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Responsiveness under different health insurance schemes and hospital types

อังสุมาลี ผลภาค; ยงยุทธ พงษ์สุภาพ; วิชัย เอกพลากร; สัมฤทธิ์ ศรีธำรงสวัสดิ์; รัชนี สรรเสริญ; Aungsumalee Pholpark; Yongyuth Pongsupap; Wichai Aekplakorn; Samrit Srithamrongsawat; Rachanee Sunsern;
Date: 2555-06
Abstract
The Statue on National Health System B.E 2552 section 7, the health system must promote human value and dignity and attach importance to fairness and equity in society. This concept leads to an attempt to capture interaction between providers and users in order to improve and develop the health service system. Every person should be treated equally even though he/she accesses to care under different health insurance schemes and hospital types. The purpose of this research was to assess the responsiveness of Thai health care service system according to different types of national health insurance schemes and health care facilities in 9 provinces. An exit survey of 6,507 out-patients covered by 3 health care schemes: Civil Servants Medical Benefit Scheme (CSMBS), Social Security Scheme (SSS) and Universal Coverage Scheme (UCS), was conducted. The health care settings included 4 hospital types: regional/general hospital, community hospital, university hospital and private hospital. The field survey period was from April to June 2011. The study revealed that there were significant difference between median scores, both overall and hospital-type based, of responsiveness to users among three schemes in some domains and responsiveness scores under the CSMBS was higher than those from the SSS and UCS. Nevertheless, results from logistic regression show that, when 75 percentile of score of each component was adopted as cut point for high responsiveness, health insurance scheme was not significantly associated with all responsiveness components, except choice: the scores of the CSMBS was significantly higher than those of the UCS. On the other hand, type of hospital was significantly associated with responsiveness in all components. Overall, the score of private hospital was significantly higher than those of the others, whereas that of the university hospital was significantly lower than the scores of the other hospitals, except choice, which was significantly higher than in the university hospital than in the regional/general hospital.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

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