Abstract
In 2004, the Ministry of Public Health (MoPH) introduced the nationwide Health Insurance Card Scheme (HICS) for migrants who were not covered by the Social Security Scheme (SSS). Before being insured and granted work permits, these migrants must pass the health screening procedures first. However, the health screening and benefits package of the HICS have not been changed much throughout the last 10 years. The present study was conducted with an aim to revise the health screening guideline and benefit package in accordance with current disease situation by prioritization study on health conditions among migrants in Thailand. The health conditions and non-communicable diseases were reviewed. The document sources were received from the burden of disease study, and the health screening report of the One Stop Service. Another related source was the reimbursement database of HICS for migrants on the frequency, mean, and total reimbursement of high-cost care. By using modified Delphi consensus process, the research team presented the result of documentary reviews and database analysis to stakeholder meeting before prioritization process. The top 10 health conditions and non-communicable diseases in the final round consisted of pregnancy, diabetes, neonatal abnormalities, high blood pressure, substance abuse and alcoholism, work injury, head injury, mental disorders, breast cancer and cervical cancer respectively.
