Devolution of Health Centers and Hospital Autonomy in Thailand : A Rapid Assessment
This rapid assessment was conducted for the Thailand Ministry of Public Health with the support of the World Bank in partnership with the Thailand International Health Policy Program and the Thailand Health Systems Research Institute. This work was...
| Main Authors: | , , |
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Subjects: | |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000386194_20111019000954 http://hdl.handle.net/10986/3208 |
| Summary: | This rapid assessment was conducted for
the Thailand Ministry of Public Health with the support of
the World Bank in partnership with the Thailand
International Health Policy Program and the Thailand Health
Systems Research Institute. This work was done under the
World Bank's Country Development Partnership Agreement
with the Government of Thailand. Thailand's health
system has some features that lead to complexity and local
variation in the scope of health responsibilities of Health
care (HCs) and the accountabilities and incentives of HCs
before and after devolution. HC staff and Tambon
Administrative Organization (TAO) leaders in three of the
devolved health centers (Naphu, Salabangpoo, and Pakpoon)
have positive perceptions of improvement in management
flexibility, in the sense that future decision making is
expected to be faster and there should be greater scope for
initiative. Three devolved health centers (Naphu,
Salabangpoo, and Pakpoon) could point to a number ways in
which service delivery had already improved and new services
had been provided in response to the needs and preferences
of the community. These include a stronger client service
orientation, increased curative care services, and increase
in promotion and prevention (P&P). |
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