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医疗保险在提高泰国人和少数民族移民健康服务利用方面的作用。

The role of health insurance in improving health services use by Thais and ethnic minority migrants.

机构信息

Guizhou University of Finance and Economics, Guiyang City, Guizhou, China.

出版信息

Asia Pac J Public Health. 2010 Jan;22(1):42-50. doi: 10.1177/1010539509351183.

DOI:10.1177/1010539509351183
PMID:20032034
Abstract

In Thailand, a universal coverage health care scheme for Thai citizens and a foreign worker health insurance program for registered foreign workers have been implemented since 2001. This study uses the 2000-2004 panel data of the Kanchanaburi Demographic Surveillance System to explore the role of health insurance in influencing the use of health care for Thai, Thai ethnic minority, and ethnic minority migrants from 2000 to 2004. The results show that health insurance plays a major role in improving the use of health care for ethnic groups, especially for Thai ethnic minorities. However, a gap still existed in 2004 between health insurance and health care use by ethnic minority migrants and by Thais. The results suggest that improving health insurance status for ethnic minority migrants should be encouraged to reduce the ethnic gap in the use of health care.

摘要

在泰国,自 2001 年起为泰国公民实施了全民医疗保险计划,为注册外国工人实施了外国工人医疗保险计划。本研究使用 2000-2004 年北碧府人口监测系统的面板数据,探讨了医疗保险在影响 2000-2004 年泰国人、泰国少数民族和少数民族移民使用医疗保健方面的作用。结果表明,医疗保险在改善各群体,特别是泰国少数民族使用医疗保健方面发挥了重要作用。然而,少数民族移民的医疗保险和医疗保健使用与泰国人之间仍存在差距。研究结果表明,应鼓励改善少数民族移民的医疗保险状况,以缩小医疗保健使用方面的民族差距。

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