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Exempting the poor: The experience of Thailand

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  • Mills, Anne

Abstract

Fee exemption schemes are widely recommended but little analysed. This paper analyses the operation of the Free Medical Care Project in Thailand, which enables those classified as poor to receive free treatment at government facilities. The paper concentrates in particular on the size and geographical distribution of the group eligible for free care, and on the extent to which the geographical distribution of the budget matches the geographical distribution of the poor. By analysing published data available at national level, information is produced on numbers of people eligible for free care, on the numbers who receive free care, and on the geographical distribution of the free medical care budget. Comments are also made on how the project appears to be operating at health facility level. The paper goes on to consider whether the equity effects of the project could be improved by reorganizing the project, and what impact reorganization might have on the costs of the project.

Suggested Citation

  • Mills, Anne, 1991. "Exempting the poor: The experience of Thailand," Social Science & Medicine, Elsevier, vol. 33(11), pages 1241-1252, January.
    • Handle: RePEc:eee:socmed:v:33:y:1991:i:11:p:1241-1252
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    Cited by:

    1. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    2. Miloud Kaddar & Friedeger Stierle & Bergis Schmidt-Ehry & Anastase Tchicaya, 2000. "L'accès des indigents aux soins de santé en Afrique subsaharienne," Revue Tiers Monde, Programme National Persée, vol. 41(164), pages 903-925.
    3. Onwujekwe, Obinna & Hanson, Kara & Uzochukwu, Benjamin & Ezeoke, Ogochukwu & Eze, Soludo & Dike, Nkem, 2010. "Geographic inequities in provision and utilization of malaria treatment services in southeast Nigeria: Diagnosis, providers and drugs," Health Policy, Elsevier, vol. 94(2), pages 144-149, February.
    4. Onwujekwe, Obinna & Uzochukwu, Benjamin, 2005. "Socio-economic and geographic differentials in costs and payment strategies for primary healthcare services in Southeast Nigeria," Health Policy, Elsevier, vol. 71(3), pages 383-397, March.

    More about this item

    Keywords

    health service fees equity Thailand;

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