Universal health care in Thailand: Concerns among the health care workforce
MetadataShow full item record
NOTICE: This is the author’s version of a work that was accepted for publication in Health Policy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Health Policy [99, 1, 2011] DOI 10.1016/j.healthpol.2010.07.010
Objective. To investigate the impact of the universal health care policy from the perspective of Thai health care professionals. Methods. Semi-structured interviews with purposively selected health care professionals and key informants. Results. Health care professionals at public hospitals, particularly in rural areas, have experienced up to a doubling in the number of daily out-patients; many with superficial symptoms. While the improved access to health care provisions was welcomed, questions regarding the appropriateness of seeking medical advice were raised. Concern regarding equity: between the universal health care policy and two parallel public health cover schemes; rural and urban areas; and the public and private sector also emerged. There are potentials for health care professionals to congregate in the private sector and urban areas where workloads are perceived to be less demanding.Conclusions. The general perception of the health care professionals interviewed suggests that although increased access and health equity was welcomed, this policy has had undesired effects and exacerbated rural-urban and public-private tensions. Universal coverage increased access to health care. However, equity may be further enhanced by consolidating the three public health covers into a single scheme and develop a parallel private income protection insurance scheme.
Showing items related by title, author, creator and subject.
A phenomenological study of the health-care related spiritual needs of multicultural Western AustraliansHawley, Georgina (2002)This study was designed to identify the spiritual needs of multicultural Australians with a health problem, in order to understand the educational implications for health care professionals. The rationale for the research ...
McKnight, David (2011)Background: Medication Safety has become a major health issue in Australia and internationally. Medication use is a part of most people lives with around seven in ten Australians and nine in ten older Australians having ...
Screening for perinatal depression and predictors of underscreening: Findings of the born in Queensland studySan Martin Porter, M.; Betts, K.; Kisely, S.; Pecoraro, G.; Alati, Rosa (2019)© 2018 AMPCo Pty Ltd. Objectives: To investigate screening with the Edinburgh Postnatal Depression Scale (EPDS) as part of Queensland prenatal care services, as well as maternal and socio-demographic factors associated ...