Health Security Using at Public Health Service Center 53 Tungsonghong

Abstract

Health Security Using at Public Health Service Center 53 Tungsonghong

Watthana           Jintarith           MD, MPH

Public Health Service Center 53 Tungsonghong, Health Division, BMA

Objective: To assess health security using in health service customers and to propose a choice of universal coverage model for people in Bangkok.

Study design: Descriptive study.

Setting: Public Health Service Center 53 Tungsonghong, Health Division, BMA

Subjects: Out-patient and promotive-preventive clinic customers from December 2003 to February 2004.

Methods: Data from medical record and case interview was collected and analysed.

Main outcome measures: The amount and percentage of health service customers having and being able      to use health security.

Results: A total of 1,913 from 4,433 cases (43.15%) of health service customers had no health security or were unable to use their health security. The majority of these customers were non-registration group of universal coverage program and people who had registered in universal coverage program at other health service unit and could not use their right. The related factors were no charge policy for impoverished people and promotive-preventive clinic customers, separated distric    registration and provincial domicile.

Conclusion: The number of health service customers who had no health security or were unable to use their health security is high. The proper universal coverage model could help all groups of people to have and to be able to use health security. The adequate payment would make effective and standard health service. Then all people would be equally treated in basic health service according to the Thai constitution aim.

Key words: Health security, universal coverage program

Vajira Med J 2004 ; 48 : 125 - 133