1 hsro, thailand national health system reform : toward healthy thailand
TRANSCRIPT
1HSRO, Thailand
National Health S ystem Reform : to
ward healthy Thailand
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The Old Health Paradigm
HSRO, Thailand
Focus on
• biomedical• cure diseases
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Changing of the Pattern & of Health Problems
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• CD. NCD. & newemerging dis.
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Increasing of Social pathology
• Biosocial related
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More problems in Health Care Systems• Equity
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• Quality• Efficiency
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• Philosophy & Directions & Strategies of NHS : not clear• No National mechanism to oversee NHS.
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(Biosoc ial Health
Systems)
(Biomedical Health
Systems)
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9Dynamics
Individual Environment
Health Care systems
Security
Economic/politicalPhysical/biological
Cultural/religious
Technological
Genetic
Behavior
Health
SpiritualCommunicationand transportation
Population/educational
Quality/efficiencyPublic/private
Equity/coverageTypes and levels
of services
Health and Relating / Contributing Factors
Wibulpolprasert, S.
Belief system
Life style
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*HSRO was set up under HSRI
HSRO*
Partnershipbuilding
Knowledgegeneration
DraftingThe NH Act
Publiccommunication
NHSRC HSRI BoardTechnicalAdvices
HSRI
MoPH
11Prawase Wasi HSRO, Thailand
Political linkage
Knowledge generationSocial movement
The that moves the mountain
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Framework for National Health System Reform
Building Health EQE/Holistic/Evidence-based Participatory/Transparency Consumer Focused
Legislative framework National Health Committee
Knowledge ManagementPanership BuildingPublic CommunicationManagement
Chair by PM 3 years mandate
Civic involvement Wisdom Partnership Public hearing/education/ relation
NHSRC
Strategies
National Health Act
Desirable Health System
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The New Strategy of New Health Systems
focus on ill - health
(disease oriented)
focus on good - health
(well beingoriented)
Shift to
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Health: A complete, holistic and balanced state of physical, mental, spiritual and social being.
Spiritual : A thorough understanding of the root causes of all worldly tribulations, which lead to total empathy and tolerance to all.
(Draft of the National Health Bill)
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National Health Bill drafting
Process = Social movement(interactive learning through action)
Result =
• Direction of NHS.+
• Dynamic mechanism to oversee NHS.
Health Constitution
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Goals of NHSRGoals of NHSR “ “ To achieve a desirable national HS in To achieve a desirable national HS in
which ‘health promotion takes a more which ‘health promotion takes a more precedent role than its curative precedent role than its curative counterpart’, and is based on counterpart’, and is based on
the concept of the concept of ““sufficient healthsufficient health ”, ”,inviting the people to take part inviting the people to take part
in being an active partner in being an active partner in their HS for in their HS for
sustainable sustainable healthhealth””
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Good health/well-being approach
Right, Duty and Health Security
National H. Commission, Health Assembly
• Policy & Strategy • Consumer Protection• Health Promotion • Knowledge Creativity and KM.• Health Threatening Prevention & Control • Information & Communication• Health Care System & QC. • HRH.• Local Wisdom in Health • Health Financing
• Policy & Strategy • Consumer Protection• Health Promotion • Knowledge Creativity and KM.• Health Threatening Prevention & Control • Information & Communication• Health Care System & QC. • HRH.• Local Wisdom in Health • Health Financing
Contents of NH.BillContents of NH.BillContents of NH.BillContents of NH.Bill
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Health Assembly (HA)(local area specific HA, issue specific HA, national HA)
to create participatory healthy public policyto encourage social interactive learning through actionto generate knowledge related to health & well - being
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Success of Health Systems Reform in Thailand
HFA
AFH
National Health Bill (draft)• As the principle decree for
Health Systems (Health Constitution)
• As a mechanism for participatory public policy formulation
National Health Security Act (2002)• Reform of health care
financing system to achieve universal coverage
Thai Health Promotion Foundation Act (2001)• Utilization of the 2%
“sin tax” to facilitate sustainable health promotion in all dimensions (physical, mental, social and spiritual)
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3
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MoPH
People & Social Academics &
Professional Sectors
Other gov. sectors
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Lessons learned
1. Health paradigm shift
Health asabsence of
disease
Health aswell-being
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Total health systemsTotal health systems
Public healthPublic healthsystemssystems
Health CareHealth Caresystemssystems
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Lessons learned (cont.)
2. Provide opportunity and means for all sectors to participate
All for Health (interactive
learning through action)
Health for
All
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Lessons learned (cont.)
3. An essential mechanism
• Strategic management
• Create collaboration
• Encourage participatory learning process through collaborative practice
• Knowledge management
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9P.O. Box , Talad Kwan, Non 9P.O. Box , Talad Kwan, Non 11 0 0 2 11 0 0 2 ,, Thai l and Thai l and
- - -. 6 6 2 5 9 0 2 3 0 - - -. 6 6 2 5 9 0 2 3 044
- -. 6 6 2 5 9 0 2 3 1 - -. 6 6 2 5 9 0 2 3 111e-mail: [email protected]: [email protected] page: home page: http://www.hsro.or.thhttp://www.hsro.or.th
National Health National Health System Reform OfficeSystem Reform Office