Universal health care in Thailand: Concerns among the health care workforce

Thoresen, Stian; Fielding, Angela

doi:10.1016/j.healthpol.2010.07.010

Cited by 15 publications

(18 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Policy that mitigates barriers because of cost of care might have a limited impact on access to care if providers are not located in underserved areas. The stakeholders should recognize this and take it into account when planning or promoting services to reduce inequality 26–28 …”

Section: Discussionmentioning

confidence: 99%

“…10,12,26 Furthermore, other incoherent policies between universal coverage and promotion of international trade in health services in Thailand should be addressed, as the latter might influence the increase demand for either healthcare services or human resources, especially in the private sector, which increases the competition for limited resources. 10,12,26,27 Policy that mitigates barriers because of cost of care might have a limited impact on access to care if providers are not located in underserved areas. The stakeholders should recognize this and take it into account when planning or promoting services to reduce inequality.…”

Section: Discussionmentioning

confidence: 99%

“…The stakeholders should recognize this and take it into account when planning or promoting services to reduce inequality. [26][27][28] Furthermore, the World Health Assembly (WHA 60) recommends each country needs to address human resources and workforce planning for oral health as part of a national plan for healthcare. 29 A shortage of personnel, for instance, might be diminished by the use of dental ancillary personnel who can deliver some basic treatments, prevention and oral health promotion.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage

Somkotra

2012

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim: To assess the socioeconomic‐related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage. Methods: The data were taken from the nationally representative Thailand Health & Welfare Survey 2007. Data of 10 096 Thai elderly (aged over 60 years) were selected. Descriptive analyses of the features of dental care utilization among Thai elderly were carried out, in addition to the concentration index (Cindex) being used to quantify the extent of socioeconomic‐related inequality in dental care utilization. Logistic regression was used to determine factors associated with inequality in dental care. Results: Socioeconomic‐related inequality in dental care utilization among Thai elderly was shown. Also, utilization was more concentrated among wealthier older adults, as shown by the positive value of Cindex (equals 0.244). The poor elderly, however, were more likely to utilize dental care at public facilities, particularly primary care facilities. Multivariate analysis showed that certain demographic, socioeconomic and geographic characteristics were particularly associated with poor–rich differences in dental care utilization among Thai elderly. Conclusions: Although socioeconomic‐related inequality in dental care utilization among Thai elderly exists, the pro‐poor utilization at public facilities, particularly primary care facilities, substantiates the concerted effort to reducing inequality in dental care utilization for Thai elderly. Geriatr Gerontol Int 2013; 13: 298–306.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage

Somkotra

2012

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…Past experience suggests that shortages of professional staff in rural clinics lead patients to present directly at district and provincial hospitals and overburden services there [50]. Moreover if implemented correctly, Thailand’s existing policies on multi-disciplinary working will bring about a division of labour that gives valuable roles to doctors, nurses and public health officers.…”

Section: Discussionmentioning

confidence: 99%

Facility type and primary care performance in sub-district health promotion hospitals in Northern Thailand

2017

View full text Add to dashboard Cite

BackgroundPoor and middle-income Thai people rely heavily on primary care health services. These are staffed by a range of professionals. However, it is unknown whether the performance of primary care varies according to the staffing and organization of local service delivery units. Tambon (sub-district) health promotion hospitals (THPHs) were introduced in 2009 to upgrade the services offered by the previous health centres, but were faced with continuing shortages of doctors and nurses. The Ministry of Public Health (MoPH) designated three categories of THPH, defined according to whether they were regularly staffed by a medical practitioner, a qualified nurse or non-clinical public health officers. This study aimed to compare the performance of primary care offered by the three different types of primary care facilities in one public health region of Northern Thailand (Public Health Region 2).MethodsA cross-sectional survey was undertaken in 2013. Data were collected on accessibility, continuity, comprehensiveness, co-ordination and community orientation of care from 825 patients attending 23 primary care facilities. These were selected to include the three officially-designated types of Tambon (sub-district) health promotion hospitals (THPHs) led by medical, nursing or public health personnel. Survey scores were compared in unadjusted and adjusted analyses.ResultsTHPHs staffed only by public health officers achieved the highest performance score (Mean = 85.14, SD. = 7.30), followed by THPHs staffed by qualified nurses (Mean = 82.86, SD. = 7.06). THPHs staffed by a doctor on rotation returned the lowest scores (Mean = 81.63, SD. = 7.22).ConclusionsDifferences in overall scores resulted mainly from differences in reported accessibility, continuity, and comprehensiveness of care, rather than staff skill-mix per se. Policy on quality improvement should therefore focus on improving performance in these areas.

show abstract

“…This study focuses on health issues specific to Thailand. Attitudes and perceptions are explored here as they are key indicators for understanding the overall acceptance and use of the healthcare system (Thoresen & Fielding, ).…”

Section: Methodsmentioning

confidence: 99%

The Influence of the Perceptions of Environmental Factors on Self‐Reported Health Status Among Thais

Ruchiwit

Pawloski

et al. 2012

World Med & Health Policy

View full text Add to dashboard Cite

As a transitional country recently entering the Association of Southeast Asian Nation's (ASEAN) community, Thailand aims to improve its healthcare and health of its people. One means of better understanding the health status of a population is to examine how the overall health environment influences health status. For this study, we examine the impact of perceptions of the Thai health environment on the health status of Thai adults. Four hundred and two participants from three regions of Thailand were surveyed concerning sociodemographic variables, perceptions of health status, and perceptions of the internal and external health environment. The results revealed that those reporting their health status to be satisfactory believed that their living and working environment and availability of medical information and technology was good. In Thailand, the perception of having a good living and working environment as well as good medical information and innovative medical technology may have an important bearing on health status.

show abstract

Universal health care in Thailand: Concerns among the health care workforce

Cited by 15 publications

References 20 publications

Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage

Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage

Facility type and primary care performance in sub-district health promotion hospitals in Northern Thailand

The Influence of the Perceptions of Environmental Factors on Self‐Reported Health Status Among Thais

Contact Info

Product

Resources

About