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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Main Authors: Saowaros Yaisawarng, Preecha Asavadachanukorn, Suthathip Yaisawarng
Other Authors: Chulalongkorn University. Faculty of Commerce and Accountancy
Format: Technical Report
Language:English
Published: Chulalongkorn University 2008
Subjects:
Online Access:http://cuir.car.chula.ac.th/handle/123456789/5617
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Institution: Chulalongkorn University
Language: English
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spelling 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
institution Chulalongkorn University
building Chulalongkorn University Library
country Thailand
collection Chulalongkorn University Intellectual Repository
language English
topic Medical care, Cost of -- Thailand
National health services -- Thailand
spellingShingle 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
description 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