การรับรู้สิทธิผู้ป่วยและการเข้าถึงบริการทางสาธารณสุขด้วยศักดิ์ศรีความเป็นมนุษย์ Awareness of patient’s right and accessibility of health care services with human

บทคัดย่อ

Abstract

           The decree of medical welfare defined health insurance including Universal health coverage (UC), Social security scheme (SSS), Civil servant medical benefit scheme (CSMBS). The health benefit perception, service accession and service satisfaction were the major problems among patients with all medical right schemes. A cross-sectional descriptive study was performed in out-patient department, Khon Kaen Hospital during January – February 2020. The sample size of patients with UC, SSS and CSMBS were calculated and recruited. Structural questionnaires were used to survey and data was analyzed using descriptive statistics. 465 patients were studied with 204 males (43.8 %) and 261 females (56.1 %). Results showed less than 60 5 of UC and SSS were able to comprehended their all right under medical right scheme. Screening of non-communicable disease and cancer were 62.8 %, highest perception and chronic kidney disease was 46.4 %, lowest perception in UC. Maternity and child compensation was the most popular perception in SSS. Overall health perception in CSMBS was higher than 70 % except national list of essential medicine was 4.3 %. The service accession and service satisfaction in 3 groups were classified as good level with high believe in health professional team. The service accession and service satisfaction level score in patient hearing and believe in health professional team of UC and SSS was statistical significant higher than CSMBS. In conclusion, data presented that benefit health perception in UC and SSS were misunderstood in overall medical rights and health accession was statistical significant from CSMBS. An advertisement and public relations was important tool to increase relationship and reduce misunderstanding, complaints and lawsuit.

Keywords: Universal health coverage, Social security scheme, Civil servant medical benefit scheme, Medical right perception, Health accession