Reduction in inequalities in health insurance coverage and healthcare utilization among older adults in the Philippines after mandatory national health insurance coverage: trend analysis for 2003-2017

Environmental Health and Preventive Medicine
Kathryn Lizbeth Lucena SiongcoKaoruko Seino

Abstract

Health policies in the Philippines have evolved in response to increasing health demands of older adults. However, there is a lack of research on equity among the ageing population in low-middle income countries. The objective of this study was to identify the trends in National Health Insurance Program (NHIP) coverage and healthcare utilization among older adults in the Philippines for the period from 2003 to 2017, during which NHIP expansion policies were implemented, focusing on reductions in socio-economic inequalities. A literature search of policies for older adults and an analysis of four Philippine National Demographic and Health Surveys (2003, 2008, 2013, and 2017) with data from 25,217 older adults who were 60 years or older were performed. The major outcome variables were NHIP coverage, self-reported illness, outpatient healthcare utilization, and inpatient healthcare utilization. Inequalities in NHIP coverage and healthcare utilization according to wealth were evaluated by calculating the concentration index for individual years, followed by a regression-based decomposition analysis. NHIP coverage among older adults increased from 9.4 (2003) to 87.6% (2017). Although inequalities according to wealth quintile were ob...Continue Reading

References

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Nov 25, 2019·Environmental Health and Preventive Medicine·M SakaiUNKNOWN BiDAME (Big Data Analysis of Medical care for the Elderly in Kyoto)

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Citations

Jun 24, 2020·International Journal of Environmental Research and Public Health·T J Robinson MoncatarKaoruko Seino
Aug 18, 2021·Health Systems and Reform·Joseph J CapunoOwen O'Donnell

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