Health Affairs

Health Affairs, 28, no. 3 (2009): w467-w478 (Published online 31 March 2009) doi: 10.1377/hlthaff.28.3.w467 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Which Households Are At Risk Of Catastrophic Health Spending: Experience In Thailand After Universal Coverage

Tewarit Somkotra and Leizel P. Lagrada

The impact of the universal coverage policy implementation in Thailand is demonstrated by the declining incidence of catastrophic health spending among Thai households—particularly among the poor. The households who remain at risk of catastrophe, as defined here, are better-off households, because of their preference for using private facilities. Others with increased likelihood of incurring catastrophic health expenditures are households with a greater proportion of elderly members, those having a member with a chronic illness or disability, and those having a member who experienced hospitalization. These determinants should prompt policy concerns to protect such households from financial catastrophe.

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