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Patients’ experience in using private hospitals for elective surgery under the Civil Servant Medical Benefit Scheme

สุธีรดา ฉิมน้อย; พัฒนาวิไล อินใหม; สิรินาฏ นิภาพร; สัมฤทธิ์ ศรีธำรงสวัสดิ์; Sutheerada Chimnoi; Phatthanawilai Inmai; Sirinard Nipaporn; Samrit Srithamrongsawat;
Date: 2556-03
Abstract
The Civil Servant Medical Benefit Scheme has extended its’ benefit by allowing beneficiaries to get elective surgery in accredited private hospitals with some cost sharing since May 2011. Three are 77 avail-able procedures in 32 private hospitals for this matter; however, three main procedures, intraocular lens replacement for cataract, knee replacement surgery, and cesarean section, accounted for 88 percent of all procedures. This study aimed to assess patients’ experiences in getting elective surgery from private hospitals in terms of channels of receiving information and access to private hospital, burden of expenditure, and their satisfaction. The study employed a telephone interview with patients or care givers, who received any of the three main procedures, within a week after being discharged from private hospital. Results reveal that majority of users were those with age60 and above and were parents of civil servants. Main channels of information about this benefit gotten by the patients included physician who provided care for them, message from friends or relatives, and public relation of private hospital. Apart from community screening for cataract, physician who works in both public and private hospitals was key actor bringing the patient to private hospital. Main reasons for getting care from private hospital include shorter queue, convenience in transportation, and following their preferred physician. Majority of them were informed about the payments prior to admission; however, most of them did not know that they could compare the price with that of other hospitals prior to making decision. It was found that the level of cost sharing for knee replacement surgery varied greatly, ten times, among private hospitals. This let some of them reporting incurred financial burden even though it was unclear whether it was catastrophic for them. However, this made some of them would not recommend the others to use private hospital. Despite the cost sharing, majority of them had high level of satisfaction in using private hospital and would recommend the others to use private hospital for elective surgery.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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