1 / 20

Health care system

In Thailand. Health care system. THailand. Total population: 63,444,000 Gross national income per capita (PPP international $) : 7,440 Life expectancy at birth m/f (years) : 69/75 Total expenditure on health per capita (Intl $, 2006) : 346

daw
Download Presentation

Health care system

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. In Thailand Health care system

  2. THailand Total population: 63,444,000 Gross national income per capita (PPP international $) : 7,440 Life expectancy at birth m/f (years) : 69/75 Total expenditure on health per capita (Intl $, 2006) : 346 Total expenditure on health as % of GDP (2006) : 3.5%

  3. Thailand HealthFinancing

  4. Health care finance and service provision of Thailand after achieving UC in 2002

  5. Total health expenditure of Thailand Source: NHA Working Group 2009

  6. Share of government and non-government health financing sources Source: NHA Working Group 2009

  7. Thailand Health Insurance Before 2002 Thailand’s health care system had 5 major health insurance schemes. • Civil Servants’ Medical Benefits Scheme (SCMBS) • Social Security Scheme (SSS) • Voluntary Health Card Scheme (VCS) • Low-income Card Scheme (LICS) • Private Indemnity Insurance.

  8. Thailand Health Insurance After achieving universal coverage in 2002 . Thailand had been threemajor public insurance schemes and private voluntary insurance schemes. • The Civil Servant Medical Benefit Scheme (CSMBS) covers 5.2 million. • The Social Health Insurance (SHI) scheme 9.5 million employees • The Universal Coverage(UC)Scheme cover 47 millions of populations (30 baths co-payment,now,ultil 2008 abolished this copayment) • The Voluntary private insuranceScheme

  9. Thai Population coverage • Civil Servant Medical Benefit Schem (CSMBS) • Covers government employees plus dependants (parents, spouse and up to two children age <20) • Financing sources • general tax, noncontributory scheme • Accessto services • Free choice of public providers, no registration required • Mode of provider payment. • Fee for service ,direct disbursement to mostly public providers and DRG for inpatient care • Services Benefit • out-patient services and hospitalization, • medical and surgical services, dental services • emergency services, operation, • expensive health services and medicines. • excludesa cosmetic surgery and • preventive services, except • for annual health check-up. In 2007 the Scheme encouraged the beneficiaries to register with a preferred public hospital in order to receive outpatient services without paying upfront and reimburse later

  10. Thai Population coverage • Social Health Insurance • Covers private sector employees,excluding dependants. • Financing sources • Tri-partite contribution,equally shared by employer, employee and the government. [ Ministry of Labour] • Accessto services • Registered public and private competing contractors • Mode of provider payment. • Inclusive capitation for outpatient and inpatient services plus additional adjusted payments for accident and emergency and high cost care. • Services Benefit • diagnostic and medical treatments, • hospitalization including room ,nutrition • and other treatments, • pharmacyand medical • excluded self-inflicted illness • or injuries • Fee-for-services

  11. Thai Population coverage • Universal coverage Scheme • Covers the rest of the population not covered by SHI and CSMBS. • Financing sources • General tax [national health security office ] • Accessto services • Registered contractor provider,notably district health system • Mode of provider payment. • Capitation for outpatients and global budget plus DRG for inpatients plus additional payments for accident and emergency and high cost care • Services Benefit • ambulatory care, hospitalization, • laboratory investigation, dental care, • disease prevention, health promotion, • radiotherapy and chemotherapy - • for cancer treatments,surgical operations • and healthcare for accidents • and emergency illnesses. • Prescription drugs are also • free of charge

  12. Migrant populations • Thailand having more than two millions irregular migrants • Health services for the registered migrants • A small fraction of total migrants were covered by their employers with full access to health service. • Employers pay some 2,000 Baht to cover one employee for a year, • The scheme is managed by the MOPH provincial health office.

  13. Private VoluntaryHealth Insurance • Covers Additional health insurance scheme for those who can afford premiums (2.2%) • Financing sources • Health insurance premiums paid by individuals or households • Accessto services • Free choice of health care providers, either public or private providers • Mode of provider payment. • Retrospective reimbursement • Services Benefit • ambulatory care, hospitalization, • laboratory investigation, dental care, • disease prevention, health promotion, • radiotherapy and chemotherapy - • for cancer treatments,surgical operations • and healthcare for accidents • and emergency illnesses. • Fees- for- services

  14. Out of Pocket • When universal coverage was achieved and benefit packages were comprehensive, there was a rapid and significant reduction in the proportion of out-of-pocket payments 44.5% in 1994 19.2 in 2007

  15. Compulsory sources of financing • General Government Health expenditure (GGHE) • Taxation • Direct tax ( personal income and corporate tax) • Indirect tax (consumption tax, excise tax and import and export duties respectively) • Compulsory pay-roll tax • Social Health Insurance (SHI) • Workmen’s Compensation Fund (WCF)

  16. Financing in Oral Health • Financing in Oral heath cares in Thailand had beenCovered within threemajor public insurance schemes and private voluntary insurance schemes “But,the services benefitwere difference”

  17. Civil Servant Medical Benefit Schem (CSMBS) • Dental care benefit package • All Basic service - Filling,extraction,tooth surgery,miscellaneous oro-facial surgery,periodontal treatment,root canal treatment, fluoride FM, splinting, • In 2008 , can be reimbursed the crown restoration fee (10 yrs/piece), acrylic and full denture (5 yrs/piece or pair) • Not cover ortrodontic , vital tooth bleaching and sealant (except the children under 15 yrs,sealant without paying) • Following sevices rate not exceed more at the Comptroller General's Department , Ministry of Finance noted.

  18. Difference between the UC. scheme and SHI. scheme • Dental care benefit package • The UC scheme limits dental condition to be covered such as all basic such as extraction, filling, preventive treatment, scaling and acrylic partial and full dentures(5yrs/piece or pair). • SHI scheme limits the maximum reimbursement level per annum. (not more than 2 visited/annum, 250 bath per visit)and in2009 to be covered acrylic partial denture (1-5 teeth reimburse 1,200bath and >5 teeth reimburse 1,400bath,5 years/piece)

  19. Reference • NHA Working Group. Report of Thailand National Health Accounts 2006-2007. International Health Policy Program, Nonthaburi. 2009. • Dental benefits. [cite 17 Oct 2010]. Available from :http://www.dentalcouncil.or.th/content/people/detail.php?type=6&id=158.

  20. Homepage Thank you

More Related