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The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand

V. Promasatayaprot, S Pongpanich, David Hughes, S Glangkarn

Journal of Health Education (Thailand), Volume: 32, Issue: 111, Pages: 71 - 87

Swansea University Author: David Hughes

Abstract

The Thai healthcare system of the 1990s, characterized by fragmentation, duplication and inadequate coverage in the existing public provision, could not achieve the health system goals of efficiency and equity. It did not allow collective financing to harness monopolistic purchasing power to send th...

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Published in: Journal of Health Education (Thailand)
Published: 2009
Online Access: https://www.researchgate.net/publication/243055856_Health_Education_Journal_Vorapoj
URI: https://cronfa.swan.ac.uk/Record/cronfa19344
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first_indexed 2014-11-19T02:56:50Z
last_indexed 2021-03-16T03:33:24Z
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spelling 2021-03-15T11:38:19.7734769 v2 19344 2014-11-18 The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand f1fbd458e3c75d8b597c0ac8036f2b88 David Hughes David Hughes true false 2014-11-18 FGMHL The Thai healthcare system of the 1990s, characterized by fragmentation, duplication and inadequate coverage in the existing public provision, could not achieve the health system goals of efficiency and equity. It did not allow collective financing to harness monopolistic purchasing power to send the right signals to health care providers to increase efficiency. Fee-forservice, the dominant mode of provider payment, exacerbated cost containment problems, as seen by faster health expenditure growth than GDP growth, even during periods of recession. In the absence of effective primary care, most of the poor receive care in hospitals that are expensive, have long waiting lines and offer unsatisfactory services. In 1999, two important Acts were promulgated, i.e., the Public Organization Act and the Decentralization Act. If this movement proves to be a success, there will be many more public independent hospitals. This was followed in 2001 by the introduction of universal health care coverage in Thailand, a development which seemed to open the way for hospitals to operate as providers alongside an active purchaser in the form of the National Health Security Office.The objective of this study was to describe the new health insurance system in Thailand and evaluate progress towards improving equity and efficiency. It took the form of documentary research involving a reviewing of official documents and academic commentary on the developing Thai health insurance system in the 1995 - 2007 period, and particularly after 2001. Journal Article Journal of Health Education (Thailand) 32 111 71 87 universal health insurance; health policy; strategic planning; health economics; Thailand 31 12 2009 2009-12-31 https://www.researchgate.net/publication/243055856_Health_Education_Journal_Vorapoj Thai journal without high impact factor. COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2021-03-15T11:38:19.7734769 2014-11-18T17:12:20.8522715 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health V. Promasatayaprot 1 S Pongpanich 2 David Hughes 3 S Glangkarn 4
title The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
spellingShingle The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
David Hughes
title_short The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
title_full The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
title_fullStr The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
title_full_unstemmed The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
title_sort The adjustment of universal health insurance by health policy, strategic planning and health economics in Thailand
author_id_str_mv f1fbd458e3c75d8b597c0ac8036f2b88
author_id_fullname_str_mv f1fbd458e3c75d8b597c0ac8036f2b88_***_David Hughes
author David Hughes
author2 V. Promasatayaprot
S Pongpanich
David Hughes
S Glangkarn
format Journal article
container_title Journal of Health Education (Thailand)
container_volume 32
container_issue 111
container_start_page 71
publishDate 2009
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url https://www.researchgate.net/publication/243055856_Health_Education_Journal_Vorapoj
document_store_str 0
active_str 0
description The Thai healthcare system of the 1990s, characterized by fragmentation, duplication and inadequate coverage in the existing public provision, could not achieve the health system goals of efficiency and equity. It did not allow collective financing to harness monopolistic purchasing power to send the right signals to health care providers to increase efficiency. Fee-forservice, the dominant mode of provider payment, exacerbated cost containment problems, as seen by faster health expenditure growth than GDP growth, even during periods of recession. In the absence of effective primary care, most of the poor receive care in hospitals that are expensive, have long waiting lines and offer unsatisfactory services. In 1999, two important Acts were promulgated, i.e., the Public Organization Act and the Decentralization Act. If this movement proves to be a success, there will be many more public independent hospitals. This was followed in 2001 by the introduction of universal health care coverage in Thailand, a development which seemed to open the way for hospitals to operate as providers alongside an active purchaser in the form of the National Health Security Office.The objective of this study was to describe the new health insurance system in Thailand and evaluate progress towards improving equity and efficiency. It took the form of documentary research involving a reviewing of official documents and academic commentary on the developing Thai health insurance system in the 1995 - 2007 period, and particularly after 2001.
published_date 2009-12-31T03:22:41Z
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score 11.014537

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