The Process of Listing Prostheses and Medical Devices in Thailand's Universal Health Coverage.
Value Health Reg Issues
; 42: 100990, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38781691
ABSTRACT
OBJECTIVES:
This study aimed to characterize the processes of listing prostheses and medical devices in all insurance schemes.METHODS:
A literature review was performed, and in-depth interviews were conducted with the representatives of 6 insurance agencies. Civil Servant Medical Benefits Scheme (CSMBS), Social Security Scheme, Local Government Officer Scheme (LGOS), State Enterprise Scheme (SES), Universal Coverage Scheme (UCS), and Non-Thai Resident Scheme (NTRS).RESULTS:
The outcomes of interest were structure details and the body of the working groups, listing processes, and key assessment criteria. Each insurance scheme's process can be summarized in 5steps:
(1) receiving the proposed topics of health technologies, (2) screening, (3) selection, (4) consideration, and (5) approval and publicization. Notably, the organizational structures and working group compositions vary across schemes, leading to differences in process activities and assessment criteria. LGOS and SES are exceptions because they follow the application process of CSMBS. UCS demonstrates the most transparent process, providing specific working groups that are competent in undertaking each activity. The processes of listing prostheses and medical devices vary across health insurance in Thailand, leading to varying numbers of health technologies covered by insurance schemes.CONCLUSIONS:
This study characterizes prostheses and medical device listing processes in 6 Thai Universal Health Coverage insurance schemes (CSMBS, Social Security Scheme, UCS, LGOS, SES, and Non-Thai Resident Scheme). Variations in processes result in differing technology listings. It offers essential insights for healthcare professionals and policy makers.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostheses and Implants
/
Universal Health Insurance
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Value Health Reg Issues
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: