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首页> 外文期刊>The Southeast Asian journal of tropical medicine and public health >USED AND FOREGONE HEALTH SERVICES AMONG A COHORT OF 87,134 ADULT OPEN UNIVERSITY STUDENTS RESIDING THROUGHOUT THAILAND
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USED AND FOREGONE HEALTH SERVICES AMONG A COHORT OF 87,134 ADULT OPEN UNIVERSITY STUDENTS RESIDING THROUGHOUT THAILAND

机译：遍及泰国的87134名成人开放大学学生中的二手和前辈保健服务

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摘要

There are limited data on the frequency of foregone health service use in defined populations. Here we describe Thai patterns of health service use, types of health insurance used and reports of foregone health services according to geo-demo-graphic and socioeconomic characteristics. Data on those who considered they had needed but not received health care over the previous year were obtained from a national cohort of 87,134 students from the Sukhothai Thammathirat Open University (STOU). The cohort was enrolled in 2005 and was largely made up of young and middle-age adults living throughout Thailand. Among respondents, 21.0% reported use of health services during the past year. Provincial/governmental hospitals (33.4%) were the most attended health facilities in general, followed by private clinics (24.1%) and private hospitals (20.1%). Health centers and community hospitals were sought after in rural areas. The recently available government operated Universal Coverage Scheme (UCS) was popular among the lower income groups (13.6%), especially in rural areas. When asked, 42.1% reported having foregone health service use in the past year. Professionals and office workers frequently reported long waiting time' (17.1%) and 'could not get time off work' (13.7%) as reasons, whereas manual workers frequently noted it was 'difficult to travel' (11.6%). This information points to non-financial opportunity cost barriers common to a wide array of Thai adults who need to use health services. This issue is relevant for health and workplace policymakers and managers concerned about equitable access to health services.
机译：在确定的人群中，关于放弃使用卫生服务的频率的数据有限。在这里，我们根据地理人口统计学和社会经济特征描述泰国的医疗服务使用方式，使用的医疗保险类型以及已放弃的医疗服务报告。上一年的那些认为自己需要但未得到医疗保健的人的数据来自于素可泰撒玛勒特开放大学（STOU）的87,134名全国学生。该队列于2005年入学，主要由生活在泰国各地的年轻人和中年成年人组成。在受访者中，有21.0％的人表示在过去一年中使用了卫生服务。一般而言，省/政府医院（33.4％）是人流最多的医疗机构，其次是私人诊所（24.1％）和私人医院（20.1％）。在农村地区寻求保健中心和社区医院。最近可用的政府运营的全民医疗保险计划（UCS）在低收入人群（13.6％）中很受欢迎，尤其是在农村地区。当被问及时，有42.1％的人报告在过去的一年中已经放弃使用卫生服务。专业人员和办公室工作人员经常报告等待时间长（17.1％）和“无法下班”（13.7％）是原因，而体力劳动者经常指出这很“难于旅行”（11.6％）。该信息指出了需要使用医疗服务的大量泰国成年人普遍面临的非金融机会成本障碍。此问题与关注公平获得卫生服务的卫生和工作场所决策者以及管理人员有关。

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