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An Evaluation of Universal health Care Coverage among low Income Groups in Thailand by Using four Selected Characteristics of Good Governance

Jintana Jankhotkaew; Peter Schröder-Bäck; Helmut Brand; Yongyuth Pongsupap; Sumalee Pratoomnun; จินตนา จันทร์โคตรแก้ว; ยงยุทธ พงษ์สุภาพ; สุมาลี ประทุมนันท์;
Date: 2554-06
Abstract
Background: This study focuses on an evaluation of the universal health care coverage among low income groups by using four selected characteristics of good governance: equity, efficiency and effectiveness, participation and transparency. Methods: The interviews with policy makers and patient representatives were conducted. The purposive sampling was used to select interviewees. The data was analyzed by a template analysis style, as the templates are the four selected characteristics of good governance. Results: After the introduction of universal health care coverage in Thailand, the Thai health care system has improved. First, equity in Thai health care system is largely improved, which can be seen by improvement of the accessibility to health services among low income groups. Second, the efficiency of health care systems has enhanced. Third, people have better opportunity to participate in decision making process of the health care systems. Fourth, the transparency of health care systems is improved due to the shift of power to allocate health fund from the Ministry of Public Health to the National Health Security Office. Discussion: Despites the improvements in the health care systems, there are still several challenges that the Thai health care system is facing. For example, the geographical barriers prevent low income groups from accessing care for chronic conditions, this result showed insufficient allocation of resources in health care systems. Another challenge for the Thai health care system is a shortage of medical professionals. Conclusion: the universal health care coverage has improved the accessibility of health care services among low income groups, efficiency of health care systems and participation of people in decision making. However, the challenges are still occurring, for example, insufficient of human resources and geographical barriers.
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) [159]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1283]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

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