Closing the Health Gaps for the Elderly
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World Bank, Washington, DC
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Thailand has succeeded in expanding
coverage of publicly-funded and publicly-managed health
insurance schemes, following the introduction of universal
health coverage policy in 2001. While Thailand’s achievement
of universal health coverage (UC) is well noted, recent
researches and studies have indicated that there are still
gaps in health utilization and financial protection. A
recent study by Thailand’s health insurance system research
office (HISRO) shows that utilization of health services by
patients of three main health insurance schemes combined
increased markedly after age 45 for both outpatient care and
in-patient care but later dropped during an advanced age.
Utilization of out-patient care services decreases among
patients who are over 75 years of age while that of
in-patient care services decreases after 85 years of age.
The objective of the study is to identify the gaps of
accessing UC scheme’s care system by the elderly population,
focusing on utilization and financial protection aspects.
The team conducted small-scale area-based qualitative case
studies, focusing on elderly UC members who live in selected
urban and rural areas in four different geographical regions
of Thailand - Central, North, Northeastern, and South. The
analysis confirms that there are poor elderly people who
still need to pay for the costs of out-patient and
in-patient care services at publicly run health facilities.
Palabras clave
ACCESS TO HEALTH CARE, EMPLOYMENT, COMMUNITIES, RISKS, SPECIALIST, PEOPLE, OLD AGE, FINANCING, HEALTH-SEEKING BEHAVIORS, INCOME, HEALTH CARE UTILIZATION, HEALTH EXPENDITURES, PHO, DOCTORS, HEALTH EDUCATION, COMMUNITY HEALTH, SERVICES, HEALTH INSURANCE, HEALTH CARE, WELFARE, INCENTIVES, HEALTH, HEALTH PROFESSIONALS, MEDICAL TECHNOLOGY, CITIES, TOWNS, SOCIAL ASSISTANCE, HEALTH SERVICE UTILIZATION, HEALTH FACILITIES, PENSION, PUBLIC HEALTH, HEALTH CONDITIONS, KNOWLEDGE, CAPITATION, CANCER PATIENTS, RADIOTHERAPY, DISEASES, COSTS, TRAINING, PATIENT, PATIENTS, INTERVENTION, RENT, PROBABILITY, PUBLIC HEALTH CARE, HEALTH CENTERS, MOBILITY, SOCIAL WELFARES, AGING, NURSES, HEALTH CARE SERVICES, HEALTH EQUITY, ACCESS TO HEALTH SERVICES, MALE, DEMENTIA, SOCIAL SECURITY, HEALTH CARE COVERAGE, SOCIAL SUPPORT, HEALTH PROMOTION, ELDERLY, CANCER, EQUITY, RURAL COMMUNITIES, WORKERS, SURGERY, AGED, FORMAL PENSION, BENEFITS BENEFITS, CARE, GENDER, HEALTH CARE COSTS, HOMES, MEDICINE, LONG-TERM CARE, URBAN AREAS, SOCIAL PENSION, HOUSEHOLD, PROMOTING HEALTH, PENSION PROGRAMS, MEDICAL EQUIPMENT, MEDICAL SUPPLIES, EXPENDITURES, HEALTH CARE FINANCING, THERAPIES, HEALTH CLINICS, CHEMOTHERAPY, HEALTH CARE EXPENDITURES, ELDERLY PEOPLE, SOCIAL WELFARE, THERAPY, HEALTH SYSTEM, INSURANCE, COMMUNICABLE DISEASES, CHILDREN, MEDICAL BENEFITS, FEMALES, DISEASE, CLINICS, HOUSEHOLDS, HEALTH PROVIDERS, RURAL AREAS, POVERTY, HEALTH EXPENDITURE, OLDER PERSONS, INCIDENCE, POPULATION, FACILITIES, MEDICAL DOCTORS, GERONTOLOGY, COMMUNITY, MALES, FEES, FAMILIES, MEDICINES, HOSPITALS, HEALTH SERVICE, FEMALE, HEALTH SERVICES, IMPLEMENTATION, SERVICE, DISTRICTS, HEALTH OFFICIALS, RENTING, PROVIDER PAYMENT, PATIENT CARE, EMPLOYEES