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Outcomes of the Health Insurance Card Scheme on Migrants’ Use of Health Services in Ranong Province, Thailand

Author

Listed:
  • Mathudara Phaiyarom

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand)

  • Nareerut Pudpong

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand)

  • Rapeepong Suphanchaimat

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand
    Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand)

  • Watinee Kunpeuk

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand)

  • Sataporn Julchoo

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand)

  • Pigunkaew Sinam

    (International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand)

Abstract

In 2002, Thailand achieved Universal Health Coverage for all citizens; however, it remains the case that undocumented migrants are not fully covered. The Health Insurance Card Scheme (HICS) of the Ministry of Public Health is the key policy aiming to cover undocumented migrants. This study examined the impact of this policy on the utilisation rate of public health facilities among HICS beneficiaries including undocumented migrants. Facility-based individual records between 2011 and 2015 were purposively retrieved from one provincial hospital, one district hospital, and two health centres in one of the most densely migrant-populated provinces in Thailand. Poisson regression was conducted on inpatient (IP) utilisation, while negative binomial regression was conducted on outpatient (OP) utilisation. Of 74,722 admissions, 19.0% were insured by HICS. About 14.0% of the outpatient records were for HICS beneficiaries. Overall, the HICS utilisation rate in migrants was lower than in Thai patients. Being insured with the HICS significantly increased OP utilisation by 1.7%, and IP utilisation by 11.1% (relative to uninsured). Disease status was the most important factor that positively influenced the utilisation rate. Further studies that explore the differences in health service utilisation among HICS beneficiaries with diverse economic backgrounds are recommended

Suggested Citation

  • Mathudara Phaiyarom & Nareerut Pudpong & Rapeepong Suphanchaimat & Watinee Kunpeuk & Sataporn Julchoo & Pigunkaew Sinam, 2020. "Outcomes of the Health Insurance Card Scheme on Migrants’ Use of Health Services in Ranong Province, Thailand," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4431-:d:374050
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    References listed on IDEAS

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    1. Esme Fuller Thomson & Amani Nuru-Jeter & Dawn Richardson & Ferrah Raza & Meredith Minkler, 2013. "The Hispanic Paradox and Older Adults’ Disabilities: Is There a Healthy Migrant Effect?," IJERPH, MDPI, vol. 10(5), pages 1-29, May.
    2. Rapeepong Suphanchaimat & Nareerut Pudpong & Phusit Prakongsai & Weerasak Putthasri & Johanna Hanefeld & Anne Mills, 2019. "The Devil Is in the Detail—Understanding Divergence between Intention and Implementation of Health Policy for Undocumented Migrants in Thailand," IJERPH, MDPI, vol. 16(6), pages 1-19, March.
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    Cited by:

    1. Shaheda Viriyathorn & Mathudara Phaiyarom & Putthipanya Rueangsom & Rapeepong Suphanchaimat, 2021. "Spatial Panel Data Analysis on the Relationship between Provincial Economic Status and Enrolment in the Social Security Scheme amongst Migrant Workers in Thailand, 2015–2018," IJERPH, MDPI, vol. 19(1), pages 1-13, December.

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