The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure

As Thailand faced rapid demographic changes with economic growth, single-person households (e.g., elderly people living alone) have become emerging types of family. Thus, this study, using single-person and non-single-person household factors, examined the impact of the Universal Coverage Scheme (UC...

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Main Authors: Meemon, Natthani, Paek, Seung Chun
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Published: Animo Repository 2019
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Online Access:https://animorepository.dlsu.edu.ph/apssr/vol19/iss3/12
https://animorepository.dlsu.edu.ph/context/apssr/article/1246/viewcontent/RA_2011.pdf
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Institution: De La Salle University
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spelling oai:animorepository.dlsu.edu.ph:apssr-12462024-06-16T10:18:02Z The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure Meemon, Natthani Paek, Seung Chun As Thailand faced rapid demographic changes with economic growth, single-person households (e.g., elderly people living alone) have become emerging types of family. Thus, this study, using single-person and non-single-person household factors, examined the impact of the Universal Coverage Scheme (UCS) on household catastrophic health expenditure with the national-level health survey data 2015. Specifically, defining household catastrophic health expenditure as out-of-pocket expenditure exceeding 40% of household disposable income, this study analyzed whether the selected factors were related to the catastrophic expenditure by performing binary logistic regression analysis. The study findings indicated that among all households which received the UCS inpatient services, around 2.78% experienced the catastrophic expenditure. Lower- income and single-person households were more likely to encounter catastrophic expenditure. Among the single-person households, those with lower socioeconomic conditions had a higher incidence of the catastrophic expenditure. Specifically, the elderly, female, low-educated, unemployed, or had any chronic diseases were more likely to encounter the catastrophic expenditure. To address the issue, in the short term, the current copayment rate, which is equally levied to beneficiaries, should be adjusted by socioeconomic conditions. Additionally, the UCS should consider a copayment ceiling as a supplementary policy intervention in the situations where the copayment rate adjustment is not sufficient to prevent catastrophic expenditure. In the long-term, the government’s effort to expand the benefits package should be continued by health care needs on the demand side as well as the cost-effectiveness of the policy on the supply side. 2019-09-30T07:00:00Z text application/pdf https://animorepository.dlsu.edu.ph/apssr/vol19/iss3/12 info:doi/10.59588/2350-8329.1246 https://animorepository.dlsu.edu.ph/context/apssr/article/1246/viewcontent/RA_2011.pdf Asia-Pacific Social Science Review Animo Repository catastrophic health expenditure Thailand Universal Coverage Scheme
institution De La Salle University
building De La Salle University Library
continent Asia
country Philippines
Philippines
content_provider De La Salle University Library
collection DLSU Institutional Repository
topic catastrophic health expenditure
Thailand
Universal Coverage Scheme
spellingShingle catastrophic health expenditure
Thailand
Universal Coverage Scheme
Meemon, Natthani
Paek, Seung Chun
The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
description As Thailand faced rapid demographic changes with economic growth, single-person households (e.g., elderly people living alone) have become emerging types of family. Thus, this study, using single-person and non-single-person household factors, examined the impact of the Universal Coverage Scheme (UCS) on household catastrophic health expenditure with the national-level health survey data 2015. Specifically, defining household catastrophic health expenditure as out-of-pocket expenditure exceeding 40% of household disposable income, this study analyzed whether the selected factors were related to the catastrophic expenditure by performing binary logistic regression analysis. The study findings indicated that among all households which received the UCS inpatient services, around 2.78% experienced the catastrophic expenditure. Lower- income and single-person households were more likely to encounter catastrophic expenditure. Among the single-person households, those with lower socioeconomic conditions had a higher incidence of the catastrophic expenditure. Specifically, the elderly, female, low-educated, unemployed, or had any chronic diseases were more likely to encounter the catastrophic expenditure. To address the issue, in the short term, the current copayment rate, which is equally levied to beneficiaries, should be adjusted by socioeconomic conditions. Additionally, the UCS should consider a copayment ceiling as a supplementary policy intervention in the situations where the copayment rate adjustment is not sufficient to prevent catastrophic expenditure. In the long-term, the government’s effort to expand the benefits package should be continued by health care needs on the demand side as well as the cost-effectiveness of the policy on the supply side.
format text
author Meemon, Natthani
Paek, Seung Chun
author_facet Meemon, Natthani
Paek, Seung Chun
author_sort Meemon, Natthani
title The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
title_short The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
title_full The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
title_fullStr The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
title_full_unstemmed The Impact of Thailand’s Universal Coverage Scheme on Household Catastrophic Health Expenditure
title_sort impact of thailand’s universal coverage scheme on household catastrophic health expenditure
publisher Animo Repository
publishDate 2019
url https://animorepository.dlsu.edu.ph/apssr/vol19/iss3/12
https://animorepository.dlsu.edu.ph/context/apssr/article/1246/viewcontent/RA_2011.pdf
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