
COMMUNICABLE DISEASES
RURAL RESIDENTS
MINORITY
CHILDREN
MEDICAL BENEFITS
FEMALES
CLINICS
LOCAL COMMUNITIES
HOUSEHOLDS
HEALTH PROVIDERS
RURAL AREAS
POVERTY
HEALTH EXPENDITURE
CONDOM
INCIDENCE
POPULATION
FACILITIES
MEDICAL DOCTORS
RESEARCH METHODS
RURAL DISTRICT
COMMUNITY
FEES
FAMILIES
MEDICINES
HOME VISITS
HOSPITALS
DENTAL SERVICES
HEALTH SERVICE
FEMALE
HEALTH SERVICES
IMPLEMENTATION
SERVICE
DISTRICTS
HEALTH OFFICIALS
RENTING
PROVIDER PAYMENT
PATIENT CARE
MEDICAL EXPENSES
spellingShingle ACCESS TO HEALTH CARE
EMPLOYMENT
COMMUNITIES
RISKS
LOCAL POPULATION
PEOPLE
BIG CITIES
FINANCING
VITAMINS
INCOME
HEALTH CARE UTILIZATION
PHO
HEALTH EXPENDITURES
DOCTORS
HEALTH EDUCATION
COMMUNITY HEALTH
SERVICES
HEALTH INSURANCE
HEALTH CARE
DRUGS
LEGAL STATUS
FAMILY MEMBERS
HEALTH
HEALTH PROFESSIONALS
CITIES
TOWNS
NATIONAL LEVEL
HEALTH SERVICE UTILIZATION
HEALTH FACILITIES
HOSPITAL
PUBLIC HEALTH
HEALTH CONDITIONS
KNOWLEDGE
CANCER PATIENTS
RADIOTHERAPY
DISEASES
COSTS
TRAINING
PATIENTS
PATIENT
RENT
PROBABILITY
PUBLIC HEALTH CARE
PUBLIC HOSPITALS
HEALTH CENTERS
MOBILITY
NURSES
EMERGENCIES
HEALTH CARE SERVICES
ACCESS TO HEALTH SERVICES
HOUSEHOLD INCOME
DISSEMINATION
SERVICE PROVIDER
ELDERLY POPULATION
SOCIAL SECURITY
HOSPITAL SERVICES
SERVICE DELIVERY
HEALTH CARE COVERAGE
HEALTH PROMOTION
ELDERLY
CANCER
PROGRESS
EQUITY
HOUSEHOLD LEVEL
RURAL COMMUNITIES
TRANSPORTATION
WORKERS
SURGERY
AGED
CONTRACEPTIVES
INSURANCE SCHEMES
ECONOMIC STATUS
CARE
GENDER
HEALTH CARE COSTS
HOMES
MEDICAL SERVICES
LONG-TERM CARE
URBAN AREAS
HOUSEHOLD
MEDICAL EQUIPMENT
MEDICAL SUPPLIES
EXPENDITURES
PUBLIC HEALTH OFFICIALS
HEALTH CARE FINANCING
HEALTH CLINICS
CHEMOTHERAPY
SERVICE UTILIZATION
HEALTH CARE EXPENDITURES
ACCESS TO HEALTH CARE SERVICES
ELDERLY PEOPLE
POLICY
SOCIAL WELFARE
CITIZENS
INSURANCE
HEALTH CARE PROFESSIONALS
COMMUNICABLE DISEASES
RURAL RESIDENTS
MINORITY
CHILDREN
MEDICAL BENEFITS
FEMALES
CLINICS
LOCAL COMMUNITIES
HOUSEHOLDS
HEALTH PROVIDERS
RURAL AREAS
POVERTY
HEALTH EXPENDITURE
CONDOM
INCIDENCE
POPULATION
FACILITIES
MEDICAL DOCTORS
RESEARCH METHODS
RURAL DISTRICT
COMMUNITY
FEES
FAMILIES
MEDICINES
HOME VISITS
HOSPITALS
DENTAL SERVICES
HEALTH SERVICE
FEMALE
HEALTH SERVICES
IMPLEMENTATION
SERVICE
DISTRICTS
HEALTH OFFICIALS
RENTING
PROVIDER PAYMENT
PATIENT CARE
MEDICAL EXPENSES
World Bank Group
Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
geographic_facet East Asia and Pacific
Thailand
description Thailand has succeeded in expanding coverage of publicly-funded and publicly-managed health insurance schemes, following the introduction of universal health coverage policy in 2001. While Thailand’s achievement of universal health coverage (UC) is well noted, recent researches and studies have indicated that there are still gaps in health utilization and financial protection. A recent study by Thailand’s health insurance system research office (HISRO) shows that utilization of health services by patients of three main health insurance schemes combined increased markedly after age 45 for both outpatient care and in-patient care but later dropped during an advanced age. Utilization of out-patient care services decreases among patients who are over 75 years of age while that of in-patient care services decreases after 85 years of age. The objective of the study is to identify the gaps of accessing UC scheme’s care system by the elderly population, focusing on utilization and financial protection aspects. The team conducted small-scale area-based qualitative case studies, focusing on elderly UC members who live in selected urban and rural areas in four different geographical regions of Thailand - Central, North, Northeastern, and South. The analysis confirms that there are poor elderly people who still need to pay for the costs of out-patient and in-patient care services at publicly run health facilities.
format Report
author World Bank Group
author_facet World Bank Group
author_sort World Bank Group
title Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
title_short Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
title_full Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
title_fullStr Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
title_full_unstemmed Qualitative Assessment of Health Equity among the Elderly People in Thailand : Utilization and Financial Protection
title_sort qualitative assessment of health equity among the elderly people in thailand : utilization and financial protection
publisher Washington, DC
publishDate 2015
url http://documents.worldbank.org/curated/en/2015/05/24435347/thailand-qualitative-assessment-health-equity-among-elderly-people-thailand-utilization-financial-protection
http://hdl.handle.net/10986/22810
_version_ 1764451853882359808