DEVELOPMENT OF HEALTH ECONOMIC STRATEGY MANAGEMENT AND HEALTH INSURANCE IN THAILAND

Abstract

Abstract

This evaluation analytical research of the CIPP model was aimed to evaluate the development of health economic strategy management and health security in Thailand. Unit of analysis was health economic strategy management and health security in Thailand. Secondary data collection tools from the Health Security Office Division of Health Economy and Health Security and reports of relevant, including Social Security Office, Comptroller General's Department and National Statistical Office. Statistics used were frequency, percentage and induction analysis. Results: 1. The management of health economic strategies and health insurance in Thailand consists of 7 important dimensions: 1) coverage management in the universal health coverage system; 2) consistency with the sustainable development goals; 3) coverage of rights in the health insurance system. Universal; 4) Health Service coverage, Coverage of essential health services; 5) Financial coverage, financial health protection; 6) health equity; 7) Develop a central mechanism for the integration of the health security system. 2. results of the service for universal health coverage rights during the year 2020-2022 of the service units under the Office of the Permanent Secretary for Public Health are as follows: 1) Managing the medical service budget per capita per eligible person, amounting 3,600 baht/ 48.26 million. People, 3,719 baht/ 47.44 million people, 3,799 baht/ 47.55 million people, amount (million baht) equal to 140,533.42, 142,364.81, 140,550.19 million baht, respectively 2) Outpatient service results, the most in 2022, 3.53 times/person/year, the most inpatient services in 2022, 6,201,940 times. 3. Three recommendations for health insurance policy decision-making in Thailand: 1) Management of health economic strategies and health insurance; 2) Development of an appropriate benefit system. cost-effective and efficient; 3) Development of mechanisms for systematic governance with participation from all sectors. Conclusion: The development of health economic strategy management and health insurance in Thailand important governance of the health insurance system is the integration of 3 main health systems with a central mechanism, budget management assignment of benefit packages and provide services to the public was sufficient fairly efficient and quality standards.

Keywords: Health Economic Strategy Management, Health Insurance, Thailand