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

Mathudara Phaiyarom, Nareerut Pudpong, Rapeepong Suphanchaimat, Watinee Kunpeuk, Sataporn Julchoo and Pigunkaew Sinam
Additional contact information
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
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

IJERPH, 2020, vol. 17, issue 12, 1-15

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

Keywords: migrant; service utilisation; health insurance; Health Insurance Card Scheme; Thailand (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/12/4431/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/12/4431/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:12:p:4431-:d:374050

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().