泰国通用覆盖计划使用率低的决定因素:一项全国横截面研究
Seung Chun Paek1,2, Ning Jackie Zhang3
1Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Salaya, Thailand.
Frontiers in public health
|December 9, 2024
概括
泰国普遍医疗覆盖计划 (UCS) 的许多受益者选择私人医疗保健是因为可访问性和质量问题,尽管公共服务是免费的. 了解这些障碍是改善普遍获得医疗保健的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 泰国的全民医保计划 (UCS) 旨在通过向76%的人口提供免费服务,实现全民医疗保健.
- 尽管有UCS,但仍有大量受益者使用私人医疗保健,阻碍了政策的普遍获得目标.
- 本研究调查了医疗保健利用模式和不使用UCS的原因.
研究的目的:
- 分析泰国通用覆盖计划 (UCS) 非用户的社会人口特征.
- 确定受益人不使用UCS的主要原因.
- 探索医疗保健使用模式,包括自我治疗,私人提供者和UCS.
主要方法:
- 2019年健康与福利调查数据的横截面定量分析.
- 包括15岁以上的UCS受益者,他们在过去一个月中使用了医疗保健.
- 基于Aday和Andersen模型的多项逻辑回归来分析医疗保健使用模式和社会人口因素.
主要成果:
- 大约46.1%的样本使用了UCS以外的医疗保健,其中33.8%使用自我治疗和12.3%使用私人提供者.
- 非使用者通常具有更高的社会人口统计地位 (更年轻,收入更高,城市,没有慢性疾病).
- 不使用UCS的主要原因是可访问性障碍 (59.6%),可用性 (25.4%) 和质量问题 (14%).
结论:
- 统一医疗体系 (UCS) 改善了财政可用性,但没有充分增加公共医疗资源和基础设施.
- 医疗保健资源和基础设施的缺口限制了UCS满足受益者需求的能力,特别是对于更高的社会经济群体.
- 解决可访问性,可用性和质量障碍对于提高UCS利用率和实现真正的普遍医疗保健准入至关重要.
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