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Field Trip Program
25 January 2012

An optional one-day field trip for conference participants is set on Wednesday, 25 January 2012.  Participants who wish to attend the field trip should indicate their preferred choice on the Conference Registration page.  The field trip will be based on demand and first come first serve basis.

[Video Presentation about Universal Health Coverage iChat-Video-icon]

There are 8 interesting sites in and nearby Bangkok as follows:
  1. Connecting and managing all health insurance schemes through ICT system
    icon Download: Field Trip Agenda (51.51 kB)


    Although Thailand is not a country with good ICT infrastructures and has less people with high computer literacy, however, in this field visit participants will learn how the three main healthcare financing agencies, the Social Security Office (SSO), the National Health Security Office (NHSO) and the Ministry of Finance (MoF), manage and coordinate among schemes using ICT system. How individual records of all Thai citizens including smart cards, created and updated by the Bureau of Registration Administration, Ministry of Interior, are used for identification of beneficiaries of each health insurance scheme. Participants can also learn how three agencies, with different provider methods, manage data transaction of health service utilization to generate information for resource allocation. In addition to visiting the SSO, participants will also have an opportunity to visit a district health facility at Bangyai Hospital to learn how local health personnel manage their ICT system to comply with the central requirements.
  2. Central design with flexible decentralized UC management system at Saraburi Province
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    Saraburi is a province in the central region where a regional office of the National Health Security Office (NHSO) is located as well as the Provincial Social Security Office. Participants can learn how the Universal Coverage Scheme (UCS) is implemented and how the regional office, with a small number of staff, responds to local health problems and people’s demands. Participants will visit some health facilities at Lam Sonthi District to see how they interact with these two decentralized offices and create initiatives to respond to local demand.

  3. Managing referral system for better access to excellent centres of UC beneficiaries
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    Mal-distribution of health resources remains a problem of the Thai healthcare system and this affects access to care of beneficiaries under the Universal Coverage Scheme especially for specialized health services. This field visit will start with a visit to a cardiac centre, namely Central Chest Institute of Thailand, nearby Bangkok, to learn how the National Health Security Office (NHSO) manages the referral system to shorten the queue of patients waiting for cardiac surgery and therefore improves access to specialized care of UC beneficiaries.

  4. Beyond medical education, roles of university hospitals in UCS
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    University hospitals (UH) provide not only training to medical personnel but also health services to people. The roles of UH in UCS are quite controversial. At the beginning of UCS, UH accepted to be a registered health facility to provide primary care as well as tertiary care but later declined its primary care function. UH also faces a problem of relative high cost of service provision which cannot get full reimbursement from the National Health Security Office (NHSO). All these problems including the issue of quality accreditation will be discussed during a field visit to Ramathibodi Hospital, a university hospital in Bangkok. Participants will also visit a primary care unit under the support of this UH but located outside and discuss about the role of UH in primary care.

  5. Engaging community organizations in the management of Universal Coverage Scheme
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    The National Health Security Office (NHSO) has supported many local initiatives especially those initiated by the local authority, community organization and patient group. The sub-district community health fund has been established with co-funding by the NHSO and local authority. The community fund will provide financial support for health promotion activities and, by this approach, more resources can be mobilized to support local health system development. The NHSO also supports civic groups to establish a community compliant handling centre to help people facing the problem of access to quality care. This centre can also be an effective communication mechanism to inform people about their rights and facilitates process needed to access care. Participants can visit and learn from some of these case studies in Samut Songkram Province.

  6. Integrated healthcare system: a pre-requisite for universal coverage system
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    Thailand has a long experience in developing healthcare system based on primary care which is a pre-requisite for universal coverage system. Model development has been done in Ayutthaya Province, the ancient capital city of Thailand, since 1990 using action research approach. Continuous efforts for more than two decades has created many success stories on primary care development, both in urban and rural areas, with a close link to the referral hospital to form an integrated healthcare system. From this field visit, participants can learn how integrated healthcare system has been developed and its evolution after the implementation of the Universal Coverage Scheme.

  7. Private hospital: involvement is better than exclusion?
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    There are various models on how private healthcare providers participate in public health insurance schemes in Thailand. The National Health Security Office (NHSO) has developed some approaches to involve private hospitals as well as private clinics to provide health services to USC beneficiaries. These include a program to use private hospital beds as reserved beds for referral cases and outsourcing private hospitals for providing specialized health services. Participants will visit Kluaynamthai Hospital, a private hospital in Bangkok, to discuss how it involves in UCS and problems after its engagement. In addition, participants will have an opportunity to visit some private clinics which work as a network of this private hospital.

  8. Can private clinics provide comprehensive care for beneficiaries of the UC Scheme?
    icon Download: Field Trip Agenda (85.83 kB)

    Most private healthcare providers in Thailand are concentrated in the urban areas where big hospitals are located with few primary care providers. The National Health Security Office (NHSO) tries to promote private clinics to participate in the UC Scheme as Contracted Unit for Primary Care (CUP) to provide comprehensive health services to UC beneficiaries in urban settings. These comprehensive health services include common curative services, preventive and health promotion (P&P) services, and rehabilitative services both in clinic and community. This is quite a challenging assignment since normally private clinics will focus only on curative services. However, the NHSO can get some success stories of these private clinics which participants can learn from these experiences. This field visit will bring participants to expose to a network of private clinics of Bhumibol Adulyadej Hospital (Royal Thai Air Force public hospital).

     

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