Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019

Abstract Background Extending Universal Health Coverage (UHC) requires identifying and addressing unmet healthcare need and its causes to improve access to essential health services. Unmet need is a useful monitoring indicator to verify if low incidence of catastrophic health spending is not a resul...

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Autores principales:	Vuthiphan Vongmongkol, Shaheda Viriyathorn, Yaowaluk Wanwong, Waritta Wangbanjongkun, Viroj Tangcharoensathien
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Universal health coverage Unmet need Inequity Access to health care Thailand Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b0cccad6cb0e4c869b53b5c2c4c5adf5
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spelling	oai:doaj.org-article:b0cccad6cb0e4c869b53b5c2c4c5adf52021-11-14T12:14:57ZAnnual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 201910.1186/s12939-021-01578-01475-9276https://doaj.org/article/b0cccad6cb0e4c869b53b5c2c4c5adf52021-11-01T00:00:00Zhttps://doi.org/10.1186/s12939-021-01578-0https://doaj.org/toc/1475-9276Abstract Background Extending Universal Health Coverage (UHC) requires identifying and addressing unmet healthcare need and its causes to improve access to essential health services. Unmet need is a useful monitoring indicator to verify if low incidence of catastrophic health spending is not a result of foregone services due to unmet needs. This study assesses the trend, between 2011 and 2019, of prevalence and reasons of unmet healthcare need and identifies population groups who had unmet needs. Method The unmet healthcare need module in the Health and Welfare Survey (HWS) 2011–2019 was used for analysis. HWS is a nationally representative household survey conducted by the National Statistical Office biennially. There are more than 60,000 respondents in each round of survey. The Organisation for Economic Co-operation and Development (OECD) standard questions on unmet need and reasons behind were applied for outpatient (OP), inpatient (IP) and dental services in the past 12 months. Data from samples were weighted to represent the Thai population. Univariate analysis was applied to assess unmet need across socioeconomic profiles. Results The annual prevalence of unmet need between 2011 and 2019 was lower than 3%. The prevalence was 1.3–1.6% for outpatient services, 0.9% - 1.1% for dental services, and lower than 0.2% for inpatient care. A small increasing trend was observed on dental service unmet need, from 0.9% in 2011 to 1.1% in 2019. The poor, the elderly and people living in urban areas had higher unmet needs than their counterparts. Long waiting times was the main reason for unmet need, while cost of treatment was not an issue. Conclusion The low level of unmet need at less than 3% was lower than OECD average (28%), and was the result of UHC since 2002. Regular monitoring using the national representative household survey to estimate annual prevalence and reasons for unmet need can guide policy to sustain and improve access by certain population groups.Vuthiphan VongmongkolShaheda ViriyathornYaowaluk WanwongWaritta WangbanjongkunViroj TangcharoensathienBMCarticleUniversal health coverageUnmet needInequityAccess to health careThailandPublic aspects of medicineRA1-1270ENInternational Journal for Equity in Health, Vol 20, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Universal health coverage Unmet need Inequity Access to health care Thailand Public aspects of medicine RA1-1270
spellingShingle	Universal health coverage Unmet need Inequity Access to health care Thailand Public aspects of medicine RA1-1270 Vuthiphan Vongmongkol Shaheda Viriyathorn Yaowaluk Wanwong Waritta Wangbanjongkun Viroj Tangcharoensathien Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
description	Abstract Background Extending Universal Health Coverage (UHC) requires identifying and addressing unmet healthcare need and its causes to improve access to essential health services. Unmet need is a useful monitoring indicator to verify if low incidence of catastrophic health spending is not a result of foregone services due to unmet needs. This study assesses the trend, between 2011 and 2019, of prevalence and reasons of unmet healthcare need and identifies population groups who had unmet needs. Method The unmet healthcare need module in the Health and Welfare Survey (HWS) 2011–2019 was used for analysis. HWS is a nationally representative household survey conducted by the National Statistical Office biennially. There are more than 60,000 respondents in each round of survey. The Organisation for Economic Co-operation and Development (OECD) standard questions on unmet need and reasons behind were applied for outpatient (OP), inpatient (IP) and dental services in the past 12 months. Data from samples were weighted to represent the Thai population. Univariate analysis was applied to assess unmet need across socioeconomic profiles. Results The annual prevalence of unmet need between 2011 and 2019 was lower than 3%. The prevalence was 1.3–1.6% for outpatient services, 0.9% - 1.1% for dental services, and lower than 0.2% for inpatient care. A small increasing trend was observed on dental service unmet need, from 0.9% in 2011 to 1.1% in 2019. The poor, the elderly and people living in urban areas had higher unmet needs than their counterparts. Long waiting times was the main reason for unmet need, while cost of treatment was not an issue. Conclusion The low level of unmet need at less than 3% was lower than OECD average (28%), and was the result of UHC since 2002. Regular monitoring using the national representative household survey to estimate annual prevalence and reasons for unmet need can guide policy to sustain and improve access by certain population groups.
format	article
author	Vuthiphan Vongmongkol Shaheda Viriyathorn Yaowaluk Wanwong Waritta Wangbanjongkun Viroj Tangcharoensathien
author_facet	Vuthiphan Vongmongkol Shaheda Viriyathorn Yaowaluk Wanwong Waritta Wangbanjongkun Viroj Tangcharoensathien
author_sort	Vuthiphan Vongmongkol
title	Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
title_short	Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
title_full	Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
title_fullStr	Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
title_full_unstemmed	Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019
title_sort	annual prevalence of unmet healthcare need in thailand: evidence from national household surveys between 2011 and 2019
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b0cccad6cb0e4c869b53b5c2c4c5adf5
work_keys_str_mv	AT vuthiphanvongmongkol annualprevalenceofunmethealthcareneedinthailandevidencefromnationalhouseholdsurveysbetween2011and2019 AT shahedaviriyathorn annualprevalenceofunmethealthcareneedinthailandevidencefromnationalhouseholdsurveysbetween2011and2019 AT yaowalukwanwong annualprevalenceofunmethealthcareneedinthailandevidencefromnationalhouseholdsurveysbetween2011and2019 AT warittawangbanjongkun annualprevalenceofunmethealthcareneedinthailandevidencefromnationalhouseholdsurveysbetween2011and2019 AT virojtangcharoensathien annualprevalenceofunmethealthcareneedinthailandevidencefromnationalhouseholdsurveysbetween2011and2019
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Annual prevalence of unmet healthcare need in Thailand: evidence from national household surveys between 2011 and 2019

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