1 1 Institute for Institute for Population Population and Social Research and Social Research FACTORS AFFECTING HEALTHCARE EXPENDITURE FACTORS AFFECTING HEALTHCARE EXPENDITURE OF THE THAI ELDERLY OF THE THAI ELDERLY Danusorn Potharin Danusorn Potharin 1 and Wathinee and Wathinee Boonchalaksi Boonchalaksi 1 Mahidol Mahidol University, University, THAILAND THAILAND
15
Embed
1 Institute for Population and Social Research (IPSR)
FACTORS AFFECTING HEALTHCARE EXPENDITURE OF THE THAI ELDERLY. Danusorn Potharin 1 and Wathinee Boonchalaksi 1. Mahidol University, THAILAND. 1 Institute for Population and Social Research (IPSR). Background. 02. - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
1 1 Institute for Population Institute for Population and Social Research (IPSR)and Social Research (IPSR)
Danusorn PotharinDanusorn Potharin11 and Wathinee Boonchalaksi and Wathinee Boonchalaksi11
Mahidol Mahidol University,University,
THAILANDTHAILAND
ChannelChannel-
<
BackgroundBackground02
VolumeVolumeRemote Remote SensorSensor PowerPower
The national health care system in Thailand, especially the primary right for health insurance which allows all Thai people to have an equal right to access quality healthcare
services with no constraints of healthcare expenditure, has been established since 2001.
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
Data from the National Survey on Health and Welfare done in 2009 by the National Statistical Office (NSO) found that 46.1 percent of all out-patients still have to pay for their
medical treatment.
ChannelChannel-
<
ObjectivesObjectives03
VolumeVolumeRemote Remote SensorSensor PowerPower
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
2. Patterns of healthcare expenditure classified by individual factors, household factors, and community factors3. Factors affecting healthcare expenditure of the Thai elderly
ChannelChannel-
<
FindingsFindings06
VolumeVolumeRemote Remote SensorSensor PowerPower
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
2. Patterns of healthcare expenditure classified by individual factors, household factors, and community factors - Majority of the elderly who were ill and were being an out-patient still have to pay for the healthcare expenditure for 9.7 US dollars* per person
per time.
- Healthcare expenditure was higher among those elderly who had higher educational levels.
- The elderly who were never married had paid the highest healthcare expenditure, which was 11.6 US dollars* on average, while the married ones had paid for 2.5 US dollars*, and the widowed/divorced/separated
ones had paid for 1.2 US dollars*.
Findings (continued)Findings (continued)
*Converted at the rate of 1 US dollar = 31.79 Thai baht
(as of May 27th, 2012)
**The minimum wage for workers in Thailand in 2011 was about 6 US dollars per
day.
ChannelChannel-
<
09
VolumeVolumeRemote Remote SensorSensor PowerPower
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
2. Patterns of healthcare expenditure classified by individual factors, household factors, and community factors (continued)
- Healthcare expenditure was the most costly to elderly who had no health security. They had to pay for the expenditure for as high as 74.2
US dollars* per person per time. While the elderly who had gold card as health security had to pay only 8.5 US dollars* on average.
- Among elderly who had chronic diseases, those who had genitourinary system diseases had paid highest healthcare expenditure for 23.6 US dollars* per person per time on average, while the elderly who
had no diseases had to pay for only 7.3 US dollars* per person per time.
Findings (continued)Findings (continued)
*Converted at the rate of 1 US dollar = 31.79 Thai baht
(as of May 27th, 2012)
ChannelChannel-
<
10
VolumeVolumeRemote Remote SensorSensor PowerPower
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
3. Factors affecting healthcare expenditure of the Thai elderly (continued)
- These factors included health security, treatment types, household economic status, region, educational level, and chronic diseases; the first 4 factors were significant at high level (∞ = 0.001), while the fifth one was significant at an intermediate level (∞ = 0.01), and the last one at a lower
level (∞ = 0.05).
- All independent variables could together explain the variation of healthcare expenditure on the Thai elderly at 18.0 percent (R2 = 0.180).
Findings (continued)Findings (continued)
ChannelChannel-
<
13
VolumeVolumeRemote Remote SensorSensor PowerPower
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly
3. Factors affecting healthcare expenditure of the Thai elderly (continued)
- The results imply that the so-called “gold card” project of the government and other health insurance schemes were crucially important.
The R2 from this study could be an indicator indicating that the more government and private healthcare projects there are, the lower the R2
would decline, thus, it could be stated that the R2 would be used as a good indicator to signify the level of achievement the government has in its
healthcare policy.
Findings (continued)Findings (continued)
ChannelChannel-
<
RecommendationsRecommendations14
VolumeVolumeRemote Remote SensorSensor PowerPower
From the research results, a very interesting finding is that the elderly who had any kinds of health security had very much lower
expenditure for healthcare services than the elderly who had no health security. This indicates that having the health security
systems is a beneficial means that help relieving the elderly burden in healthcare expenditure, therefore, it is strongly recommended for the government to maintain the universal healthcare scheme
(gold card) and keep improving the system to fully cover the elderly who is now still left out in order to help reducing the
healthcare expenditure for the elderly later on.
Factors EffectingFactors EffectingHealthcare ExpenditureHealthcare Expenditureof the Thai Elderlyof the Thai Elderly