FIELD TRIPS
30 January 2020

Universal health coverage (UHC) is the aspiration that all people at all ages can obtain the health service needs of good quality without suffering financial hardship. Health services cover health promotion, prevention, treatment, rehabilitation and palliative care, and all types of services across the life course.

Thailand has achieved UHC with the National Health Security Act in 2002. The main objectives are reducing the service needs gaps, providing more access to healthcare services, and protecting people from financial hardship due to health expenditure. Throughout seventeen years of UHC implementation efforts, accessibility to necessary health services have been improved with quality of health care and financial protection to families. Thai UHC in action has been introduced and implemented by related stakeholders not only government agencies, but also non-governmental sectors civil societies, and consumers. Evidences of these efforts include financial and non-financial interventions to promote the health status of vulnerable groups, such as prisoners, the elderly, disabled people, women and children, chronic disease patients, people living in rural areas and other risk groups.

The Prince Mahidol Award Conference in 2020 (PMAC 2020) will be organized under the topic “Accelerating Progress Towards Universal Health Coverage. ” The PMAC 2020 field trip will be arranged to share experience in implementing Universal Health Coverage initiatives to reduce barriers and to enhance social inclusion of vulnerable populations in different settings and groups. The concept notes of 7 site visits proposed for PMAC 2020 are described below, according to the sub-theme:

SUB-THEME 1

IMPLEMENTATION CHALLENGES
AND INNOVATIVE SOLUTIONS FOR UHC 2030

Site 1 Interdisciplinary Care for Kidney Disease

Location : HRH Princess Maha Chakri Sirindhorn Medical Center, Nakhon Nayok and Bueng Yitho Medical and Rehabilitation Center, Pathumthani

Kidney disease, resulting in a high fatality rate, is one of Thailand’s most important health issues. Furthermore, financial barriers because of the excessive cost of treatment and after-care as well as a limitation of suitable service facilities have affected necessary patient care. NHSO, ....

Site 2 Promote Quality of Life of Prisoners in Prisons

Location : Samutprakan Central Prison, Samutprakan

According to the prisons survey, it was found that there are very few prisoners who could access to healthcare services due to many reasons such as difficulty to access to services, personal security of the prisoners, and not enough health workforce. Therefore, an MOU in January 2019 set up Samut....

SUB-THEME 2

Sustainable Financing for Expanding
and Deepening UHC

Site 3 Primary Care Cluster to Promote Universal Health Coverage

Location : Primary Care Cluster, Pak Chong Nana District Health System, Nakhon Ratchasima

In 2016, the Ministry of Public Health launched the 12th National Health Development Plan 2017-2021 to establish primary care clusters, the primary care system with adequate number of family doctors and multidisciplinary teams. The primary care policy aims to improve primary care services to ensu....

Site 4 Local Community Funds for Rehabilitation to Intermediate Patients

Location : Provincial Administrative Organization, Saraburi

Local community funds for rehabilitation is in a matching fund form, in accordance with Section 47 of the National Health Security Act, to respond to health needs of the local community by including the local community in decision making and co-funding of health-related programs. The funds were s....

SUB-THEME 3

Adapting to the Changing Global Landscape:
Fostering UHC-Based Solidarity to Drive Towards SDGs

Site 5 Primary Care Trust (PCTs) and e-Referral in Capital City

Location : Bhumibol Hospital

A collaboration of big public hospitals with private clinics to primary care services close to home before referring to the hospital, in order to solve over-crowding problems in public hospitals. The primary care units and the hospitals have been strengthened by the system called “Primary C....

Site 6 Innovation of Service: One Day Surgery

Location : Pahonpolpayuhasena Hospital, Kanchanaburi

The Ministry of Public Health has been setting the 5-year-goal for One Day Surgery to cover at least one health unit in each regional health area within 2021. The One Day Surgery system possibly reduces the rate of admissions and national expenditure by around 1,267.50 million Baht by supporting ....

Site 7 Poison Center: A Vital Role in Coordinating Poisoning Surveillance, Prevention, and Management

Location : Ramathibodi Poison Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Ramathibodi Poison Center provides accurately up-to-date information and counsel from professionals or hospitals for diagnosis 24 hours by hotline -1367.  Ramathibodi Poison Center is a center for antidotes for the treatment of poisonings and can provide fast treatment for people who are poi....