Vasoontara Yiengprugsawan, Matthew Kelly, Sam-Ang Seubsman, Adrian C Sleigh
{"title":"The first 10 years of the Universal Coverage Scheme in Thailand: review of its impact on health inequalities and lessons learnt for middle-income countries.","authors":"Vasoontara Yiengprugsawan, Matthew Kelly, Sam-Ang Seubsman, Adrian C Sleigh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>AIMS: We aim to assess the impacts of Thailand Universal Coverage Scheme (UCS) of health insurance on health service use and healthcare finance in the past 10 years. METHODS: We review the impacts of the UCS on preventive and health promotion including dental care and reproductive health as well as on vulnerable population subgroups. RESULTS: Three decades after the implementation of low income health insurance in the 1970s, Thailand finally introduced a UCS in 2001. It has brought under its umbrella the uninsured 30% of the Thai population. Many empirical studies of illness expenditure confirm that the Thai UCS substantially reduced the financial burden of healthcare among the poor. The Thai UCS mechanism boosts use of primary healthcare facilities and has substantially reduced catastrophic medical payments and consequent impoverishment. CONCLUSIONS: The UCS relies on a solid primary healthcare foundation. Continued investment into primary healthcare resources will help to ensure sustainable development of the UCS and reduced health inequity. The UCS development in Thailand can provide some valuable lessons for middle income countries pursuing the goal of equity in health and healthcare.</p>","PeriodicalId":89530,"journal":{"name":"Australasian epidemiologist","volume":"17 3","pages":"24-26"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303123/pdf/ukmss-40418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30510970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Kelly, Cathy Banwell, Jane Dixon, Sam-Ang Seubsman, Vasoontara Yiengprugsawan, Adrian Sleigh
{"title":"Nutrition transition, food retailing and health equity in Thailand.","authors":"Matthew Kelly, Cathy Banwell, Jane Dixon, Sam-Ang Seubsman, Vasoontara Yiengprugsawan, Adrian Sleigh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>AIM: Here we examine the influence of changes in food retailing, the food supply and the associated nutrition transition on health equity in Thailand, a middle income country experiencing rapid economic development. METHODS: The dietary transition underway in Thailand is reviewed along with theories regarding convergence to a globalised energy dense obesogenic diet and subsequent socio-economically related dietary divergence along with the implications for health inequity. RESULTS: Thailand is part way through a dietary, nutrition and health transition. The food distribution and retailing system is now 50% controlled by modern supermarkets and convenience stores. The problem of increasing availability of calorie dense foods is especially threatening because a substantial proportion of the adult population is short statured due to child malnutrition. Obesity is an emerging problem and for educated Thai women has already developed an inverse relationship to socio-economic status as found in high income countries. CONCLUSIONS: Thailand has reached an important point in its nutrition transition. The challenge for the Thai government and population is to boost affordable healthy diets and to avoid the socio-economic inequity of nutritional outcomes observed in many rich countries.</p>","PeriodicalId":89530,"journal":{"name":"Australasian epidemiologist","volume":"17 3","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307812/pdf/ukmss-40257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30523143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"News from the Editors","authors":"V. Cleland, S. McNaughton","doi":"10.1109/cjece.1993.6592921","DOIUrl":"https://doi.org/10.1109/cjece.1993.6592921","url":null,"abstract":"","PeriodicalId":89530,"journal":{"name":"Australasian epidemiologist","volume":"17 1","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/cjece.1993.6592921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62185835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Likert Scale","authors":"A. Esterman","doi":"10.4135/9781412953948.n261","DOIUrl":"https://doi.org/10.4135/9781412953948.n261","url":null,"abstract":"The author overviews the development of the Likert Scale and its use in epidemiology including the choice of descriptors and the number of points. (non-author abstract)","PeriodicalId":89530,"journal":{"name":"Australasian epidemiologist","volume":"10 1","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70531388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}