Association of SHI coverage and level of healthcare utilization and costs in the Philippines: a 10-year pooled analysis
| Autor: | Beverly Lorraine Ho, Jhanna Uy, Nel Jason L. Haw |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
National Health Programs media_common.quotation_subject Philippines Odds 03 medical and health sciences 0302 clinical medicine Ambulatory care Universal Health Insurance Health care medicine Health insurance Humans 030212 general & internal medicine health care economics and organizations media_common Insurance Health Inpatient care business.industry 030503 health policy & services Public Health Environmental and Occupational Health General Medicine Patient Acceptance of Health Care Payment Pooled analysis Healthcare utilization Family medicine 0305 other medical science business |
| Zdroj: | Journal of public health (Oxford, England). 42(4) |
| ISSN: | 1741-3850 |
| Popis: | BackgroundThe Philippine Health Insurance Corporation (PhilHealth), which manages the Philippine national health insurance program, is a critical actor in the country’s strategy for universal health coverage. Over the past decade, PhilHealth has passed significant coverage, benefits and payment reforms to contain costs and improve the affordability care for high-cost diseases, inpatient care and select outpatient services.MethodsWe studied the association of PhilHealth with health care utilization and health care costs using three rounds of the Philippine Demographic and Health Survey with data on individual outpatient and inpatient visits from 2008 to 2017.ResultsPhilHealth membership was associated with 42% greater odds of outpatient utilization and 47–100% greater odds inpatient utilization depending on survey year. Depending on facility type, use of PhilHealth to pay for care was associated with higher average health care costs of 244–865% for outpatient care and 135–206% for inpatient care.ConclusionsPhilHealth has likely decreased barriers to health care utilization but may have inadvertently driven up health care costs in the country. Results align with past studies that suggest that reforms in the prior decade have done little to contain health care costs for Filipinos. |
| Databáze: | OpenAIRE |
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