■尽管泰国推出了多项移民健康政策,移民在获得医疗保健方面仍然面临各种障碍。在某种程度上,这些障碍可以通过健康小额保险来减少。M-FUND是低成本的,针对泰国移民工人的非营利性健康保护计划,由Dreamlopments社会企业和基金会创建,以支持移民可持续地获得优质的医疗保健服务。我们旨在调查M-FUND对卫生服务利用的影响。
■在三个月的时间里,我们对408名M-FUND成员进行了定量面对面采访,452岁,德省性别和地点匹配的非会员控制,泰国。我们使用逻辑回归控制一些社会人口统计学变量和与移民相关的变量,例如泰国的年份,比较了成员和非成员之间的卫生服务利用率。法律地位,等。
■M-FUND成员更有可能使用门诊服务(调整后的优势比:1·74,95%置信区间:1·24-2·44),住院服务(2·96,1.11-7·92),和急诊护理(1·89,0·78-4·56),尽管后者没有统计学意义。与非会员相比,会员更有可能没有购买非处方药(1·67,1·22-2·27)。成员也更有可能在咨询期间使用任何其他特定服务(2·31,1·49-3·58),包括任何类型的成像方法(2·62,1·29-5·29)和血液检查(1·64,0·99-2·71)。男女之间有一些差异,但大多数没有统计学意义。
■M-FUND健康小额保险与泰国移徙工人及其家属对所有主要类型的健康服务的利用呈正相关。对于移民来说,特别是脆弱的移民工人及其家属,M-FUND似乎是减少医疗保健障碍的好方法。这项关于健康小额保险对移民的影响的研究为移民健康领域的政策和计划规划者提供了重要信息。然而,需要对不同环境下的移民和其他服务不足社区的健康小额保险计划以及性别对卫生服务利用的影响进行更多研究。
UNASSIGNED: Even though Thailand has launched multiple migrant health policies, migrants still face various barriers in accessing health care. To some extent, these barriers may be reduced by health microinsurance. The M-FUND is a low-cost, not-for-profit health protection scheme for migrant workers in Thailand, created by Dreamlopments Social Enterprise and Foundation to support sustainable access to quality healthcare services for migrants. We aimed to investigate the impact of the M-FUND on utilization of health services.
UNASSIGNED: Over a period of three months, we conducted quantitative face-to-face interviews with 408 M-FUND members, and 452 age, sex and location matched non-member controls in Tak Province, Thailand. We compared utilization of health services between members and non-members using logistic regression controlling for a number of socio-demographic variables and variables related to migration such as years in Thailand, legal status, etc.
UNASSIGNED: M-FUND members were more likely to have utilized outpatient services (adjusted odds ratio: 1·74, 95 % confidence interval: 1·24-2·44), inpatient services (2·96, 1.11-7·92), and emergency care (1·89, 0·78-4·56), although the latter was not statistically significant. Members were more likely not to have purchased medicines over-the-counter (1·67, 1·22-2·27) than non-members. Members were also more likely to have utilized any additional specific service during a consultation (2·31, 1·49-3·58) including any type of imaging method (2·62, 1·29-5·29) and blood tests (1·64, 0·99-2·71). There were some differences between men and women, but most were not statistically significant.
UNASSIGNED: The M-FUND health microinsurance was positively associated with the utilization of all major types of health services among migrant workers and their dependents in Thailand. For migrants, particularly vulnerable migrant workers and their dependents, the M-FUND appears to be a good approach to reducing barriers to health care. This study of the impact of health microinsurance for migrants provides important information for policy and program planners in the field of migrant health. However, more research is needed on health microinsurance schemes for migrants in different settings and for other underserved communities as well as the sex-specific impact on health service utilization.