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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Prevalence and profiles of unmet healthcare need in Thailand

Authors: Noppakun Thammatacharee, Kanjana Tisayaticom, Rapeepong Suphanchaimat, Supon Limwattananon, Weerasak Putthasri, Rajana Netsaengtip, Viroj Tangcharoensathien

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

In the light of the universal healthcare coverage that was achieved in Thailand in 2002, policy makers have raised concerns about whether there is still unmet need within the population. Our objectives were to assess the annual prevalence, characteristics and reasons for unmet healthcare need in the Thai population in 2010 and to compare our findings with relevant international literature.

Methods

A standard set of OECD unmet need questionnaires was used in a nationally-representative household survey conducted in 2010 by the National Statistical Office. The prevalence of unmet need among respondents with various socio-economic characteristics was estimated to determine an inequity in the unmet need and the reasons behind it.

Results

The annual prevalence of unmet need for outpatient and inpatient services in 2010 was 1.4% and 0.4%, respectively. Despite this low prevalence, there are inequities with relatively higher proportion of the unmet need among Universal Coverage Scheme members, and the poor and rural populations. There was less unmet need due to cost than there was due to geographical barriers. The prevalence of unmet need due to cost and geographical barriers among the richest and poorest quintiles were comparable to those of selected OECD countries. The geographical extension of healthcare infrastructure and of the distribution of health workers is a major contributing factor to the low prevalence of unmet need.

Conclusions

The low prevalence of unmet need for both outpatient and inpatient services is a result of the availability of well-functioning health services at the most peripheral level, and of the comprehensive benefit package offered free of charge by all health insurance schemes. This assessment prompts a need for regular monitoring of unmet need in nationally-representative household surveys.
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Literature
1.
Tangcharoensathien V, Prakongsai P, Limwattananon S, Patcharanarumol W, Jongudomsuk P: From targeting to Universality: lessons from the health system in Thailand (Chapter 16). Building decent societies: rethinking the role of social security in development. edn. Edited by: Townsend P. 2009, Houndmills, Basingstoke, Hampshire: Palgrave Macmillan, 310-322.CrossRef
2.
Prakongsai P: The Impact of the Universal Coverage Policy on Equity of the Thai Health Care System. PhD Thesis. 2008, London: London School of Hygiene & Tropical Medicine
3.
O’Donnell O, van Doorslaer E, Rannan-Eliya RP, Somanathan A, Adhikari SR, Harbianto D, Garg CC, Hanvoravongchai P, Huq MN, Karan A, Leung GM, Ng CW, Pande BR, Tin K, Tisayaticom K, Trisnantoro L, Zhang Y, Zhao Y: The incidence of public spending on healthcare: comparative evidence from Asia. The World Bank Econ Rev edn. 2007, 21 (1): 93-123. 10.1093/wber/lhl009.CrossRef
4.
Limwattananon S, Tangcharoensathien V, Prakongsai P: Catastrophic and poverty impacts of health payments: results from national household surveys in Thailand. Bull World Health Organ. 2007, 85: 600-606. 10.2471/BLT.06.033720.CrossRefPubMedPubMedCentral
5.
Limwattananon S, Tangcharoensathien V, Tisayathicom K, Boonyapaisarncharoen T, Prakongsai P: Why has the Universal Coverage Scheme in Thailand achieved a pro-poor public subsidy for health care?. BMC Public Health. 2012, 12 (Suppl 1): S6-10.1186/1471-2458-12-S1-S6.CrossRefPubMedPubMedCentral
6.
Thai working group on National Health Account: National Health Account 1994 to 2008. Ministry of Public Health. 2011, Nonthaburi: International Health Policy Program
7.
8.
Smith S: Health care evaluation. Understanding public health. 2005, New York: Open University Press
9.
Andersen R, Newman JF: Societal and individual determinants of medical care utilization in the United States. Milbank Q. 2005, 83 (4): online only
10.
Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P: The unmet supportive care needs of patients with cancer. Cancer. 2000, 88: 226-237. 10.1002/(SICI)1097-0142(20000101)88:1<226::AID-CNCR30>3.0.CO;2-P.CrossRefPubMed
11.
12.
Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM: Unmet health needs of uninsured adults in the United States. JAMA. 2000, 284: 2061-2069. 10.1001/jama.284.16.2061.CrossRefPubMed
13.
Mayer ML, Skinner AC, Slifkin RT: Unmet need for routine and specialty care: data from the National Survey of Children With Special Health Care Needs. Pediatrics. 2004, 113: 109-115. 10.1542/peds.113.2.e109.CrossRef
14.
Pledger MJ, Cumming J, Burnette M, Daube J: Unmet need of GP services in Pacific people and other New Zealanders. New Zeal Med J. 2011, 13: 35-45.
15.
Setia M, Quesnel-Vallee A, Abrahamowicz M, Tousignant P, Lynch J: Access to health-care in Canadian immigrants: a longitudinal study of the National Population Health Survey. Health Soc Care Community. 2011, 19: 70-79. 10.1111/j.1365-2524.2010.00950.x.CrossRefPubMed
16.
17.
Kataoka SH, Zhang L, Wells KB: Unmet need for mental health care among US children: Variation by ethnicity and insurance status. Am J Psychiatry. 2002, 159: 1548-1555. 10.1176/appi.ajp.159.9.1548.CrossRefPubMed
18.
Alonso J, Codony M, Covess V, Angermeyer MC, Katz SJ, Haro JM, De Girolamo G, De Graaf R, Demyttenaere K, Vilagut G: Population level of unmet need for mental healthcare in Europe. Br J Psychiatry. 2007, 109: 299-306.CrossRef
19.
Ugalde A, Aranda S, Krishnasamy M, Ball D, Schofield P: Unmet needs and distress in people with inoperable lung cancer at the commencement of treatment. Support Care Canc. 2011, 20: 419-423.CrossRef
20.
Wohl AR, Carlos JA, Tejero J, Dierst-Davies R, Daar EH, Khanlou H, Cadden J, Towner W, Frye D: Barriers and unmet need for supportive services for HIV patients in care in Los Angeles County, California. AIDS Patient Care and STDs. 2011, 25: 525-232. 10.1089/apc.2011.0149.CrossRefPubMed
21.
Bryant T, Leaver C, Dunnc J: Unmet healthcare need, gender, and health inequalities in Canada. Health Policy. 2009, 91: 24-39. 10.1016/j.healthpol.2008.11.002.CrossRefPubMed
22.
Feinberg E, Swartz K, Zaslavsky A, Gardner J, Walker DK: Family income and the impact of a children’s health insurance program on reported need for health services and unmet health need. Pediatrics. 2002, 109: e29-10.1542/peds.109.2.e29.CrossRefPubMed
23.
de Looper M, Lafortune G: Measuring Disparities in Health Status and in Access and Use of Health Care in OECD Countries. OECD Health Working Papers No. 43. 2009, Paris: OECD publishing
24.
Hernández-Quevedo C, Masseria C, Mossialos E: Methodological issues in the analysis of the socioeconomic determinants of health using EU-SILC data. 2010, Luxembourg: Publications Office of the European Union
25.
Vyas S, Kumaranayake L: Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan. 2006, 21: 459-468. 10.1093/heapol/czl029.CrossRefPubMed
26.
27.
Patcharanarumol WTV, Limwattananon S, Panichkriangkrai W, Pachanee K, Poungkantha W, Gilson L, Mills A: Why and how did Thailand achieve good health at low cost? (chapter 7). ‘Good health at low cost’ 25 years on What makes a successful health system?. Edited by: Balabanova D, McKee M, Mills A. 2011, London: London School of Hygiene & Tropical Medicine, 193-223.
28.
WHO: Global policy recommendations for increasing access to health workers and rural areas through improved retention. 2010, Geneva: WHO
29.
Pagaiya N, Noree T: Thailand’s Health Workforce: A Review of Challenges and Experiences In. 2009, Washington DC: The World Bank
30.
Evans T, Chowdhury M, Evans D, Fidler A, Lindelow M, Mills A, Scheil-Adlung X, Thai experts: Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001–2010) Synthesis Report. 2012, ThailandL: Health Systems Research Institute
31.
Prakongsai P, Limwattananon S, Tangcharoensathien V: The Equity impact of the universal coverage policy: lessons from Thailand. Innovations in health system finance in developing and transitional economies. Edited by: Chernichovsky D, Hanson K. 2009, London: Emerald Group Publishing Limited, 57-81.
Metadata
Title
Prevalence and profiles of unmet healthcare need in Thailand
Authors
Noppakun Thammatacharee
Kanjana Tisayaticom
Rapeepong Suphanchaimat
Supon Limwattananon
Weerasak Putthasri
Rajana Netsaengtip
Viroj Tangcharoensathien
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-923

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