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Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand

This study aimed to evaluate the effect of the asthma care program available under the Universal Coverage Scheme (UCS) in Thailand on hospital admissions per 100,000 population, its regional and seasonal variation, readmission within 28 days, and the asthma-specific fatality rate of patients aged 0–...

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Autores principales: Inmai, Phatthanawilai Namuenhong, Liabsuetrakul, Tippawan, Ichihara, Nao, Yamamoto, Hiroyuki, Thungthong, Jutatip, Chongsuvivatwong, Virasakdi, Miyata, Hiroaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998138/
https://www.ncbi.nlm.nih.gov/pubmed/35409813
http://dx.doi.org/10.3390/ijerph19074130
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author Inmai, Phatthanawilai Namuenhong
Liabsuetrakul, Tippawan
Ichihara, Nao
Yamamoto, Hiroyuki
Thungthong, Jutatip
Chongsuvivatwong, Virasakdi
Miyata, Hiroaki
author_facet Inmai, Phatthanawilai Namuenhong
Liabsuetrakul, Tippawan
Ichihara, Nao
Yamamoto, Hiroyuki
Thungthong, Jutatip
Chongsuvivatwong, Virasakdi
Miyata, Hiroaki
author_sort Inmai, Phatthanawilai Namuenhong
collection PubMed
description This study aimed to evaluate the effect of the asthma care program available under the Universal Coverage Scheme (UCS) in Thailand on hospital admissions per 100,000 population, its regional and seasonal variation, readmission within 28 days, and the asthma-specific fatality rate of patients aged 0–29 years in 2009–2016 compared with those in 2007–2008. A retrospective study was conducted using data sources from the UCS register and in-patient databases from the National Health Security Office (NHSO), Thailand. Hospital admissions per 100,000 population was the highest among those aged 0–4 years, but the trends decreased from 470.8 to 288.1 per 100,000 population in 2010–2014. The hospital admission rates were high in Southern Thailand and common in rainy seasons. The readmission rates within 28 days slightly decreased in all age groups in 2016 compared to those in 2007. The case fatality rate of patients aged 20–29 years decreased from 0.40% in 2007 to 0.34% in 2016. The readmission rate within 28 days and case fatality rate were the highest in patients aged 20–29 years. In conclusion, the asthma hospital admission, readmission, and case fatality rates declined over time along with the investment in the asthma care program under the UCS in Thailand. The highest hospital admission rates in patients aged 0–4 years and the readmission and case fatality rates in patients aged 20–29 years should be given more attention. Recordings of individual service utilization data in asthma patients, including quality of care provided, should be monitored to improve the asthma care system.
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spelling pubmed-89981382022-04-12 Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand Inmai, Phatthanawilai Namuenhong Liabsuetrakul, Tippawan Ichihara, Nao Yamamoto, Hiroyuki Thungthong, Jutatip Chongsuvivatwong, Virasakdi Miyata, Hiroaki Int J Environ Res Public Health Article This study aimed to evaluate the effect of the asthma care program available under the Universal Coverage Scheme (UCS) in Thailand on hospital admissions per 100,000 population, its regional and seasonal variation, readmission within 28 days, and the asthma-specific fatality rate of patients aged 0–29 years in 2009–2016 compared with those in 2007–2008. A retrospective study was conducted using data sources from the UCS register and in-patient databases from the National Health Security Office (NHSO), Thailand. Hospital admissions per 100,000 population was the highest among those aged 0–4 years, but the trends decreased from 470.8 to 288.1 per 100,000 population in 2010–2014. The hospital admission rates were high in Southern Thailand and common in rainy seasons. The readmission rates within 28 days slightly decreased in all age groups in 2016 compared to those in 2007. The case fatality rate of patients aged 20–29 years decreased from 0.40% in 2007 to 0.34% in 2016. The readmission rate within 28 days and case fatality rate were the highest in patients aged 20–29 years. In conclusion, the asthma hospital admission, readmission, and case fatality rates declined over time along with the investment in the asthma care program under the UCS in Thailand. The highest hospital admission rates in patients aged 0–4 years and the readmission and case fatality rates in patients aged 20–29 years should be given more attention. Recordings of individual service utilization data in asthma patients, including quality of care provided, should be monitored to improve the asthma care system. MDPI 2022-03-31 /pmc/articles/PMC8998138/ /pubmed/35409813 http://dx.doi.org/10.3390/ijerph19074130 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Inmai, Phatthanawilai Namuenhong
Liabsuetrakul, Tippawan
Ichihara, Nao
Yamamoto, Hiroyuki
Thungthong, Jutatip
Chongsuvivatwong, Virasakdi
Miyata, Hiroaki
Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title_full Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title_fullStr Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title_full_unstemmed Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title_short Health Effects of the Asthma Care Program under the Universal Coverage Scheme in Children and Young Adults in Thailand
title_sort health effects of the asthma care program under the universal coverage scheme in children and young adults in thailand
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998138/
https://www.ncbi.nlm.nih.gov/pubmed/35409813
http://dx.doi.org/10.3390/ijerph19074130
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