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Health care decisions under budget c...

Kasemsup, Vijj.

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Health care decisions under budget constraints in Thailand.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Health care decisions under budget constraints in Thailand./
作者:	Kasemsup, Vijj.
面頁冊數:	208 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4747.
Contained By:	Dissertation Abstracts International66-09B.
標題:	Health Sciences, Pharmacy. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3188560
ISBN:	0542310228

Health care decisions under budget constraints in Thailand.
Kasemsup, Vijj.

Health care decisions under budget constraints in Thailand. - 208 p.

Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4747.

Thesis (Ph.D.)--University of Minnesota, 2005.

In Thailand, the government's new public insurance scheme, called the 30-baht policy or plan, has provided universal health coverage (UC) to all Thai people since October, 2001. With a low budget provided, the benefit package of the 30-baht plan did not include some high-cost medical services, such as renal replacement therapy (RRT). This was because the estimated budget to provide these services was very high and if there was no strategic plan to cut the cost of these treatments. Therefore, it was not feasible to include these services in the benefit package. The idea of selecting only appropriate patients to gain access (rationing health care) to the high-cost medical services has emerged as an option to cut cost of a program to provide treatments under budget constraints of the 30-baht plan. Our main question focused on how to fairly allocate the limited health resources in Thailand. Understanding public opinion regarding how to fairly allocate scarce health care resources was one way to start answering the question in Thailand.

ISBN: 0542310228Subjects--Topical Terms:

1017737
Health Sciences, Pharmacy.

Health care decisions under budget constraints in Thailand.
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245 1 0 $a Health care decisions under budget constraints in Thailand.
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500 $a Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4747.
500 $a Adviser: Jon C. Schommer.
502 $a Thesis (Ph.D.)--University of Minnesota, 2005.
520 $a In Thailand, the government's new public insurance scheme, called the 30-baht policy or plan, has provided universal health coverage (UC) to all Thai people since October, 2001. With a low budget provided, the benefit package of the 30-baht plan did not include some high-cost medical services, such as renal replacement therapy (RRT). This was because the estimated budget to provide these services was very high and if there was no strategic plan to cut the cost of these treatments. Therefore, it was not feasible to include these services in the benefit package. The idea of selecting only appropriate patients to gain access (rationing health care) to the high-cost medical services has emerged as an option to cut cost of a program to provide treatments under budget constraints of the 30-baht plan. Our main question focused on how to fairly allocate the limited health resources in Thailand. Understanding public opinion regarding how to fairly allocate scarce health care resources was one way to start answering the question in Thailand.
520 $a We conducted a self-administered survey using a purposive sample of 780 individuals in five public hospitals in Thailand. The results showed that under limited health resources, most of respondents chose to give treatments to one patient over another patient using several criteria. When compare two specific criteria (from 'the five principles' in our conceptual model) to each other, the order of preference among these criteria was as follows: causes of the disease (choicism), age difference (fair innings), health outcomes after treatments (health maximization), immediate needs of patients (rule of rescue), and time on waiting list (lottery). Moreover, respondents also preferred to give priority to patients who have less ability to pay for treatments, patients who had more responsibilities to their families, and patients who had more contribution to society.
520 $a In conclusion, our study showed that respondents used both medical and non-medical criteria for selecting patients to gain access to limited treatments. These findings provide evidence that shows the level of acceptance of Thai people regarding an issue of rationing high-cost care under budget constraints in Thailand.
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