The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system

Citizens of the Lao People’s Democratic Republic have difficulties in obtaining proper health services compared to more developed countries, due to the lack of available health facilities and health financing programmes. Haemodialysis (HD) is currently included under the coverage of the National Hea...

Descripción completa

Detalles Bibliográficos
Autores principales: Bodhisane, Somdeth, Pongpanich, Sathirakorn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207827/
https://www.ncbi.nlm.nih.gov/pubmed/35725620
http://dx.doi.org/10.1186/s12961-022-00869-4
_version_ 1784729608120172544
author Bodhisane, Somdeth
Pongpanich, Sathirakorn
author_facet Bodhisane, Somdeth
Pongpanich, Sathirakorn
author_sort Bodhisane, Somdeth
collection PubMed
description Citizens of the Lao People’s Democratic Republic have difficulties in obtaining proper health services compared to more developed countries, due to the lack of available health facilities and health financing programmes. Haemodialysis (HD) is currently included under the coverage of the National Health Insurance (NHI) scheme. However, there are several technical barriers related to health service utilization. This study aims to analyse the effects of the Lao NHI on issues of accessibility and the possibility of encountering catastrophic health expenditures for patients with chronic kidney disease. In addition, the study provides policy recommendations for policy-makers regarding the provision of organ transplantation under NHI in the future. Savannakhet Province was purposively selected as a study site, where 342 respondents participated in the study. Two logistic regression models are used to assess the effectiveness of the NHI in terms of accessibility and financial protection against catastrophic health expenditures. The Andersen behavioural model is applied as a guideline to identify factors that affect accessibility and economic catastrophe. NHI is found to improve accessibility to health service utilization for household members with chronic kidney disease. However, due to the limited HD services, there are barriers to accessing health services and a risk of financial hardship due to nonmedical expenditures. Chronic conditions, in addition to kidney issues, dramatically increase the chances of suffering catastrophic health expenditures. In the short run, collaboration with neighbouring countries’ hospitals through copayment programmes is strongly recommended for NHI’s policy-makers. For long-term policy guidelines, the government should move forward to include kidney transplantation in the NHI healthcare system.
format Online
Article
Text
id pubmed-9207827
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-92078272022-06-21 The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system Bodhisane, Somdeth Pongpanich, Sathirakorn Health Res Policy Syst Research Citizens of the Lao People’s Democratic Republic have difficulties in obtaining proper health services compared to more developed countries, due to the lack of available health facilities and health financing programmes. Haemodialysis (HD) is currently included under the coverage of the National Health Insurance (NHI) scheme. However, there are several technical barriers related to health service utilization. This study aims to analyse the effects of the Lao NHI on issues of accessibility and the possibility of encountering catastrophic health expenditures for patients with chronic kidney disease. In addition, the study provides policy recommendations for policy-makers regarding the provision of organ transplantation under NHI in the future. Savannakhet Province was purposively selected as a study site, where 342 respondents participated in the study. Two logistic regression models are used to assess the effectiveness of the NHI in terms of accessibility and financial protection against catastrophic health expenditures. The Andersen behavioural model is applied as a guideline to identify factors that affect accessibility and economic catastrophe. NHI is found to improve accessibility to health service utilization for household members with chronic kidney disease. However, due to the limited HD services, there are barriers to accessing health services and a risk of financial hardship due to nonmedical expenditures. Chronic conditions, in addition to kidney issues, dramatically increase the chances of suffering catastrophic health expenditures. In the short run, collaboration with neighbouring countries’ hospitals through copayment programmes is strongly recommended for NHI’s policy-makers. For long-term policy guidelines, the government should move forward to include kidney transplantation in the NHI healthcare system. BioMed Central 2022-06-20 /pmc/articles/PMC9207827/ /pubmed/35725620 http://dx.doi.org/10.1186/s12961-022-00869-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bodhisane, Somdeth
Pongpanich, Sathirakorn
The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title_full The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title_fullStr The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title_full_unstemmed The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title_short The influence of the National Health Insurance scheme of the Lao People’s Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
title_sort influence of the national health insurance scheme of the lao people’s democratic republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207827/
https://www.ncbi.nlm.nih.gov/pubmed/35725620
http://dx.doi.org/10.1186/s12961-022-00869-4
work_keys_str_mv AT bodhisanesomdeth theinfluenceofthenationalhealthinsuranceschemeofthelaopeoplesdemocraticrepubliconhealthcareaccessandcatastrophichealthexpendituresforpatientswithchronicrenaldiseaseandthepossibilityofintegratingorgantransplantationintothehealthfinancingsystem
AT pongpanichsathirakorn theinfluenceofthenationalhealthinsuranceschemeofthelaopeoplesdemocraticrepubliconhealthcareaccessandcatastrophichealthexpendituresforpatientswithchronicrenaldiseaseandthepossibilityofintegratingorgantransplantationintothehealthfinancingsystem
AT bodhisanesomdeth influenceofthenationalhealthinsuranceschemeofthelaopeoplesdemocraticrepubliconhealthcareaccessandcatastrophichealthexpendituresforpatientswithchronicrenaldiseaseandthepossibilityofintegratingorgantransplantationintothehealthfinancingsystem
AT pongpanichsathirakorn influenceofthenationalhealthinsuranceschemeofthelaopeoplesdemocraticrepubliconhealthcareaccessandcatastrophichealthexpendituresforpatientswithchronicrenaldiseaseandthepossibilityofintegratingorgantransplantationintothehealthfinancingsystem

Ejemplares similares