Abstract : |
Using data from the 2007 Thai Health and Welfare Survey, I analyze the impact of health insurance coverage and other socioeconomic factors on the likelihood of receiving clinical breast examinations, mammograms, and cervical screening tests among adult females. I focus on breast and cervical screening because breast and cervical cancer are the leading cancers among women in Thailand and early detection increases the likelihood of survival. I use logistic regression to produce cross-sectional estimates of the impact of income and insurance coverage on utilization among Thai women within the past 5 years. I find among low income women the access afforded by the Universal Coverage plan, known locally as the Gold Card plan, significantly increases the probability of utilizing cervical screening tests by nearly twenty percentage points relative to low income women with no insurance. While among women in the high monthly household income group having the Civil Servant Medical Benefit Scheme and private health insurance increase the propensity to have clinical breast examinations and cervical screening tests. The private health insurance is the only health insurance that has significant and positive probability of having mammograms among women from high monthly household income group. These results imply that the Universal Coverage plan implemented in 2001 for people without health insurance can assist women in the lowest income group in getting cervical screening tests through small co-payments requirement. However, there is no impact on mammogram for the poorest.
โดย : |
สถานที่ : |
ห้องประชุม ชั้น 5 คณะเศรษฐศาสตร์ มหาวิทยาลัยธรรมศาสตร์