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Article

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

1
International Health Policy Program, Ministry of Public Health, Nonthaburi 11000, Thailand
2
Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4431; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17124431
Received: 29 May 2020 / Revised: 15 June 2020 / Accepted: 18 June 2020 / Published: 19 June 2020
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 View Full-Text
Keywords: migrant; service utilisation; health insurance; Health Insurance Card Scheme; Thailand migrant; service utilisation; health insurance; Health Insurance Card Scheme; Thailand
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MDPI and ACS Style

Phaiyarom, M.; Pudpong, N.; Suphanchaimat, R.; Kunpeuk, W.; Julchoo, S.; Sinam, P. Outcomes of the Health Insurance Card Scheme on Migrants’ Use of Health Services in Ranong Province, Thailand. Int. J. Environ. Res. Public Health 2020, 17, 4431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17124431

AMA Style

Phaiyarom M, Pudpong N, Suphanchaimat R, Kunpeuk W, Julchoo S, Sinam P. Outcomes of the Health Insurance Card Scheme on Migrants’ Use of Health Services in Ranong Province, Thailand. International Journal of Environmental Research and Public Health. 2020; 17(12):4431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17124431

Chicago/Turabian Style

Phaiyarom, Mathudara, Nareerut Pudpong, Rapeepong Suphanchaimat, Watinee Kunpeuk, Sataporn Julchoo, and Pigunkaew Sinam. 2020. "Outcomes of the Health Insurance Card Scheme on Migrants’ Use of Health Services in Ranong Province, Thailand" International Journal of Environmental Research and Public Health 17, no. 12: 4431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17124431

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