1 / 11

Sanita Hirunrassamee , Ph.D. 1 and Sauwakon Ratanawijitrasin , Ph.D. 2

DOES YOUR HEALTHCARE DEPEND ON HOW YOUR INSURER PAYS PROVIDER? VARIATION IN UTILIZATION AND OUTCOEMS IN THAILAND. Sanita Hirunrassamee , Ph.D. 1 and Sauwakon Ratanawijitrasin , Ph.D. 2 1 Pharmacy Division,Phramongkutklao Hospital, Thailand.

tiger
Download Presentation

Sanita Hirunrassamee , Ph.D. 1 and Sauwakon Ratanawijitrasin , Ph.D. 2

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DOES YOUR HEALTHCARE DEPEND ON HOW YOUR INSURER PAYS PROVIDER?VARIATION IN UTILIZATION AND OUTCOEMS IN THAILAND SanitaHirunrassamee, Ph.D.1 and SauwakonRatanawijitrasin, Ph.D.2 1 Pharmacy Division,Phramongkutklao Hospital, Thailand. 2 Associate Professor, Faculty of Social Sciences and Humanities, Mahidol University, Thailand.

  2. Payment mechanisms in Thailand (2003-2005)

  3. Hospitals face different incentives & pressures from financial mechanisms in a multiple health insurance environment.

  4. What happen to access and efficiency in this environment? • Objective: • To examine resource utilization patterns and health outcomes under the multiple payment methods, focusing on assessing • Access to Medicines • Access to Medical technologies • Treatment outcomes (compared to CPGs) • Efficiency in resource use • among beneficiaries of the 3 government health insurance schemes in Thailand

  5. Data Source • 3 government hospitals • 1 tertiary care facility • 2 secondary care facilities • FY 2003-2005 data e-database • Patient demographic data • Health insurance benefits • Items and costs of prescribed drugs and treatment procedures …for assessment of access to care … Paper med. record • Clinical outcome …for assessment of efficiency of health care services…

  6. Analysis • Health insurance payment • Access to care • Efficiency :Cost-effectiveness technique • Costs = hospital costs • Treatment Outcomes • AUGIB • evaluated at end of treatment • Epilepsy • evaluated at end of year • Lung cancer • evaluated at end of year

  7. p= 0.00 Subgroup analysis UC

  8. Price as major condition:limit access to care

More Related