A collaboration of big public hospitals with private clinics to primary care services close to home before referring to the hospital has been initiated to solve over-crowding problems in public hospitals. The primary care units and the hospitals have been strengthened by the system called “Primary Care Trust” (PCT). This trust means believability between public and private medical centers in the standard medical treatment with the quality and continuous healthcare for the referral patients. The National Health Security Office-Bangkok Branch (NHSO-BB) has been providing the capacity and developing the e-Referral system to share patients’ medical records to physicians in hospitals and clinics.  This electronic medical data transferring system ensures that patients will get the same standard treatment from different level of healthcare providers.

In Bhumibol Adulyadej Hospital, the e-Referral system has been developed by the cooperation of the hospital with NHSO-BB, network partners, and the National Electronics and Computer Technology Center (NECTEC), bringing information and communication technology to forward patient care data to community clinics and the hospital network. Recently, Bhumibol Adulyadej hospital has developed a new patient care system called BHA connect, the application that enables the patients to know their basic health information such as history of illness, treatment data, appointment date, etc.  This application will be developed as a part of home health care system in the near future.

This site visit will show the strong and close collaboration between government units, private organizations, and NGOs to promote access to health care service and prevention promotion activities to their catchment population such as birth registration, immunization of children, child health, as well as, the use of electronic medical data system to support access to health care service.