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...
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| Format: | Other Health Study |
| Language: | English |
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World Bank
2012
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| 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 |
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okr-10986-3208 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ALLOCATION OF RESOURCES BEDS BUDGET ALLOCATION CAPITAL EXPENDITURE CAPITATION CITIZEN CITIZENS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COMMUNITY PARTICIPATION COST SHIFTING CURATIVE HEALTH CARE DEBT DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT PLANS DISEASE CONTROL DISTRICTS DOCTORS DRUGS ECONOMIES OF SCALE EMERGENCIES EMPLOYMENT EQUITABLE ACCESS ESSENTIAL MEDICINES EVALUATION OF PROCESSES EXERCISES EXTERNALITIES FEE-FOR-SERVICE FEES FOR SERVICE FINANCIAL CONTROL FINANCIAL POLICIES FINANCIAL RISK FISCAL POLICY GOOD GOVERNANCE HEALTH CARE DELIVERY HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH COVERAGE HEALTH DATA HEALTH DETERMINANTS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SCHEME HEALTH INDICATORS HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH PROMOTION HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS RESEARCH HEALTH WORKERS HEALTH-SECTOR HOSPITAL HOSPITAL AUTONOMY HOSPITAL BOARDS HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOTEL HUMAN DEVELOPMENT HUMAN RESOURCES ILLEGAL MIGRANTS IMMIGRATION INCOME INCOME COUNTRIES INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION INTERVENTION LOCAL AUTHORITIES LOCAL COMMUNITY LOCAL GOVERNMENTS LOCAL HEALTH PLANS MANDATES MEDICAL ACTIVITY MEDICAL BENEFITS MEDICAL CARE MEDICAL STAFF MEDICINES MIGRANTS MOBILITY NATIONAL GOVERNMENT NATIONAL GOVERNMENTS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NATIONAL POLICY NURSE NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENT SATISFACTION SURVEYS PATIENTS PERSONAL CHOICE PHARMACISTS PHARMACY PHO POLICY MAKERS POLITICAL DECISION POLITICAL PARTY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE BEDS PRIVATE PHARMACIES PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC POLICY PUBLIC PROVIDERS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICES PURCHASER-PROVIDER SPLIT QUALITY IMPROVEMENT REGIONAL NETWORKS RESOURCE ALLOCATION RESOURCE MOBILIZATION RURAL AREAS SERVICE PROVIDER SERVICE PROVIDERS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TECHNICAL CAPACITY TECHNICAL TRAINING TERTIARY LEVEL UNIONS URBAN BIAS USER FEES VILLAGE LEVEL WASTE WORKERS |
| spellingShingle |
ALLOCATION OF RESOURCES BEDS BUDGET ALLOCATION CAPITAL EXPENDITURE CAPITATION CITIZEN CITIZENS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COMMUNITY PARTICIPATION COST SHIFTING CURATIVE HEALTH CARE DEBT DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT PLANS DISEASE CONTROL DISTRICTS DOCTORS DRUGS ECONOMIES OF SCALE EMERGENCIES EMPLOYMENT EQUITABLE ACCESS ESSENTIAL MEDICINES EVALUATION OF PROCESSES EXERCISES EXTERNALITIES FEE-FOR-SERVICE FEES FOR SERVICE FINANCIAL CONTROL FINANCIAL POLICIES FINANCIAL RISK FISCAL POLICY GOOD GOVERNANCE HEALTH CARE DELIVERY HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH COVERAGE HEALTH DATA HEALTH DETERMINANTS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SCHEME HEALTH INDICATORS HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH PROMOTION HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS RESEARCH HEALTH WORKERS HEALTH-SECTOR HOSPITAL HOSPITAL AUTONOMY HOSPITAL BOARDS HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOTEL HUMAN DEVELOPMENT HUMAN RESOURCES ILLEGAL MIGRANTS IMMIGRATION INCOME INCOME COUNTRIES INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION INTERVENTION LOCAL AUTHORITIES LOCAL COMMUNITY LOCAL GOVERNMENTS LOCAL HEALTH PLANS MANDATES MEDICAL ACTIVITY MEDICAL BENEFITS MEDICAL CARE MEDICAL STAFF MEDICINES MIGRANTS MOBILITY NATIONAL GOVERNMENT NATIONAL GOVERNMENTS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NATIONAL POLICY NURSE NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENT SATISFACTION SURVEYS PATIENTS PERSONAL CHOICE PHARMACISTS PHARMACY PHO POLICY MAKERS POLITICAL DECISION POLITICAL PARTY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE BEDS PRIVATE PHARMACIES PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC POLICY PUBLIC PROVIDERS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICES PURCHASER-PROVIDER SPLIT QUALITY IMPROVEMENT REGIONAL NETWORKS RESOURCE ALLOCATION RESOURCE MOBILIZATION RURAL AREAS SERVICE PROVIDER SERVICE PROVIDERS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TECHNICAL CAPACITY TECHNICAL TRAINING TERTIARY LEVEL UNIONS URBAN BIAS USER FEES VILLAGE LEVEL WASTE WORKERS Hawkins, Loraine Srisasalux, Jaruayporn Osornprasop, Sutayut Devolution of Health Centers and Hospital Autonomy in Thailand : A Rapid Assessment |
| geographic_facet |
East Asia and Pacific Southeast Asia Asia Thailand |
| description |
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). |
| format |
Economic & Sector Work :: Other Health Study |
| author |
Hawkins, Loraine Srisasalux, Jaruayporn Osornprasop, Sutayut |
| author_facet |
Hawkins, Loraine Srisasalux, Jaruayporn Osornprasop, Sutayut |
| author_sort |
Hawkins, Loraine |
| title |
Devolution of Health Centers and
Hospital Autonomy in Thailand : A Rapid Assessment |
| title_short |
Devolution of Health Centers and
Hospital Autonomy in Thailand : A Rapid Assessment |
| title_full |
Devolution of Health Centers and
Hospital Autonomy in Thailand : A Rapid Assessment |
| title_fullStr |
Devolution of Health Centers and
Hospital Autonomy in Thailand : A Rapid Assessment |
| title_full_unstemmed |
Devolution of Health Centers and
Hospital Autonomy in Thailand : A Rapid Assessment |
| title_sort |
devolution of health centers and
hospital autonomy in thailand : a rapid assessment |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
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 |
| _version_ |
1764386610331254784 |
| spelling |
okr-10986-32082021-04-23T14:02:08Z Devolution of Health Centers and Hospital Autonomy in Thailand : A Rapid Assessment Hawkins, Loraine Srisasalux, Jaruayporn Osornprasop, Sutayut ALLOCATION OF RESOURCES BEDS BUDGET ALLOCATION CAPITAL EXPENDITURE CAPITATION CITIZEN CITIZENS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COMMUNITY PARTICIPATION COST SHIFTING CURATIVE HEALTH CARE DEBT DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT PLANS DISEASE CONTROL DISTRICTS DOCTORS DRUGS ECONOMIES OF SCALE EMERGENCIES EMPLOYMENT EQUITABLE ACCESS ESSENTIAL MEDICINES EVALUATION OF PROCESSES EXERCISES EXTERNALITIES FEE-FOR-SERVICE FEES FOR SERVICE FINANCIAL CONTROL FINANCIAL POLICIES FINANCIAL RISK FISCAL POLICY GOOD GOVERNANCE HEALTH CARE DELIVERY HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH COVERAGE HEALTH DATA HEALTH DETERMINANTS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SCHEME HEALTH INDICATORS HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH PROMOTION HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS RESEARCH HEALTH WORKERS HEALTH-SECTOR HOSPITAL HOSPITAL AUTONOMY HOSPITAL BOARDS HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOTEL HUMAN DEVELOPMENT HUMAN RESOURCES ILLEGAL MIGRANTS IMMIGRATION INCOME INCOME COUNTRIES INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION INTERVENTION LOCAL AUTHORITIES LOCAL COMMUNITY LOCAL GOVERNMENTS LOCAL HEALTH PLANS MANDATES MEDICAL ACTIVITY MEDICAL BENEFITS MEDICAL CARE MEDICAL STAFF MEDICINES MIGRANTS MOBILITY NATIONAL GOVERNMENT NATIONAL GOVERNMENTS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NATIONAL POLICY NURSE NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENT SATISFACTION SURVEYS PATIENTS PERSONAL CHOICE PHARMACISTS PHARMACY PHO POLICY MAKERS POLITICAL DECISION POLITICAL PARTY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE BEDS PRIVATE PHARMACIES PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC POLICY PUBLIC PROVIDERS PUBLIC SECTOR PUBLIC SERVICE PUBLIC SERVICES PURCHASER-PROVIDER SPLIT QUALITY IMPROVEMENT REGIONAL NETWORKS RESOURCE ALLOCATION RESOURCE MOBILIZATION RURAL AREAS SERVICE PROVIDER SERVICE PROVIDERS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TECHNICAL CAPACITY TECHNICAL TRAINING TERTIARY LEVEL UNIONS URBAN BIAS USER FEES VILLAGE LEVEL WASTE WORKERS 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). 2012-03-19T17:27:02Z 2012-03-19T17:27:02Z 2009-04-01 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 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank Economic & Sector Work :: Other Health Study East Asia and Pacific Southeast Asia Asia Thailand |