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Has universal health insurance reduced socioeconomic inequalities in urban and rural health service use in Thailand?

Yiengprugsawan, Vasoontara; Carmichael, Gordon; Lim, Lynette; Seubsman, Sam-ang; Sleigh, Adrian

Description

This study analyses urban and rural health service use before and after the introduction of the Universal Coverage Scheme (UCS). Using data from the Thai national health surveys of 2001 and 2005, the study utilises age-sex adjusted concentration indices to measure within-area differences in use of health services among populations distinguished by socioeconomic status. Between 2001 and 2005, the UCS substantially reduced Thailand's uninsured population (from 42.5% to 7.0% in urban areas and...[Show more]

dc.contributor.authorYiengprugsawan, Vasoontara
dc.contributor.authorCarmichael, Gordon
dc.contributor.authorLim, Lynette
dc.contributor.authorSeubsman, Sam-ang
dc.contributor.authorSleigh, Adrian
dc.date.accessioned2015-12-08T22:46:08Z
dc.identifier.issn1353-8292
dc.identifier.urihttp://hdl.handle.net/1885/38013
dc.description.abstractThis study analyses urban and rural health service use before and after the introduction of the Universal Coverage Scheme (UCS). Using data from the Thai national health surveys of 2001 and 2005, the study utilises age-sex adjusted concentration indices to measure within-area differences in use of health services among populations distinguished by socioeconomic status. Between 2001 and 2005, the UCS substantially reduced Thailand's uninsured population (from 42.5% to 7.0% in urban areas and from 24.9% to 2.7% in rural areas). The implementation of the UCS changed patterns of health services use, particularly for rural people and the urban poor, by placing greater emphasis on primary healthcare. Relevant policy recommendations should focus on continued improvement of primary health services, and ensuring adequate and timely referrals to secondary and tertiary health services when the need arises.
dc.publisherPergamon-Elsevier Ltd
dc.sourceHealth & Place: An International Journal
dc.subjectKeywords: health care; health insurance; health policy; health services; health survey; implementation process; rural area; socioeconomic status; urban area; adult; article; child; controlled study; female; health care disparity; health care need; health care polic Health service use; Thailand; Universal health insurance; Urban-rural inequality
dc.titleHas universal health insurance reduced socioeconomic inequalities in urban and rural health service use in Thailand?
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume16
dc.date.issued2010
local.identifier.absfor111709 - Health Care Administration
local.identifier.ariespublicationu4637548xPUB156
local.type.statusPublished Version
local.contributor.affiliationYiengprugsawan, Vasoontara, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationCarmichael, Gordon, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSeubsman, Sam-ang, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationLim, Lynette, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSleigh, Adrian, College of Medicine, Biology and Environment, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.startpage1030
local.bibliographicCitation.lastpage1037
local.identifier.doi10.1016/j.healthplace.2010.06.010
dc.date.updated2016-02-24T11:16:24Z
local.identifier.scopusID2-s2.0-77955339855
local.identifier.thomsonID000281411500031
CollectionsANU Research Publications

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