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Impact of Free Trade Agreement (FTA) on nursing workforce in Thailand

รัชนี ศุจิจันทรรัตน์; วิไลวรรณ ทองเจริญ; วิมลรัตน์ ภู่วราวุฒิพานิช; เดช เกตุฉ่ำ; Rachanee Sujijantararat; Vilaivan Thongcharoen; Wimolrat Puwarawuttipanit; Det Kedcham;
Date: 2556-03
Abstract
Objective: To explore policies and effects of Free Trade Agreement on nursing workforce. Research design: Qualitative research design Methods: 1. Relevant documents were collected; content was attracted and classified into research questions. 2.Ten key informants were interviewed under semistructured questions to summarize policies, state plan, problems and effects of FTA, AFTA, AFAS and AEC related to health care services and nursing workforce. Results: This study revealed that Thailand had a good potential to be a World Class Health Care Hub. Notable cost, quality of medical care and Thai hospitality led to a rapid increasing number of foreigners who came to Thailand seeking for medical treatment. Number of registered nurse working in private hospitals in 2010 had increased for 66.08 % comparing to the year 1999; the highest increasing rate was 83.59% in 2007. On the other hand, it deteriorated nurse shortage in Thailand and un-equivalent accessibility to health care among Thai people. The Priority Integration Sectors (PIS) of AEC targeted in 2015 facilitates travelling across boarder among ASEAN people but two anticipated problems were identified; 1) aggravating the increasing number of patient seeking medical treatment and worsen the situation of nurse shortage, and 2) nurse migration from ASEAN countries. As nursing education systems are much different among ASEAN countries, problems of unequivalent education of nursing personnel are encountered and may harm patients. Preparation for FTA in health care services in Thailand has not been very well arranged. Strategic plan, action plan and hosting organization were not clearly identified resulting in fragmentation of work of related parties and imbalance services provided to Thais. Policy implications: Leading organization is essential for driving nation strategies of the government. Ministry of Public Health, Ministry of labor, Ministry of Education and Ministry of Commerce must be liable. Roles and responsibility of private hospitals must be heightened and be integrated with the government to balance benefit and loss from being World Class Health Care Hub for better health service system and good quality of life of Thai people, ultimate goal of the nation.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

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