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Equity in access to healthcare in Br...

Tant, Elizabeth Michelle.

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Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS).

Record Type:	Electronic resources : Monograph/item
Title/Author:	Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS)./
Author:	Tant, Elizabeth Michelle.
Description:	77 p.
Notes:	Source: Masters Abstracts International, Volume: 52-06.
Contained By:	Masters Abstracts International52-06(E).
Subject:	Health Sciences, Public Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1554446
ISBN:	9781303850752

Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS).
Tant, Elizabeth Michelle.

Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS). - 77 p.

Source: Masters Abstracts International, Volume: 52-06.

Thesis (M.S.)--Duke University, 2014.

This item must not be sold to any third party vendors.

Background: Universal healthcare has been promoted by organizations including the World Health Organization and United Nations as a means of ensuring healthcare access for vulnerable populations. Despite momentum towards universal healthcare, especially among Southeast Asian nations, little research has been conducted to understand healthcare equity in nations that have already implemented universal healthcare. This paper assesses equity in healthcare access in Brunei Darussalam using results from the Brunei Darussalam Health System Survey (HSS).

ISBN: 9781303850752Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS).
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020 $a 9781303850752
035 $a (MiAaPQ)AAI1554446
035 $a AAI1554446
040 $a MiAaPQ $c MiAaPQ
100 1 $a Tant, Elizabeth Michelle. $3 3171292
245 1 0 $a Equity in access to healthcare in Brunei Darussalam: Results from the Brunei Darussalam Health System Survey (HSS).
300 $a 77 p.
500 $a Source: Masters Abstracts International, Volume: 52-06.
500 $a Adviser: Shenglan Tang.
502 $a Thesis (M.S.)--Duke University, 2014.
506 $a This item must not be sold to any third party vendors.
520 $a Background: Universal healthcare has been promoted by organizations including the World Health Organization and United Nations as a means of ensuring healthcare access for vulnerable populations. Despite momentum towards universal healthcare, especially among Southeast Asian nations, little research has been conducted to understand healthcare equity in nations that have already implemented universal healthcare. This paper assesses equity in healthcare access in Brunei Darussalam using results from the Brunei Darussalam Health System Survey (HSS).
520 $a Methods: Data were gathered using a nationally-representative survey of 1,197 households across four districts in Brunei Darussalam. The Health System Survey aimed to measure individual's expectations and utilization of the Brunei national healthcare system. Data were analyzed using descriptive statistics and multinomial logistic regression to identify respondent- and household-level characteristics that affect healthcare utilization and expenditures.
520 $a Results: HSS data suggest that healthcare utilization in Brunei varies by ethnicity, district of residence, health status, and income. When compared to other ethnic groups, Chinese households were significantly less likely to utilize public healthcare and significantly more likely to utilize private healthcare services. Indigenous groups also demonstrated significantly lower rates of private healthcare utilization compared to other ethnicities. Temburong district had the lowest rates of both private and public healthcare utilization and was associated with a 2.67 decreased likelihood of using public healthcare in the past six months. When stratifying for health status, data indicate that healthcare utilization in Brunei is proportional to healthcare need, with 93 percent of respondents in poor health reporting using government hospitals 12 or more times in the past six months compared to 76 percent of respondents in excellent health reporting using healthcare only once in the past six months. Income was also found to be positively associated with increased healthcare expenditures and private healthcare use.
520 $a Conclusion: This study highlights an example of a universal healthcare system in Southeast Asia and indicates that a well-funded universal healthcare system can reduce significant utilization disparities. Substantial financial resources do not, however, guarantee equity among rural and minority populations and universal healthcare efforts should incorporate measures to understand and address barriers to healthcare among these groups.
590 $a School code: 0066.
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Pacific Rim Studies. $3 1670230
650 4 $a Asian Studies. $3 1669375
690 $a 0573
690 $a 0561
690 $a 0342
710 2 $a Duke University. $b Global Health. $3 2092989
773 0 $t Masters Abstracts International $g 52-06(E).
790 $a 0066
791 $a M.S.
792 $a 2014
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1554446