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The number of the older population has increased as a whole in countries where UHC has been successfully implemented. Thus, the Thai government deemed imperative to establish a long-term care program (LTC) for the dependent elderly covered by a Universal Coverage Scheme (UCS), which is administered by the National Health Security Office (NHSO) in Thailand. In 2016, the budget was approved and allocated to local governments to provide LTC services at homes and in community settings.: Objectives: This project aims to evaluate the impact of the Thailand LTC program implemented between 2016 - 2019 and the extent to which its goals were achieved in 2019.: Methods: Budget data obtained from the NHSO were reviewed. Interviews were conducted with NHSO’s officers and formal caregivers from Sainoi Community Hospital to determine the scheme’s successes, failures, and challenges.: Results: from 2016 – 2019, the cumulative number of certified elderly participating in the program increased from 80,826 to 219,518 (36.82%). The number of local governments registered in the program increased every year. Of 7,776 local governments in Thailand, there were only 7,738 local governments that had local health funds system to support the program. In 2016, there were only 1,752 (22.64%) local health funds that: BUDGET IMPACTS: THAILAND’S LONG-TERM CARE POLICY : participated in the program, and it increased to 6,003 (77.58%) in 2019. The budget approved increases from 600 million baht in 2016 to 1,159.20 million baht in 2018, but then it fell to 916.80 million baht in 2019. The actual budget allocated to local governments was lower than what had been approved.: Conclusion: The LTC program in 2019 could not achieve its goals because the local governments could not spend all the budget allocated; the main reasons being unclear financial rules of the national government, as well as the difficulty in finding LTC providers. The local governments were not certain about the extent the payment was covered by the LTC fund. Because the government was concerned about the unspent budget in 2019, the NHSO decreased budget requests to the local governments. 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Budget Impacts: Thailand’s long-term care policy and benefits for dependent elderly under the Universal Coverage Scheme
http://hdl.handle.net/10285/13557
http://hdl.handle.net/10285/13557af7b9432-10a2-4ae6-a1a6-7cb5e9a00955
名前 / ファイル | ライセンス | アクション |
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論文要旨 (301.7 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2020-05-22 | |||||
タイトル | ||||||
タイトル | Budget Impacts: Thailand’s long-term care policy and benefits for dependent elderly under the Universal Coverage Scheme | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | Thailand | |||||
キーワード | ||||||
主題 | budget impacts | |||||
キーワード | ||||||
主題 | long-term care policy | |||||
キーワード | ||||||
主題 | dependent elderly | |||||
キーワード | ||||||
主題 | qualitative | |||||
キーワード | ||||||
主題 | interview | |||||
キーワード | ||||||
主題 | data collections | |||||
資源タイプ | ||||||
資源タイプ | thesis | |||||
著者 |
Thammachot, Atcharaporn
× Thammachot, Atcharaporn× Thammachot, Atcharaporn |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: To promote affordable healthcare to the entire population, Thailand introduced Universal Health Coverage (UHC) in 2002. The number of the older population has increased as a whole in countries where UHC has been successfully implemented. Thus, the Thai government deemed imperative to establish a long-term care program (LTC) for the dependent elderly covered by a Universal Coverage Scheme (UCS), which is administered by the National Health Security Office (NHSO) in Thailand. In 2016, the budget was approved and allocated to local governments to provide LTC services at homes and in community settings.: Objectives: This project aims to evaluate the impact of the Thailand LTC program implemented between 2016 - 2019 and the extent to which its goals were achieved in 2019.: Methods: Budget data obtained from the NHSO were reviewed. Interviews were conducted with NHSO’s officers and formal caregivers from Sainoi Community Hospital to determine the scheme’s successes, failures, and challenges.: Results: from 2016 – 2019, the cumulative number of certified elderly participating in the program increased from 80,826 to 219,518 (36.82%). The number of local governments registered in the program increased every year. Of 7,776 local governments in Thailand, there were only 7,738 local governments that had local health funds system to support the program. In 2016, there were only 1,752 (22.64%) local health funds that: BUDGET IMPACTS: THAILAND’S LONG-TERM CARE POLICY : participated in the program, and it increased to 6,003 (77.58%) in 2019. The budget approved increases from 600 million baht in 2016 to 1,159.20 million baht in 2018, but then it fell to 916.80 million baht in 2019. The actual budget allocated to local governments was lower than what had been approved.: Conclusion: The LTC program in 2019 could not achieve its goals because the local governments could not spend all the budget allocated; the main reasons being unclear financial rules of the national government, as well as the difficulty in finding LTC providers. The local governments were not certain about the extent the payment was covered by the LTC fund. Because the government was concerned about the unspent budget in 2019, the NHSO decreased budget requests to the local governments. Both parties made a concrete effort to solve the problems in the fiscal year 2020.: Keyword: Budget impacts, Long-term care, dependent elderly in Thailand | |||||
学位名 | ||||||
学位名 | 修士(公衆衛生学) | |||||
学位授与機関 | ||||||
学位授与機関名 | 聖路加国際大学 | |||||
学位授与年度 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 2019 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2020-03-10 | |||||
学位授与番号 | ||||||
学位授与番号 | 32633公修専第042 |