Which Households Are At Risk Of Catastrophic Health Spending: Experience In Thailand After Universal Coverage

被引:89
|
作者
Somkotra, Tewarit [1 ]
Lagrada, Leizel P. [2 ]
机构
[1] Chulalongkorn Univ, Fac Dent, Bangkok 10330, Thailand
[2] Tokyo Med & Dent Univ, Dept Hlth Policy Sci, Tokyo, Japan
关键词
CARE; EXPENDITURES; PAYMENTS; IMPACTS;
D O I
10.1377/hlthaff.28.3.w467
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The impact of the universal coverage policy implementation in Thailand is demonstrated by the declining incidence of catastrophic health spending among Thai households-particularly among the poor. The households who remain at risk of catastrophe, as defined here, are better-off households, because of their preference for using private facilities. Others with increased likelihood of incurring catastrophic health expenditures are households with a greater proportion of elderly members, those having a member with a chronic illness or disability, and those having a member who experienced hospitalization. These determinants should prompt policy concerns to protect such households from financial catastrophe. [Health Affairs 28, no. 3 (2009): w467-w478 (published online 31 March 2009; 10.1377/hlthaff.28.3.w467)]
引用
收藏
页码:W467 / W478
页数:12
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