Site 6: Universal Health Coverage for Innovative Cost-effective Service: One Day Surgery

LOCATION : Pahonpolpayuhasena Hospital, Kanchanaburi

The Ministry of Public Health has been setting the 5-year-goal for One Day Surgery (ODS) to cover at least one health unit in each regional health area within 2021. Because of no admission, the One Day Surgery system possibly reduces the national expenditure by around 1,267.50 million Baht by supporting patients with self-preparation before going to the hospital and after receiving surgery, then going back home without admission within 24 hours. This system does not only reduce the rate of total admission and lower the budget, but also saves money for patients, shortens waiting-list of surgery and softens over-crowding problems in hospitals. 

The Universal Health Coverage (UHC) also play a major role in increasing an accessibility of clients to ODS service by directly supported budget to the hospital based on the number of ODS clients. As a result, all people in Kanchanaburi who require this service can access to this ODS service without any condition.

Phaholpolpayuhasaena Hospital in Kanchanaburi has been providing One Day Surgery for hernia surgery for more than 10 years since 1999. Since 2017, it has been developing to be a One Day Surgery center, which is being planned to be a training center in the future.

This site visit will show the roles of UHC for the innovation of service such as ODS to solve the problems of long waiting-list of surgery and over-crowding in hospitals and this innovation will be developed to be covered in the national benefit package. After the site visit, sightseeing at the River Kwai Bridge, the historical place during the World War II, will be provided.