The Comparison of Health Insurance System on Survival Time Among Elderly Patients With Stroke in Standard-Level Hospital, Southern Thailand

Abstract

Mortality rates from stroke in the elderly are likely to increase. The quality and accessibility of healthcare are crucial factors that affect clinical outcomes. This study aimed to compare the effect of health insurance (Government Enterprise Officer (OFC) and Universal Coverage Scheme (UCS)) on survival time among elderly patients with Ischemic stroke (IS) and hemorrhagic stroke (HS) and overall stroke (IS and HS) in Standard-Level Hospital in southern Thailand. A retrospective study was conducted by utilizing the hospital database from January 2005 to December 2022. Patients were identified by using ICD-10 (I60-I63), totaling, 4,123 patient records. Data was analyzed by Kaplan–Meier survival analysis and Wilcoxon rank sum test. The results found that number and median [25th-75th percentile] age of elderly stroke patients with OFC was 1,593, (38.64%), and median age was 74 [68-81] years, with UCS was 2,530 (61.36%), and median age was 73 [67-79] years. After 204 months (17 years) of follow-up, 76 patients died (1.84%), 65 had IS (1.93%) and 11 had HS (1.46%). Survival probability between the OFC and the UCS found a statistically significant difference between the health insurance systems among ischemic stroke patients (Log-rank test p=0.0085), and overall stroke patients (Log-rank test p=0.0075). A comparison of survival time between the OFC and the UCS for overall stroke patients was significantly different (p<0.001). Therefore, health insurance system is important for survival rates of stroke patients. there is a need to promote the development of the health system under a shared direction and set of standards.



Author Information
Butsakorn Sangsuwan, Thaksin University, Thailand
Tum Boonrod, Thaksin University, Thailand
Witchada Sinla, Thaksin University, Thailand
Chananya Jirapornkul, Khon Kaen University, Thailand
Ausana Ko-aien, Thaksin University, Thailand
Krekpon Dissara, Thaksin University, Thailand

Paper Information
Conference: AGen2024
Stream: Public Policy

This paper is part of the AGen2024 Conference Proceedings (View)
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To cite this article:
Sangsuwan B., Boonrod T., Sinla W., Jirapornkul C., Ko-aien A., & Dissara K. (2024) The Comparison of Health Insurance System on Survival Time Among Elderly Patients With Stroke in Standard-Level Hospital, Southern Thailand ISSN: 2432-4183 The Asian Conference on Aging & Gerontology 2024: Official Conference Proceedings https://doi.org/10.22492/issn.2432-4183.2024.10
To link to this article: https://doi.org/10.22492/issn.2432-4183.2024.10


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Posted by James Alexander Gordon