Samutprakan Provincial Public Health Office, Mueang Samutprakan District, 20 Phoem Toem 2 Alley, Samutprakan, 10270, Thailand.
Department of Orthodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchthewi, Bangkok, 10400, Thailand.
BMC Health Serv Res. 2022 Mar 29;22(1):416. doi: 10.1186/s12913-022-07784-y.
This study assessed the cleft lip/palate (CL/P) healthcare provision using data from the Thailand National Health Security Office from fiscal years 2012-2016.
Four national databases of Thailand comprising 1) admitted patient visit, 2) non-admitted patient visit, 3) birth defects registry and 4) civil registration databases were analyzed. All duplicate records were removed by a matching process using national identity number and date of birth prior to data extraction. Modified Geographic Information System was also used to compare each provincial patients with CL/P of Thailand to the number of provincial live births with CL/P.
The results showed that the number of live births with CL/P during this period was 7,775 cases (1,555 cases/fiscal year). While the number of cases with CL/P registered under the Universal Health Care Coverage with hospital stay was 6,715 (86.37%), 927 cases (11.92%) visited hospitals without a stay, and the remaining 133 cases (1.71%) never visited any hospital. Modified Geographic Information System result showed that the provincial CL/P healthcare was relatively well-balanced with the provincial live births with CL/P (r = 0.92, p < 0.05). Moreover, provinces with CL/P tertiary care centers attracted more patients from the surrounding provinces.
This study showed that the percentage of patients with CL/P receiving hospital treatment was 98. The Thai Universal Health Care Coverage scheme has promoted the accessibility to CL/P treatment. In order to achieve the best possible comprehensive cleft care coverage, periodical assessment and improvement of the function and accuracy of the national database registry are recommended.
本研究利用 2012-2016 财年泰国国家健康保障办公室的数据评估了唇腭裂（CL/P）的医疗保健服务提供情况。
分析了泰国的四个国家数据库，包括 1）住院患者就诊记录、2）非住院患者就诊记录、3）出生缺陷登记和 4）民事登记数据库。在提取数据之前，通过使用国家身份证号码和出生日期进行匹配过程来删除所有重复记录。还使用了修改后的地理信息系统来比较泰国每个省有 CL/P 的患者与该省活产儿中 CL/P 的数量。
结果显示，在此期间，CL/P 的活产儿数量为 7775 例（每年 1555 例）。而在全民健康保险覆盖范围内住院的 CL/P 患者数量为 6715 例（86.37%），927 例（11.92%）在没有住院的情况下到医院就诊，其余 133 例（1.71%）从未到任何医院就诊。修改后的地理信息系统结果显示，省级 CL/P 医疗保健与省级活产儿中 CL/P 的分布相对均衡（r=0.92，p<0.05）。此外，拥有 CL/P 三级治疗中心的省份吸引了来自周边省份的更多患者。
本研究表明，98%的 CL/P 患者接受了医院治疗。泰国全民健康保险覆盖计划促进了 CL/P 治疗的可及性。为了实现最佳的综合唇腭裂护理覆盖，建议定期评估和改进国家数据库登记的功能和准确性。
