Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals
The paper assesses effects on cost efficiency of the Thai Universal Health Care (UC) program, fully implemented in the fiscal year 2002. Using pre-UC (FY 2000-2001) and UC (FY 2002) samples of regional and general hospitals, the paper estimates stochastic cost frontiers and computes efficiency score...
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Chulalongkorn University
2008
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th-cuir.56172008-01-28T08:35:43Z Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals Saowaros Yaisawarng Preecha Asavadachanukorn Suthathip Yaisawarng Chulalongkorn University. Faculty of Commerce and Accountancy Chulalongkorn University. Faculty of Commerce and Accountancy United States. Union College. Department of Economics Medical care, Cost of -- Thailand National health services -- Thailand The paper assesses effects on cost efficiency of the Thai Universal Health Care (UC) program, fully implemented in the fiscal year 2002. Using pre-UC (FY 2000-2001) and UC (FY 2002) samples of regional and general hospitals, the paper estimates stochastic cost frontiers and computes efficiency scores for individual hospitals. Results reveal that hospital respond to an absolute reduction in the capitation-based funding allocation method by improving their operation and management of health care resources. Health care costs could have been potentially reduced between 13.4% and 18.9% had hospitals in the sample, on average, used resources in the most efficient manner. Multiple capitation rates that take hospital type, location and case mix into consideration may alleviate a potential patient-selection bias towards treating less severe patients and/or patient inequity in access to care. By Faculty of Commerce and Accountancy, Chulalongkorn University 2008-01-28T07:27:53Z 2008-01-28T07:27:53Z 2004 Technical Report http://cuir.car.chula.ac.th/handle/123456789/5617 en Chulalongkorn University 19734154 bytes application/pdf application/pdf Thailand Chulalongkorn University |
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Medical care, Cost of -- Thailand National health services -- Thailand Saowaros Yaisawarng Preecha Asavadachanukorn Suthathip Yaisawarng Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
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The paper assesses effects on cost efficiency of the Thai Universal Health Care (UC) program, fully implemented in the fiscal year 2002. Using pre-UC (FY 2000-2001) and UC (FY 2002) samples of regional and general hospitals, the paper estimates stochastic cost frontiers and computes efficiency scores for individual hospitals. Results reveal that hospital respond to an absolute reduction in the capitation-based funding allocation method by improving their operation and management of health care resources. Health care costs could have been potentially reduced between 13.4% and 18.9% had hospitals in the sample, on average, used resources in the most efficient manner. Multiple capitation rates that take hospital type, location and case mix into consideration may alleviate a potential patient-selection bias towards treating less severe patients and/or patient inequity in access to care. |
author2 |
Chulalongkorn University. Faculty of Commerce and Accountancy |
author_facet |
Chulalongkorn University. Faculty of Commerce and Accountancy Saowaros Yaisawarng Preecha Asavadachanukorn Suthathip Yaisawarng |
format |
Technical Report |
author |
Saowaros Yaisawarng Preecha Asavadachanukorn Suthathip Yaisawarng |
author_sort |
Saowaros Yaisawarng |
title |
Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
title_short |
Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
title_full |
Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
title_fullStr |
Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
title_full_unstemmed |
Effects of Thai universal health care coverage on cost efficiency of publicly owned hospitals |
title_sort |
effects of thai universal health care coverage on cost efficiency of publicly owned hospitals |
publisher |
Chulalongkorn University |
publishDate |
2008 |
url |
http://cuir.car.chula.ac.th/handle/123456789/5617 |
_version_ |
1681413109580824576 |