BENEFIT INCIDENCE OF HEALTH INSURANCE SUBSIDY AND SATISFACTION WITH HEALTHCARE SERVICES QUALITY AMONG THE ELDERS IN KHON KAEN PROVINCE
DOI:
https://doi.org/10.14456/nrru-rdi.2023.14Keywords:
Benefit incidence analysis, Healthcare Inequality, Elder, Healthcare Service QualityAbstract
The benefit that the elders received from the government sector had the opportunity to affect the increase or decrease of inequality, hence, the objectives of this research were 1) to study the benefit incidence of the Universal Coverage and the Civil Servant Medical Benefit Scheme among the elders and 2) to find out the satisfaction towards receiving medical services in the elders who exercised of medical treatments in the Universal Coverage and the Civil Servant Medical Benefit Scheme. The quantitative research used a sample of 400 cases drawn from the multi-stage sampling method. The instruments used were the questionnaires and analyzed by benefit incidence analysis that was statistical reliability at 0.90 level. Data were collected by reporting and field visiting in 5 Districts of Khon Kaen Province and analyzed using descriptive statistics to determine the percentage, mean, and standard deviation, and comparing the differences by t-test. The findings showed a high-class group who exercises the Civil Servant Medical Benefit Scheme received the majority benefit at 46.9. The main difference came from the different payment models. In terms of satisfaction with medical services was found that there was no difference in satisfaction with both healthcare service quality but a difference in satisfaction with the servant demand response was statistically significant at 0.05 level, the Universal Coverage ( =3.41) more than the Civil Servant Medical Benefit Scheme (
=3.19). Therefore, they should consider merging health insurance rights to the unified management by adjusting into the same format transfer payment.
References
Asawanuchit, S. S., Davoodi, M. H. R., & Tiongson, M. E. (2003). How useful are benefit incidence analyses of public education and health spending. International Monetary Fund.
Bhumithavorn, T. (2020). Inequality in Health Care Welfare System in Thailand. Journal of Social Synergy, 11(2), 76–93. (In Thai)
Bose, M., & Banerjee, S. (2019). Equity in distribution of public subsidy for noncommunicable diseases among the elderly in India: an application of benefit incidence analysis. BMC Public Health, 19(1), 1-12.
Buracom, P. (2018). The Determinants and Distributional Effects of Public Spending in Thailand. Bangkok : Graduate School of Public Administration, National Institute of Development Administration. (In Thai)
Corbetta, P. (2003). Social research: Theory, methods and techniques. London : Sage Publications.
Demery, L. (2000). Benefit incidence: a practitioner’s guide. Poverty and Social Development Group Africa Region, The World Bank. Public Disclousure Authorized. Retrieved April 6, 2021, from https://documents1.worldbank.org/curated/en/574221468135940764/pdf/351170Benefit0incidence0practitioner.pdf
Guida, C., & Carpentieri, G. (2021). Quality of life in the urban environment and primary health services for the elderly during the Covid-19 pandemic: An application to the city of Milan (Italy). Cities, 110, 103038. https://doi.org/10.1016/j.cities.2020.103038
Harnsongkanit, H., & Thananithisak, C. (2020). Evaluation of Customer Satisfaction Quality from Accredited Independent Pharmacies Located in Bangkok by Applying the SERVQUAL MODEL. Thai Journal of Pharmacy Practice, 13(2), 412-420. (In Thai)
He, A. J., & Tang, V. F. (2021). Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia. Health Policy, 125(3), 351-362.
Intarates, M., Leesmidt, V., Dhippayom, T., & Upakdee, N. (2019). Equity in Health in Thai Elderlyunder Universal Coverage Scheme: A Systematic Review. Journal of Health Systems Research, 13(2), 157-173. (In Thai)
Javed, S. A., & Ilyas, F. (2018). Service quality and satisfaction in healthcare sector of Pakistan-the patients’ expectations. International Journal of Health Care Quality Assurance, 31(6), 489-501.
Kachigan, S. K. (1986). Statistical analysis: An interdisciplinary introduction to univariate & multivariate methods. Radius Press.
Khonkaen Provincial Health Office. (2020). Khon Kaen Province Health Development Plan 2020-2021. Retrieved April 6, 2021, from https://www.kkpho.go.th/i2021/index.php/component/attachments/download/7221 (In Thai)
Limna, P., & Kraiwanit, T. (2022). Service Quality and Its Effect on Customer Satisfaction and Customer Loyalty: A Qualitative Study of Muang Thai Insurance Company in Krabi, Thailand. Journal for Strategy and Enterprise Competitiveness, 1(2), 1–16. (In Thai)
Meemon, N., & Paek, S. C. (2020). Older Adults Living Alone in Thailand: Socioeconomic Inequality and Its Relation to Unmet Health Needs. Asia-Pacific Social Science Review, 20(4), 17-31.
Ministry of Public Health. (2020). Basic information and summary of service recipients classified by service units. Retrieved April 6, 2021, from https://hdcservice.moph.go.th/hdc/reports/ page.php?cat_id=b91a30012c36ef54910261d9cfc6d7f5 (In Thai)
Ministry of Public Health. (2020). Number of health personnel from PROVIDER file by PROVIDERTYPE. Retrieved December 15, 2021, from https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=c11dad88f80061c70cd1ae96b500d017 (In Thai)
Mohanty, S. K., Mishra, R. S., Mishra, S., & Sen, S. (2020). Understanding equity of institutional delivery in public health centre by level of care in India: an assessment using benefit incidence analysis. International Journal for Equity in Health, 19, 217. doi: 10.1186/s12939-020-01331-z
National Health Security Office. (2020). NHSO Annual Report 2020. Bangkok: National Health Security Office, Ministry of Public Health. (In Thai)
National Health Security Office. (2020). Population report classified by rights in each province. Retrieved December 6, 2020, from https://ucinfo.nhso.go.th/ucinfo/RptRegisPop-3. (In Thai)
National Health Security Office. (2020). Summary report of the net budget amount by fund. Retrieved January 20, 2021, from https://ucapps1.nhso.go.th/budgetreport/summaryTransferLevel Report (In Thai)
National Statistical Office. (2021). Survey of the elderly population in Thailand. Retrieved January 20, 2021, from http://statbbi.nso.go.th:8090/nso/nso_center/project/search/result_by_department-th.jsp (In Thai)
Office of the National Economics and Social Development Council. (2021). Poverty and Inequality Report 2021. Retrieved December 4, 2022, from https://www.nesdc.go.th/main.php? filename=nesdb_structure (In Thai)
Pattanacombutsook, M. (2021). Validation of Nursing Research Reports and Proper Use of Social Science Research Instruments in Publishing. The Southern College Network Journal of Nursing and Public Health, 8(2), 329-343. (In Thai)
Pinthong, P. (2021). Benefit Incidence Analysis of HIV and AIDS treatment policy in Thailand. Thai Journal of Public Administration, 19(2), 24-40.
Rathachatranon, W. (2019). Determining an Appropriate Sample Size for Social Science Research: The Myth of using Taro Yamane and Krejcie & Morgan Method. Journal of Interdisciplinary Research: Graduate Studies, 8(Special Issue), 11-28. (In Thai)
Rubin, A., & Babbie, E. R. (2016). Empowerment series: Research methods for social work. Boston, MA : Cengage Learning.
Sambodo, N. P., Van Doorslaer, E., Pradhan, M., & Sparrow, R. (2021). Does geographic spending variation exacerbate healthcare benefit inequality? A benefit incidence analysis for Indonesia. Health Policy and Planning, 36(7), 1129-1139. doi: 10.1093/heapol/czab015
Selvaraj, S., Karan, A. K., Mao, W., Hasan, H., Bharali, I., Kumar, P., ... & Chaudhuri, C. (2021). Did the poor gain from India’s health policy interventions? Evidence from benefit-incidence analysis, 2004–2018. International journal for equity in health, 20(1), 1-15. https://doi.org/10.1186/s12939-021-01489-0
Srisa-ard, B. (2017). Preliminary research (10thed.). Bangkok : Suwiriyasan. (In Thai)
The Comptroller General's Department. (2020). Information on reimbursement of medical expenses, rights, civil servants' medical welfare benefits 2020. Bangkok : The Comptroller General's Department, Ministry of Finance. (In Thai)
Tonboot, S., & Wattanadumrong, B. (2021). Situation of Inequality in Health Utilization among Thai Elderly in 2020. In The 8th Business Economics and Communications International Conference: Theme Business Creativity and Innovation in the Age of Transformation (pp. 96-101). Naresuan University, Phitsanulok Province. (In Thai)
Wu, J., Jeawkok, J., & Strisik, W. (2021). Assessing Hospitalized Cancer Patients’ Satisfaction by Using Servqual Model: A Case Study of Guizhou Cancer Hospital, Guizhou Province, China. KKU Research Journal (Graduate Studies) Humanities and Social Sciences, 9(2), 49–58.

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