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Universal health-care demands in rural Northern Thailand: gender and ethnicity

Author

Listed:
  • Thitiwan Sricharoen

    () (Khon Kaen University, Thailand)

  • Gertrud Buchenrieder

    () (Leibniz Institute of Agricultural Development (IAMO), Germany)

  • Thomas Dufhues

    () (Leibniz Institute of Agricultural Development (IAMO), Germany)

Abstract

Thailand introduced a universal health-care scheme in 2001, initially with a co-payment of 30 baht (B) per physician’s visit which was abolished by the military Government in 2006. The scheme covers 75 per cent of the Thai population. Nevertheless, it lacks flexibility for the beneficiaries as it is a one-size-fits-all scheme. In this study, choicebased conjoint (CBC) analysis is used to identify the health-care demands of different subpopulations in the Mae Rim district, northern Thailand. The different demands of subpopulations, such as men, women and ethnic minorities, are revealed through the CBC analysis. Most households would pay a co-payment higher than B 30 if the services were adapted to the demand, that is, if the quality of service were improved. In general, women appear more willing to pay a higher price than men if the benefits are improved accordingly. This means that men profit much more from the policy change of dropping the co-payment than do women. Furthermore, the present analysis indicates the need for more health education training, designed to meet the needs of the Hmong people in particular.

Suggested Citation

  • Thitiwan Sricharoen & Gertrud Buchenrieder & Thomas Dufhues, 2008. "Universal health-care demands in rural Northern Thailand: gender and ethnicity," Asia-Pacific Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 15(1), pages 65-92, June.
  • Handle: RePEc:unt:jnapdj:v:15:y:2008:i:1:p:65-92
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    References listed on IDEAS

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    1. Holzmann, Robert, 2001. "Risk and vulnerability : the forward looking role of social protection in a globalizing world," Social Protection and Labor Policy and Technical Notes 23161, The World Bank.
    2. Green, Paul E & Srinivasan, V, 1978. " Conjoint Analysis in Consumer Research: Issues and Outlook," Journal of Consumer Research, Oxford University Press, vol. 5(2), pages 103-123, Se.
    3. Zeller, Manfred & Schrieder, Gertrud & von Braun, Joachim & Heidhues, Franz, 1997. "Rural finance for food security for the poor," Food policy reviews 4, International Food Policy Research Institute (IFPRI).
    4. Alwang, Jeffrey & Siegel, Paul B. & Jorgensen, Steen L., 2001. "Vulnerability : a view from different disciplines," Social Protection and Labor Policy and Technical Notes 23304, The World Bank.
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    Cited by:

    1. Isabel Fischer & Tina Beuchelt & Tom Dufhues & Gertrud Buchenrieder, 2010. "Risk management networks of ethnic minorities in Viet Nam," Asia-Pacific Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 17(2), pages 83-118, December.

    More about this item

    JEL classification:

    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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