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Full-Text Articles in Health Economics
Cost-Effectiveness Analysis Of Managed Care For Osteoporotic Hip Fractures, Benchaporn Kotnarin
Cost-Effectiveness Analysis Of Managed Care For Osteoporotic Hip Fractures, Benchaporn Kotnarin
Chulalongkorn University Theses and Dissertations (Chula ETD)
Osteoporotic fracture patients are still unidentified, untreated for osteoporosis. This group of patients is likely to have recurrent fractures and has more morbidity, these problems put a burden on the high cost of taking care of patients and poor clinical outcomes. The intervention for improving the quality of osteoporosis treatment, King Chulalongkorn Memorial Hospital (KCMH) calls “Managed care”. Managed care has an orthopedist who plays a crucial role in fragility fracture and long-term osteoporosis treatment. The purpose of this study is to access the cost-effectiveness of managed care for patients aged 50 years and over with osteoporotic hip fractures compared …
Technical And Scale Efficiency Of Public Hospitals In Papua New Guinea, James Noah
Technical And Scale Efficiency Of Public Hospitals In Papua New Guinea, James Noah
Chulalongkorn University Theses and Dissertations (Chula ETD)
The objective of the study was to estimate the relative technical efficiency of public hospitals in PNG and estimate the magnitudes of output increases and/or input reductions that would have been required to make relatively inefficient hospitals more efficient using Data Envelopment Analysis for 20 hospitals in PNG using the data for 2017. The study is further extended using the Tobit regression analysis to investigate the institutional and contextual factors on hospital efficiencies. The results of the output-oriented DEA BCC Model indicated that the average constant returns to scale technical efficiency score was 79%; the average variable returns to scale …
Determinants Of Health Promotion Service Consumption In Thailand, Pimpa Vitidladda
Determinants Of Health Promotion Service Consumption In Thailand, Pimpa Vitidladda
Chulalongkorn University Theses and Dissertations (Chula ETD)
Despite being preventable, noncommunicable diseases (NCDs) rank among leading causes of death in Thailand. Four main groups of NCDs involve cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes. These chronic diseases worsen economic burden and the quality of life. To ease the burden, health promotion service is one of the tools that can directly cope with risk factors of NCDs. Therefore, increasing health promotion service consumption potentially leads to risk reduction of an individual to develop NCDs. Hence, this research aims to identify the factors influencing health promotion service consumption in Thailand along with marginal effects of each factors. The …
The Impact Of Family Structure And Family Income On Child Physical Health In China, Baode Zhao
The Impact Of Family Structure And Family Income On Child Physical Health In China, Baode Zhao
Chulalongkorn University Theses and Dissertations (Chula ETD)
The purpose of this article is to study the relationship between child health and family income and family structure. The main use of the Height-for-Age Z score (HAZ) indicator and whether the child has been sick in the past four weeks (Ill) is used as an indicator to measure children's physical health. The main explanatory variables are family income and family structure. In terms of family structure, we mainly focus on the special group of single-parent families. In addition, it also explores other factors that affect children's health, such as demographic factors, sociological factors, and economic factors. This research will …
Parental And Peer Influence On Adolescent Smoking In Vietnam, Duong Hai Yen
Parental And Peer Influence On Adolescent Smoking In Vietnam, Duong Hai Yen
Chulalongkorn University Theses and Dissertations (Chula ETD)
To estimate the magnitude of the association between parent and peer influences on adolescent smoking as non-; light-; and heavy current smokers. By using data from 18,912 adolescents, ages from 13 to 15 years, from two years 2007 and 2014 of the Global Youth Tobacco Survey in Vietnam, were selected for these analyses. Data collected included measures for the smoking status of the adolescent and their parents and friends. Descriptive analysis was used to describe the characteristics of each individual variable. After that, the ordered logistic regression was applied to estimate the relationship between smoking behaviour of parents and peer, …
Association Between Retirement Status, Savings And Geriatric Depression In China, Fangyi Ren
Association Between Retirement Status, Savings And Geriatric Depression In China, Fangyi Ren
Chulalongkorn University Theses and Dissertations (Chula ETD)
Against the background of an aging population and a mandatory retirement policy at relatively young ages in China, mental health problems of the retired elderly have attracted more and more attention. Yet, only a few studies have looked at the association between retirement status, savings and geriatric depression in China. Using data from the CHARLS (China Health and Retirement Longitudinal Study) 2015 Wave, this thesis aims to find the association between retirement status, savings and geriatric depression of those aged 45 and above, controlling for other factors such as socioeconomic status, risky health behavior, physical health status, debt, and health …
The Impact Of Economic Development On Health : A Country-Level Analysis, Huiying Wang
The Impact Of Economic Development On Health : A Country-Level Analysis, Huiying Wang
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study investigates the impact of economic development on health, using a panel of 217 countries (139 high-income and 78 low-income countries for the period 1995-2018). Five dependent variables are included, which are life expectancy at birth, infant mortality, under-5 mortality, survival to age 65 for the female and the male population. The preferred regression method used is fixed effects - two stage least squares modeling (FE-2SLS). The specification includes two measures of economic development, including GDP per capita and the Gini index, as well as other macro-level variables that have been identified as important determinants for population health in …
Poverty And Corruption As Determinants Of Global Antimicrobial Resistance, Lyvia Ann Sanders Guerrier De Dumast
Poverty And Corruption As Determinants Of Global Antimicrobial Resistance, Lyvia Ann Sanders Guerrier De Dumast
Chulalongkorn University Theses and Dissertations (Chula ETD)
Antimicrobial resistance is a major threat to global public health and is believed to cause over 700,000 deaths per year. Efforts to tackle this problem have tended to focus on reducing antibiotic consumption and promoting the appropriate use of medicines. This study examines the relative importance of other socio-economic factors, more specifically poverty (Gross National Income per capita) and corruption (measured by quality of governance), in determining antibiotic resistance compared to use of antibiotics. Using panel data of 48 countries in 2008-2017, a fixed-effects multivariate analysis was used. Sobel tests and mediation analyses were also carried out to determine the …
Mental Health And Employment Status : Evidence From Thailand, Patchara Suwannasin
Mental Health And Employment Status : Evidence From Thailand, Patchara Suwannasin
Chulalongkorn University Theses and Dissertations (Chula ETD)
Mental health and mental disorder are significantly considered to be a worldwide issue nowadays such as depression and suicidal. Moreover, the problem of employment still occurs as an aspect of unemployment or employment status issues in those people who work in each economic sector. The objective of the study was to assess the impact of employment status on mental health and to investigate the relationship between personal characteristics and mental health in Thailand. Moreover, the channels that employment may affect mental health also were investigated in this study. A cross-sectional data, 2014 Thailand survey on conditions of society, culture, and …
Determinants Of Healthcare Utilization And Out-Of-Pocket Expenditure In Thailand, Piraya Saichol
Determinants Of Healthcare Utilization And Out-Of-Pocket Expenditure In Thailand, Piraya Saichol
Chulalongkorn University Theses and Dissertations (Chula ETD)
Thailand launched the Universal Coverage Scheme (UCS) in 2001 and most studies are focusing on the impact of the UCS on healthcare utilization and out-of-pocket (OOP) expenditure. None of the studies, however, examines healthcare utilization and OOP expenditure across the three main public health insurance schemes, i.e. UCS, Social Security Scheme (SSS), and Civil Servant Medical Benefit Scheme (CSMBS). Therefore, this study aims to examine the impact of health insurance status and use of health insurance on outpatient service utilization and healthcare OOP expenditure by using the 2017 Health and Welfare Survey data. Given large income and other disparities across …
The Health Impacts Of Groundwater Salinity Among Household Members With Different Wealth Indexes In Coastal Bangladesh, Shayan Ara Amin
The Health Impacts Of Groundwater Salinity Among Household Members With Different Wealth Indexes In Coastal Bangladesh, Shayan Ara Amin
Chulalongkorn University Theses and Dissertations (Chula ETD)
Individual and household level health impacts are related to their wealth, a connection that expands into impacts from drinking water quality. Using the Bangladesh Poverty and Groundwater Salinity Survey 2016, this study examines the relationship of self-reported groundwater salinity on self-reported health impacts that are common symptoms of hypertension among individuals for an association with household-level wealth quintiles. This study is unique in substantiating the health-wealth relationship for the climate-change vulnerable people of southwest coastal Bangladesh, where so far studies on the impact of drinking water salinity have focused on direct health impacts and willingness-to-pay for drinking water and healthcare. …
The Relationship Between Social Participation And Smoking Among Middle-Aged And Elderly Persons In China, Yuqing Liu
The Relationship Between Social Participation And Smoking Among Middle-Aged And Elderly Persons In China, Yuqing Liu
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study examined the relationship between social participation and smoking among middle-aged and elderly persons. This study used a secondary dataset drawn from the China Health and Retirement Longitudinal Study (CHARLS,2015). In this nationally survey, the number of observations was 9,876. The dependent variable used in this study is smoking and non-smoking. Smoking includes light smoking, moderate, and heavy smoking. The explanatory variables are family factors, demographic characteristics, and socioeconomic factors. Factors associated with smoking were examined with logistic regression model. The results showed that gender, marital status, health self-assessment, pension, chronic disease, playing Mahjong, playing chess, playing cards, or …
Factors Affecting The Purchase Of Commercial Endowment Insurance For The Chinese Adults, Tiantian Jin
Factors Affecting The Purchase Of Commercial Endowment Insurance For The Chinese Adults, Tiantian Jin
Chulalongkorn University Theses and Dissertations (Chula ETD)
The study aimed to explore factors affecting the purchase of commercial endowment insurance for the Chinese adults. It used secondary data from “China Health and Retirement Longitudinal Study”, this data was based on family and individual who are 45 and over years old with a total of 17,000 individuals in 2015. In this study the percent of people with commercial endowment insurance is 0.93%, while the percent of people without is 99.07% so it used the Binary logistic model. Factors are studied from individual characteristic consists of age, gender, education, health status and income, and family characteristic composes of number …
Caring For Patients With Drug Use Disorders In Yangon Region, Myanmar : Socioeconomic And Psychological Burden And Coping Strategies, Khin Zar Khaing Thein
Caring For Patients With Drug Use Disorders In Yangon Region, Myanmar : Socioeconomic And Psychological Burden And Coping Strategies, Khin Zar Khaing Thein
Chulalongkorn University Theses and Dissertations (Chula ETD)
Drug use disorders are considered chronic illnesses, like other severe mental disorders, and caregivers of drug users face a large impact on various aspects of their life. However, there is shortage of research in Myanmar about caregivers' experiences with caring for patients with drug use disorders. This mixed method study, therefore, aims at exploring the socioeconomic and psychological burden caregivers carry, the coping strategies they employ, as well as the barriers to coping they face. The results of the framework analysis revealed that financial loss, productivity loss, social limitation and negative impact on family members are important dimensions of socioeconomic …
Determinants Of The Utilization Of Maternal Health Services In Myanmar, Myat Thu San
Determinants Of The Utilization Of Maternal Health Services In Myanmar, Myat Thu San
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study explored determinants of the utilization of three types of maternal health services in Myanmar: antenatal care (ANC), institutional delivery, and postnatal care (PNC), testing in particular the predisposing factors, enabling factors and perceived need factors. This study used a secondary dataset drawn from the Myanmar Demographic and Health Survey 2015-16 (MDHS). In this nationally representative survey, the number of households that were originally involved was 12,500, among which 12,885 women and 4,737 men were interviewed. The final sample used for analyses in this study consisted of over 3,800 women who had delivered at least one child within 5 …
The Relationship Between Income And Food Intake In China, Xinfang Li
The Relationship Between Income And Food Intake In China, Xinfang Li
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study investigated the effect of food intake, which is considered a form of health investment, on income in China, accounting also for socioeconomic factors. It used the 2011 wave of the China Health and Nutrition survey, including 42,870 observations in the analysis. Six dependent variables, each representing a different measure of income, were explored. The main explanatory variables included a 3-day total food consumption (grams), a 3-day average intake of energy (kilocalories), a 3-day average intake of carbohydrate (grams), a 3-day average intake of protein (grams) and a 3-day average intake of fat (grams). Personal, household, and area characteristics …
Cost-Effectiveness Analysis Of Aripiprazole Compare With Risperidone In Patient With Autism Spectrum Disorders, Kridsadadanudej Wongwejwiwat
Cost-Effectiveness Analysis Of Aripiprazole Compare With Risperidone In Patient With Autism Spectrum Disorders, Kridsadadanudej Wongwejwiwat
Chulalongkorn University Theses and Dissertations (Chula ETD)
Autism spectrum disorders (ASD) are a group of deficits in social interaction and social communication (American Psychiatric Association, 2013). The result of a study in Thailand found that ASD patients with less self-reliance increased the number of caregivers, indirect costs and total costs (Naruemol Junsamut, 2014). Risperidone and aripiprazole showed the effectiveness for treating irritability/disruptive behavior in ASD (LeClerc & Easley, 2015). The objective of this research was to estimate the cost-effectiveness of aripiprazole compared with risperidone for treating ASD patient. Seven studies were selected to analyze the outcomes of effectiveness utilizing network meta-analysis. The number of improving symptoms that …
Factors Associated With Infant And Under-Five Mortality In Myanmar, Lal Hrin Mawi
Factors Associated With Infant And Under-Five Mortality In Myanmar, Lal Hrin Mawi
Chulalongkorn University Theses and Dissertations (Chula ETD)
Myanmar is committed to achieve unfinished agenda for reducing child mortality, fourth indicator of Millennium Development Goals (MDGs) and global target to achieve under-five mortality rate 25 per 1000 live births in 2030. Moreover, under-five mortality varies across states and regions within the country and the study aims to explore determinants of mortality across different health care planning zones. The results showed that infants who were breastfed had lower risk of death by 11.7 percent comparison with children who were not, and twin or multiple births were more likely to die by 8.1%. Moreover, short preceding birth interval, mothers with …
Private Stakeholders Perception On Leveraging Provider Payment Methods For Both Public And Private Sectors To Help Meet National Health Goals In Myanmar, Nay Nyi Nyi Lwin
Private Stakeholders Perception On Leveraging Provider Payment Methods For Both Public And Private Sectors To Help Meet National Health Goals In Myanmar, Nay Nyi Nyi Lwin
Chulalongkorn University Theses and Dissertations (Chula ETD)
Myanmar has committed to achieving universal health coverage (UHC) by 2030. With a poor economy and scarce resource, the government alone cannot achieve UHC without the collaboration of private stakeholders which has an increasing role in the health sector with evolving political and administrative circumstances. To uplift equitable access to essential quality health care services with financial risk protection and efficiency, the country is eager to know a suitable mix of provider payment methods which can be used as key levers to support achieving UHC goals. This study is designed to explore the private stakeholders' perception on leveraging provider payment …
Technical Efficiency Of Private Clinics Under Universal Coverage Scheme In Bangkok, Thailand, Pimpitcha Kangyang
Technical Efficiency Of Private Clinics Under Universal Coverage Scheme In Bangkok, Thailand, Pimpitcha Kangyang
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study aimed to measure technical efficiency of 88 private clinics under Universal Coverage Scheme (UC) in Bangkok in fiscal year 2017 and to identify the factors affecting their technical efficiency. The study was divided to two parts. The first part was measuring of technical efficiency with data envelopment analysis (DEA) and the second part was identifying the factors affecting efficiency with regression analysis using Tobit model. The result of DEA under a variable return to scale assumption showed that 84 private clinics under UC (95.45 percent of the target of study) were operating on pure technical efficiency frontier (VRSTE), …
Cost-Effectiveness Analysis Of Laparoscopic Cholecystectomy Compared With Open Cholecystectomy At A Private Hospital In Myanmar, Pye Paing Heing
Cost-Effectiveness Analysis Of Laparoscopic Cholecystectomy Compared With Open Cholecystectomy At A Private Hospital In Myanmar, Pye Paing Heing
Chulalongkorn University Theses and Dissertations (Chula ETD)
Laparoscopic cholecystectomy (LC) has become the main treatment of uncomplicated gallstone diseases in developed countries due to shorter hospital stay, faster recovery time and other benefits. However, it is still controversial for developing countries. This study aims to evaluate whether laparoscopic cholecystectomy is more cost-effective than open cholecystectomy (OC) in the treatment of gallstone diseases in Myanmar. A cost-effectiveness analysis was evaluated from the provider perspective. The required cost and outcome data were obtained from a private hospital which is located in Yangon, Myanmar. Two outcomes are used as effectiveness in this study, namely cases of complications avoided and cases …
Factors Influencing Health Care Utilization Among Middle Aged And Elderly People In China, Qilimuge -
Factors Influencing Health Care Utilization Among Middle Aged And Elderly People In China, Qilimuge -
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: China's one-child policy, significant advancement in health care, increase in life expectancy and decrease in birth rate all contribute to rapidly aging society. Proportion of elderly will continue to grow, which will put more burden on an already troubled health care system. This study tries to assess factors influencing health care utilization among middle-aged and elderly people in China. Objective: To analyze factors influencing health care utilization among middle-aged and elderly people in China. Methods: The study used secondary data from the China Health and Retirement Longitudinal Study (CHARLS) 2013 wave survey. The outcomes of interest include outpatient and …
Technical Efficiency Of Public District Hospitals In Vietnam, Thi Binh Lam
Technical Efficiency Of Public District Hospitals In Vietnam, Thi Binh Lam
Chulalongkorn University Theses and Dissertations (Chula ETD)
The objectives of this study aimed to evaluate the Technical Efficiency of public district hospitals in Vietnam and to determine factors affecting the hospitals' efficiency. Input-Oriented Data Envelopment Analysis (DEA) model was applied to estimate the technical efficiency scores among 52 public district hospitals in 6 provinces of Vietnam in 2014. Then, Tobit regression model was employed to explore the determinant factors. Results of the DEA indicated that there were considerable variations of efficiency scores in terms of return to scale assumptions. The average variable return to scale technical efficiency (VRSTE) and constant return to scale technical efficiency (CRSTE) were …
Factors Affecting Health Seeking Behavior Of People In Ejin Horo County, China, Yuan Yuan
Factors Affecting Health Seeking Behavior Of People In Ejin Horo County, China, Yuan Yuan
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study aims to explore health seeking behavior in Ejin Horo county, China, specifically it tries to assess how socioeconomic-demographic factors and health literacy affect the decision to use formal outpatient care and conditioning on use the choice among the three-tiered health care facilities visited by people in Ejin Horo county, China during the period of 2016. Our attention is placed on the demand side because Ejin Horo county is the most powerful county in Inner Mongolia and the supply of health services in this county is quite comprehensive. In essence, the study on health seeking behavior will be able …
Understand Management Of Public-Private Partnership In A Secondary Private Hospital Providing Services To Citizens Registered Under Different Insurance Schemes, Rani Sachadev
Chulalongkorn University Theses and Dissertations (Chula ETD)
In light of the recent public-private partnership law reenacment in various industries, it seems that the healthcare's public insurances would largely benefit from increase participation of the private sector but since there has not been any published framework on management of public-private partnership in public health insurance, this study has been undertaken to shine a light on financial and medical care delivery in a secondary private hospital. This study was conducted in a secondary private hospital located in Bangkok providing UC, SSS and for-profit medical care to citizens. This is a study aimed to understand the management strategies regarding finance …