Situation and Trend of Samutsakhon Hospital Visits among Thai and Myanmar Patients between 2012 and 2016

Abstract

Background and Objective: Samutsakhon is an industrial province. It is the most populated province of Myanmar workers. This study aimed to analyze health data Myanmar patients from the database of
Samutsakhon Hospital between 2012 and 2016, which used Thai health data as references.
Methods: This retrospective descriptive study collected data from outpatient and in-patient medical records of Thai and Myanmar patients of Samutsakhon hospital from 2012 to 2016. The main outcomes included
numbers of patients, diagnoses, and healthcare costs.
Results: Myanmar migrants had increasingly accessed to hospital services from 2012 to 2016 (from 37,264 to 151,868 outpatient visits and 8,279 to 12,089 in - patient visits). The number of Thai patients was slightly
changed (from 143,027to 156,324 out-patient visits and 27,026to 26,302in-patient visits).Consequently, the healthcare costs increased among both Myanmar and Thai patients (Myanmar out-patient cost from
34,134,351 to 396,221,833 Baht; Thai out-patient cost from 421,150,909 to 559,550,067 Baht; Myanmar in-patient cost from 62,504,102 to 115,186,796 Baht: and Thai in-patient cost  from456,578,426 to 555,786,257Baht).
Conclusions: The numberof patients at Samutsakhon Hospital had significantly increased from 2012 to 2016, especially Myanmar outpatients, compared with Thai patients. The healthcare costs were higher among both Myanmar and Thai patients. Therefore, the hospital should provide the systematic data management, specific policies, action plans for the accessible and quality health services of people in the catchment areas.