Somkotra Tewarit, Lagrada Leizel P
Faculty of Dentistry, Chulalongkorn University in Bangkok, Thailand.
Health Aff (Millwood). 2009 May-Jun;28(3):w467-78. doi: 10.1377/hlthaff.28.3.w467. Epub 2009 Mar 31.
The impact of the universal coverage policy implementation in Thailand is demonstrated by the declining incidence of catastrophic health spending among Thai households-particularly among the poor. The households who remain at risk of catastrophe, as defined here, are better-off households, because of their preference for using private facilities. Others with increased likelihood of incurring catastrophic health expenditures are households with a greater proportion of elderly members, those having a member with a chronic illness or disability, and those having a member who experienced hospitalization. These determinants should prompt policy concerns to protect such households from financial catastrophe.
泰国全民覆盖政策实施的影响体现在泰国家庭中灾难性医疗支出发生率的下降，尤其是贫困家庭。按照此处定义，仍面临灾难风险的家庭是较富裕家庭，因为他们更倾向于使用私立医疗机构。其他有更高灾难性医疗支出可能性的家庭包括老年成员比例较高的家庭、有慢性病或残疾成员的家庭以及有成员经历过住院治疗的家庭。这些决定因素应促使政策关注保护此类家庭免受经济灾难。
