Thailand Public Finance Management Report

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dc.creatorHawkins, Loraine
dc.creatorLindelow, Magnus
dc.creatorOsornprasop, Sutayut
dc.date2017-06-27T20:48:01Z
dc.date2017-06-27T20:48:01Z
dc.date2011-04
dc.date.accessioned2026-07-01T01:02:35Z
dc.descriptionThis discussion paper is one of five discussion papers for the Thailand public financial management report. It focuses on efficiency and equity in the financing of health services, and the evolving role of central and local government in the health sector. Over the last few decades, Thailand has seen significant improvements in health outcomes, reflecting sustained public investment in both infrastructure and human resources. Thailand has also succeeded in expanding the coverage of health protection schemes, culminating in the introduction of the Universal Coverage (UC) scheme in 2001. These efforts have broadened access to health services, contributed to greater and more equitable utilization, and helped reduce the financial burden and the risk of impoverishment associated with health care expenses. However, there are fewer data on broader measures of health system performance, including dimensions of quality. Overall, available evidence suggests a mixed picture. For instance, while there has been improvement in the management of chronic conditions, a significant number of cases remain undiagnosed or untreated. Similarly, Thailand has seen recent improvement in 2-year survival rates from cancer and heart attacks, but still lags far behind Organization for Economic Co-operation and Development (OECD) countries. While the achievements of Thailand's health system are undeniable, this paper highlights three key challenges: (i) inequalities in utilization and spending; (ii) mounting cost pressures; and (iii) fragmentation of financing and unresolved issues concerning the respective roles of central and local government. This paper provides evidence of regional differences in diagnosis and management of chronic disease, and of survival rates from cancer and heart attacks. These data do not suggest a strong relationship between the health system and spending on the one hand, and on quality or health outcomes on the other. Indeed, efficiency may be a greater concern, with over-provision now a growing problem in some parts of the health system. However, more evidence is needed on these issues. For example, while high levels of spending and utilization in the Civil Servant Medical Benefit Scheme (CSMBS) are often noted, it is less clear whether this is associated with better outcomes (e.g. higher cancer survival rates or improved health outcomes for the elderly). The implications of geographic disparities in spending in the Social Security Scheme (SSS) and the CSMBS also warrant further attention.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/136461468117866298/Thailand-Public-finance-management-report
dc.identifierhttps://hdl.handle.net/10986/27401
dc.identifierhttps://doi.org/10.1596/27401
dc.identifier.urihttp://hdl.handle.net/123456789/414593
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectAGE GROUPS
dc.subjectAGE STRUCTURE
dc.subjectAGED
dc.subjectAGING
dc.subjectAMBULATORY CARE
dc.subjectANTENATAL CARE
dc.subjectBRAIN DRAIN
dc.subjectBREAST CANCER
dc.subjectBUDGET ALLOCATION
dc.subjectBULLETIN
dc.subjectCAPITA HEALTH EXPENDITURE
dc.subjectCAPITATION
dc.subjectCAPITATION PAYMENT
dc.subjectCARDIOVASCULAR RISK FACTORS
dc.subjectCARE PERFORMANCE
dc.subjectCENTRAL BUDGET
dc.subjectCERVICAL CANCER
dc.subjectCHRONIC CONDITIONS
dc.subjectCHRONIC DISEASE
dc.subjectCITIZEN
dc.subjectCLINICAL OUTCOMES
dc.subjectCLINICAL PRACTICE
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMMUNITY HOSPITALS
dc.subjectCOST OF CARE
dc.subjectDECISION MAKING
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR HEALTH CARE
dc.subjectDEMAND FOR LONG-TERM CARE
dc.subjectDEMOCRACY
dc.subjectDEMOGRAPHIC TRANSITION
dc.subjectDEPENDENCY RATIO
dc.subjectDETERMINANTS OF HEALTH
dc.subjectDIABETES
dc.subjectDISPARITIES IN HEALTH
dc.subjectDISSEMINATION
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectECONOMIC GROWTH
dc.subjectECONOMIC OUTCOMES
dc.subjectELDERLY
dc.subjectELDERLY PEOPLE
dc.subjectELDERLY POPULATION
dc.subjectEMPLOYMENT
dc.subjectEPIDEMIOLOGICAL CHANGES
dc.subjectEPIDEMIOLOGICAL TRANSITION
dc.subjectEPILEPSY
dc.subjectEQUITY IN ACCESS
dc.subjectEXPENDITURE CONTROL
dc.subjectEXPENDITURES
dc.subjectFAMILY PLANNING
dc.subjectFEE-FOR-SERVICE
dc.subjectFERTILITY RATE
dc.subjectFINANCE MANAGEMENT
dc.subjectFINANCIAL BARRIERS
dc.subjectFINANCIAL INCENTIVE
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL PROTECTION
dc.subjectGENERAL PRACTITIONERS
dc.subjectGLUCOSE
dc.subjectGOVERNMENT AGENCIES
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE EXPENDITURE
dc.subjectHEALTH CARE RESOURCES
dc.subjectHEALTH CARE SPENDING
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH COSTS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE GROWTH
dc.subjectHEALTH EXPERTS
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING REFORM
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE SCHEMES
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH INSURERS
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH RESEARCH
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE UTILIZATION
dc.subjectHEALTH SERVICES RESEARCH
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTHCARE INSTITUTIONS
dc.subjectHOSPITAL ADMISSION
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL REVENUES
dc.subjectHOSPITAL SYSTEMS
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectHYPERTENSION
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectINCENTIVES FOR PROVIDERS
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATES
dc.subjectINFERTILITY
dc.subjectINFORMAL SECTOR
dc.subjectINJURIES
dc.subjectINTERNATIONAL COMPARISONS
dc.subjectINTERNATIONAL TRADE
dc.subjectINTERVENTION
dc.subjectLABOR FORCE
dc.subjectLABOR MARKET
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW INCOME
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMEDICAL BENEFIT
dc.subjectMEDICAL DOCTORS
dc.subjectMEDICAL EDUCATION
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL STAFF
dc.subjectMEDICAL TECHNOLOGY
dc.subjectMINISTRY OF EDUCATION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH SPENDING
dc.subjectNATIONAL HEALTH SYSTEMS
dc.subjectNURSE
dc.subjectOBESITY
dc.subjectOUTPATIENT SERVICES
dc.subjectPARTICIPATION IN DECISION
dc.subjectPATIENT
dc.subjectPATIENT PARTICIPATION
dc.subjectPATIENTS
dc.subjectPAYMENTS FOR HEALTH CARE
dc.subjectPHARMACISTS
dc.subjectPOCKET PAYMENTS
dc.subjectPOCKET PAYMENTS BY PATIENTS
dc.subjectPOLICY RESPONSE
dc.subjectPOPULATION PROJECTIONS
dc.subjectPOPULATION SIZE
dc.subjectPREVENTIVE HEALTH SERVICES
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE HOSPITAL SECTOR
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SPENDING
dc.subjectPROGNOSIS
dc.subjectPROGRESS
dc.subjectPROVIDER PAYMENT
dc.subjectPROVINCIAL HOSPITALS
dc.subjectPROVISION OF SERVICES
dc.subjectPUBLIC DEMAND
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURE ON HEALTH
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectPUBLIC HOSPITAL
dc.subjectPUBLIC HOSPITAL SYSTEMS
dc.subjectPUBLIC PROVIDERS
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY OF HEALTH
dc.subjectRESOURCE ALLOCATION
dc.subjectRISK FACTORS
dc.subjectRURAL AREAS
dc.subjectRURAL POPULATION
dc.subjectSERVICE DELIVERY
dc.subjectSHARE OF HEALTH SPENDING
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SERVICES
dc.subjectSURGERY
dc.subjectUNFPA
dc.subjectURBAN AREAS
dc.subjectURBANIZATION
dc.subjectVACCINES
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectWORLD POPULATION
dc.titleThailand Public Finance Management Report
dc.titleGovernment Spending and Central-Local Relations in Thailand’s Health Sector
dc.typeReport
dc.typeRapport
dc.typeInforme

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