Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand

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...

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Main Author: World Bank Group
Format: Report
Language:English
en_US
Published: World Bank, Washington, DC 2016
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/10986/24083
id okr-10986-24083
recordtype oai_dc
spelling okr-10986-240832021-05-26T09:05:20Z Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand World Bank Group ACCESS TO HEALTH CARE EMPLOYMENT COMMUNITIES RISKS SPECIALIST PEOPLE OLD AGE FINANCING HEALTH-SEEKING BEHAVIORS INCOME HEALTH CARE UTILIZATION HEALTH EXPENDITURES PHO DOCTORS HEALTH EDUCATION COMMUNITY HEALTH SERVICES HEALTH INSURANCE HEALTH CARE WELFARE INCENTIVES HEALTH HEALTH PROFESSIONALS MEDICAL TECHNOLOGY CITIES TOWNS SOCIAL ASSISTANCE HEALTH SERVICE UTILIZATION HEALTH FACILITIES PENSION PUBLIC HEALTH HEALTH CONDITIONS KNOWLEDGE CAPITATION CANCER PATIENTS RADIOTHERAPY DISEASES COSTS TRAINING PATIENT PATIENTS INTERVENTION RENT PROBABILITY PUBLIC HEALTH CARE HEALTH CENTERS MOBILITY SOCIAL WELFARES AGING NURSES HEALTH CARE SERVICES HEALTH EQUITY ACCESS TO HEALTH SERVICES MALE DEMENTIA SOCIAL SECURITY HEALTH CARE COVERAGE SOCIAL SUPPORT HEALTH PROMOTION ELDERLY CANCER EQUITY RURAL COMMUNITIES WORKERS SURGERY AGED FORMAL PENSION BENEFITS BENEFITS CARE GENDER HEALTH CARE COSTS HOMES MEDICINE LONG-TERM CARE URBAN AREAS SOCIAL PENSION HOUSEHOLD PROMOTING HEALTH PENSION PROGRAMS MEDICAL EQUIPMENT MEDICAL SUPPLIES EXPENDITURES HEALTH CARE FINANCING THERAPIES HEALTH CLINICS CHEMOTHERAPY HEALTH CARE EXPENDITURES ELDERLY PEOPLE SOCIAL WELFARE THERAPY HEALTH SYSTEM INSURANCE COMMUNICABLE DISEASES CHILDREN MEDICAL BENEFITS FEMALES DISEASE CLINICS HOUSEHOLDS HEALTH PROVIDERS RURAL AREAS POVERTY HEALTH EXPENDITURE OLDER PERSONS INCIDENCE POPULATION FACILITIES MEDICAL DOCTORS GERONTOLOGY COMMUNITY MALES FEES FAMILIES MEDICINES HOSPITALS HEALTH SERVICE FEMALE HEALTH SERVICES IMPLEMENTATION SERVICE DISTRICTS HEALTH OFFICIALS RENTING PROVIDER PAYMENT PATIENT CARE EMPLOYEES 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. 2016-04-18T21:31:12Z 2016-04-18T21:31:12Z 2016-04 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/10986/24083 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Other Social Protection Study Economic & Sector Work 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
SPECIALIST
PEOPLE
OLD AGE
FINANCING
HEALTH-SEEKING BEHAVIORS
INCOME
HEALTH CARE UTILIZATION
HEALTH EXPENDITURES
PHO
DOCTORS
HEALTH EDUCATION
COMMUNITY HEALTH
SERVICES
HEALTH INSURANCE
HEALTH CARE
WELFARE
INCENTIVES
HEALTH
HEALTH PROFESSIONALS
MEDICAL TECHNOLOGY
CITIES
TOWNS
SOCIAL ASSISTANCE
HEALTH SERVICE UTILIZATION
HEALTH FACILITIES
PENSION
PUBLIC HEALTH
HEALTH CONDITIONS
KNOWLEDGE
CAPITATION
CANCER PATIENTS
RADIOTHERAPY
DISEASES
COSTS
TRAINING
PATIENT
PATIENTS
INTERVENTION
RENT
PROBABILITY
PUBLIC HEALTH CARE
HEALTH CENTERS
MOBILITY
SOCIAL WELFARES
AGING
NURSES
HEALTH CARE SERVICES
HEALTH EQUITY
ACCESS TO HEALTH SERVICES
MALE
DEMENTIA
SOCIAL SECURITY
HEALTH CARE COVERAGE
SOCIAL SUPPORT
HEALTH PROMOTION
ELDERLY
CANCER
EQUITY
RURAL COMMUNITIES
WORKERS
SURGERY
AGED
FORMAL PENSION
BENEFITS BENEFITS
CARE
GENDER
HEALTH CARE COSTS
HOMES
MEDICINE
LONG-TERM CARE
URBAN AREAS
SOCIAL PENSION
HOUSEHOLD
PROMOTING HEALTH
PENSION PROGRAMS
MEDICAL EQUIPMENT
MEDICAL SUPPLIES
EXPENDITURES
HEALTH CARE FINANCING
THERAPIES
HEALTH CLINICS
CHEMOTHERAPY
HEALTH CARE EXPENDITURES
ELDERLY PEOPLE
SOCIAL WELFARE
THERAPY
HEALTH SYSTEM
INSURANCE
COMMUNICABLE DISEASES
CHILDREN
MEDICAL BENEFITS
FEMALES
DISEASE
CLINICS
HOUSEHOLDS
HEALTH PROVIDERS
RURAL AREAS
POVERTY
HEALTH EXPENDITURE
OLDER PERSONS
INCIDENCE
POPULATION
FACILITIES
MEDICAL DOCTORS
GERONTOLOGY
COMMUNITY
MALES
FEES
FAMILIES
MEDICINES
HOSPITALS
HEALTH SERVICE
FEMALE
HEALTH SERVICES
IMPLEMENTATION
SERVICE
DISTRICTS
HEALTH OFFICIALS
RENTING
PROVIDER PAYMENT
PATIENT CARE
EMPLOYEES
spellingShingle ACCESS TO HEALTH CARE
EMPLOYMENT
COMMUNITIES
RISKS
SPECIALIST
PEOPLE
OLD AGE
FINANCING
HEALTH-SEEKING BEHAVIORS
INCOME
HEALTH CARE UTILIZATION
HEALTH EXPENDITURES
PHO
DOCTORS
HEALTH EDUCATION
COMMUNITY HEALTH
SERVICES
HEALTH INSURANCE
HEALTH CARE
WELFARE
INCENTIVES
HEALTH
HEALTH PROFESSIONALS
MEDICAL TECHNOLOGY
CITIES
TOWNS
SOCIAL ASSISTANCE
HEALTH SERVICE UTILIZATION
HEALTH FACILITIES
PENSION
PUBLIC HEALTH
HEALTH CONDITIONS
KNOWLEDGE
CAPITATION
CANCER PATIENTS
RADIOTHERAPY
DISEASES
COSTS
TRAINING
PATIENT
PATIENTS
INTERVENTION
RENT
PROBABILITY
PUBLIC HEALTH CARE
HEALTH CENTERS
MOBILITY
SOCIAL WELFARES
AGING
NURSES
HEALTH CARE SERVICES
HEALTH EQUITY
ACCESS TO HEALTH SERVICES
MALE
DEMENTIA
SOCIAL SECURITY
HEALTH CARE COVERAGE
SOCIAL SUPPORT
HEALTH PROMOTION
ELDERLY
CANCER
EQUITY
RURAL COMMUNITIES
WORKERS
SURGERY
AGED
FORMAL PENSION
BENEFITS BENEFITS
CARE
GENDER
HEALTH CARE COSTS
HOMES
MEDICINE
LONG-TERM CARE
URBAN AREAS
SOCIAL PENSION
HOUSEHOLD
PROMOTING HEALTH
PENSION PROGRAMS
MEDICAL EQUIPMENT
MEDICAL SUPPLIES
EXPENDITURES
HEALTH CARE FINANCING
THERAPIES
HEALTH CLINICS
CHEMOTHERAPY
HEALTH CARE EXPENDITURES
ELDERLY PEOPLE
SOCIAL WELFARE
THERAPY
HEALTH SYSTEM
INSURANCE
COMMUNICABLE DISEASES
CHILDREN
MEDICAL BENEFITS
FEMALES
DISEASE
CLINICS
HOUSEHOLDS
HEALTH PROVIDERS
RURAL AREAS
POVERTY
HEALTH EXPENDITURE
OLDER PERSONS
INCIDENCE
POPULATION
FACILITIES
MEDICAL DOCTORS
GERONTOLOGY
COMMUNITY
MALES
FEES
FAMILIES
MEDICINES
HOSPITALS
HEALTH SERVICE
FEMALE
HEALTH SERVICES
IMPLEMENTATION
SERVICE
DISTRICTS
HEALTH OFFICIALS
RENTING
PROVIDER PAYMENT
PATIENT CARE
EMPLOYEES
World Bank Group
Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
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 Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
title_short Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
title_full Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
title_fullStr Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
title_full_unstemmed Closing the Health Gaps for the Elderly : Promoting Health Equity and Social Inclusion in Thailand
title_sort closing the health gaps for the elderly : promoting health equity and social inclusion in thailand
publisher World Bank, Washington, DC
publishDate 2016
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/10986/24083
_version_ 1764455458705244160