Company Logo Health care system In Thailand. Company Logo 2 THailand Total population: 63,444,000...
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Transcript of Company Logo Health care system In Thailand. Company Logo 2 THailand Total population: 63,444,000...
Company
Logo
Health care system
In Thailand
2 Company Logo
THailandTotal 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 p er capita (Intl $, 2 0 0 6 )
: 346
Total expenditure on health a s % of GDP(2 0 0 6 )
: 3.5%
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Thailand Health
Financing
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Heal thcare fi nance andservi ce provi si on of Thai l and
afterachievingUCin2 0 0 2
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Total health expenditure of Thailand
Source: NHA Working Group 2009
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-Share of government and non government health financing sources
Source: NHA Working Group 2009
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Thailand H ealth I nsurance
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.
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Thailand H ealth Insurance
2002After achieving universal coverage in . Thailand had bbbb bbbbb bbbbb bbbbbb bbbbbbbbb
schemes and private voluntary insurance bbbbmes.
bbbbbbb bbbbbb bbb bbbbbbbb ()5.2. 95The Social Health Insurance (SHI) scheme . mil
lion employees bbb bniversal Coverage(UC) b cheme cover 47
millions of populations
(30 baths co-payment,now,ultil 2008
abolished this copayment) The Voluntary private insurance b cheme
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Thai Population coverage
Civil Servant Medical Benefit Sch em (CSMBS)
Covers g overnment employees plus dependa nts (parents, spouse and up to two children a
ge <20)Financing sources
g eneraltax,noncontri butory schemeAccess to services
Freechoi ce of publ i c provi ders,no regi strati onrequi red
Mode of provider payment. Fee for service , direct disbursement to mos
tly 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. excludes a cosmetic surgery and
preventive services , except -for annual health check up.
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Thai Population coverage
• Social Health Insurance Covers p rivate sector employees,excluding depe
ndants. Financing sources
- Tri partite contribution,equally shared by emp loyer, employee and the government.
[ Ministry of Labour] Access to services
Regi steredpubl i c andpri vate competi ng contractors
Mode of provider payment. Inclusive capitation for outpatient and inpatie
nt 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,pharmacy and medical
excluded - self inflicted illness or injuries
Fee-for-services
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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 ]
Access to services Registered contractor provider,notably dist
rict health system Mode of provider payment.
Capitation for outpatients and global budg et plus DRG for inpatients plus additional p
ayments for accident and emergency and h igh 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 f ree of charge
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Migrant populations
•Thailand having more than two million s irregular migrants
• Health services for the registered migrants A small fraction of total migrants were cov
ered by their employers with full access to health service .
• Employers pay some 2,000 Baht to cove r one employee for a year,
•T he scheme is managed by the MOPH p rovincial health office.
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Private Voluntary H ealth Insurance Covers Additional health
insurance scheme for those who can afford premiums (2.2%)
Financing sources Health insurance premiums paid by i
ndividuals or households Access to 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
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Out of Pocket
• When universal coverage was achi eved and benefit packages were c
omprehensive, there was a rapid a nd significant reduction in the pro
- - portion of out of pocket payments
44.5% in 1994
19.2 in 2007
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Compulsory sources of financing
• General Government Health expe nditure (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)
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Financing in Oral Health
•Financing in Oral heath cares in Thailand had been Covered within three major public insurance schemes and private voluntary insurance schemes“But,the services benefit were difference”
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Civil Servant Medical Be nefit 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.
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Difference between the UC. sc heme and SHI. scheme
• Dental care benefit package
The UC scheme limits dental condition to be covered such as all basic such as extr
action, filling, preventive treatment, scali ng and acrylic partial and full
dentures(5yrs/piece or pair ). SHI scheme limits the maximum reimbu
rsement level per annum. (not more than 2 visited/annum, 250 bath per visit) and in 2009 to be covered acrylic partial denture (1-5 teeth reimburse 1,200 bath and >5 teeth reimburse 1,400 bath,5 years/piece)
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Reference
• - NHAWorkingGroup.ReportofThailandNationalHealthAccounts20062007.InternationalHealthPolicyProgram,Nonthaburi.2009.
•Dental benefits. [cite 17 Oct 2010]. Available from : http://www.dentalcouncil.or.th/content/
people/detail.php?type=6&id=158.
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