Abstract
The landslide victory of the Thai Rak Thai Party on 6 January 2001 was a milestone in the country’s progress towards universal health care for the Thai people. To deliver its campaign promises, the newly elected government guaranteed a policy of ‘30 Baht for Treating Every Illness’, under which all Thais would be eligible for medical services at a flat charge of 30 Baht per visit. Although previous governments had offered full or partial health welfare schemes to various segments of the population, the 30 Baht scheme was a bold initiative in implementing universal coverage (UC) of public health insurance, especially in view of the economic turmoil within which it was implemented. Unlike Japan, Korea and Taiwan, which extended health care coverage in a favourable economic environment, Thailand introduced the UC amid an economic downturn.
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References
Assumption University (2002). ABAC Poll, Evaluating Consumer’s Satisfaction on 30 Baht Treat All Disease Scheme in the Opinion of Gold Card Holders, Bangkok.
Bureau of Budget (1991). Annual Budget Act for Fiscal Year 1992 (in Thai), Bangkok: Office of the Prime Minister.
Chen, F. I. (2003). The Reform of Unemployment Policies in Taiwan: Implications for Gender and Families, UNRISD workshop on ‘Social Policy in a Development Context’, Bangkok.
Gongtan, P., Gongtan, P., Gongtan, S. and Gongtan, P. (1999). Manual for Reimbursement of Government Welfare Benefit, Bangkok: Thai Pim Publishing.
Hanvoravongchai, P., Vasavid, C., Tisayaticom, K., Patcharanarumol, W. and Tangcharoensathien, V. (2003). Preliminaty Study of the Equity in Health, Health Care Utilization and Financing in Thailand, Bangkok.
Mills, A. (1998). The Route to Universal Coverage, in S. Nitayarumphong and A. Mills (eds), Achieving Universal Coverage of Health Care, Bangkok: Office of Health Care Reform, Ministry of Public Health.
Mills, A., Bennett, S., Siriwanarangsun, P. and Tangcharoensathien, V. (2000). The Response of Providers to Capitation Payment: A Case Study from Thailand, Health Policy, 51, 163–80.
National Economic and Social Development Board (2002). Budget Expenditure Review 2000–2001 (in Thai), Bangkok.
National Statistical Office (2002). The 2002 Reports on Household Socio-Economic Survey, Whole Country, Bangkok: Office of the Prime Minister.
—(2003). The 2003 Reports on Household Socio-Economic Survey, Whole Country, Bangkok: Office of the Prime Minister.
Nitayarumphong, S. and Pannarunothai, S. (1998). Achieving Universal Coverage of Health Care through Health Insurance: The Thai Situation, in S. N. and A. Mills (eds), Achieving Universal Coverage of Health Care, Bangkok: Office of Health Care Reform, Ministry of Public Health.
OECD (1994). The Reform of Health Care Systems: A Review of Seventeen OECD Countries, Paris: Organization for Economic Cooperation and Development.
Office of Health Insurance (2000). Budget Allocation of the Public Assistance Scheme 1997. Paper presented to be Budget Allocation Committee, Bangkok: Ministry of Public Health.
Pannarunothai, S., Srithamrongsawat, S. and Khongswat, S. (2002). Sustainable Univer-sal Health Coverage: Household Health Needs, Phitsanulok: Centre for Health Equity Monitory (CHEM), Naresuan University.
Pannarunothai, S., Srithamrongsawat, S., Kongpan, M. and Thumvanna, P. (2000). Financing Reforms for the Thai Health Card Scheme, Health Policy and Planning, 15, 303–11.
Pitayarangsarit, S., Tangcharoensathien, V. and Aniwan, S. (1999). Policy Evaluation of Co-Payment for Drugs, Private Room and Board and Private Hospital Inpatient Services, Research report, HSRI Senior Research Scholar Program.
Pongpanich, S., Suwannasaeng-Chanchaoen, U., Srithamrongsawat, S., Tantigate, N.a., Uasavid, C., Vimolkit, D. and Mungreun, K. (2000). National Health Act 1996a–1998. Bangkok: Health System Research institute.
Prakongsai, P., Patcharanarumol, W., Tisayaticom, K. and Tangcharoensathien, V. (2002). Capitation Rate of the Universal Health Care Coverage for the Fiscal year 2546 (2003 AD), Journal of Health Science, 11, 599–613.
Secretary of the Cabinet (1998). Royal Gazette (Section 49a). (2002). National Health Security Act 2002, Royal Gazette.
Singkaew, S. (1993). Health Card Project: The history, evolution, objectives, outcomes and activities. Paper presented at the Meeting on lessons learned from the Trai-Geeran Health Card Project (30 August 1993).
Tangcharoensathien, V., Laixuthai, A., Vasavid, C., Tantigate, N.-a., Prajuabmoh-Ruffolo, W., Vimolkit, D. and Lertiendumrong, J. (1999). National Health Account Development: Lessons from Thailand, Health Policy and Planning, 14, 342–53.
Tangcharoensathien, V., Nittayaramphong, S. and Bennett, S. (1993). Medical Expenditure for Inpatients under the Civil Servant Medical Benefit Scheme, Health Insurance Monograph Series, 5.
Tangcharoensathien, V. and Pitayarangsarit, S. (2001). Differentials in Health Expenditures and Service Utilization among Households in Thailand, Bangkok: International Health Policy Program.
Tangcharoensathien, V., Pitayarangsarit, S. and Vasavid, C. (2002). Universal Health Care Coverage and Medium Term Financing Implications, The Annual Technical Seminar ‘Medium Term Public Finance and Sustainable Development’, Bangkok: National Economic and Social Development Board.
Tangcharoensathien, V., Teerawathananon, Y. and Prakongsai, P. (2001). Budget for Universal Health Care Coverage: How was the 1,202 Baht Capitation Rate Derived?, Journal of Health Science, 10, 381–90.
Tangcharoensathien, V. Vasavid, C. Tisayaticom, K. and Patharanarumol, W. (2003). National Health Account, Thailand 1994–2002, research report, International Health Policy Program.
Tangcharoensathien, V. and Walee-Ittikul, S. (1991). Social Security, Who Gains, Who Loses?, Thai Medical Council Bulletin, 20, 215–35.
Vasavit, C., Tisayaticom, K. and Tangcharoensathien, V. (2003). Capitation Rate for Fiscal Year 2004, Bangkok: IHPP-Thailand.
WHO (2000). World Health Report 2000: Investing in Health, Geneva: WHO.
Wong, J. (2003). Deepening Democracy in Taiwan, Pacific Affairs, 76.
Yi, I. and Lee, B. H. (2003). The Development of Labour Market Policies in Korea, Paper submitted to the UNRISD Project ‘Social Policy in a Development Context’.
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Tangcharoensathien, V., Teokul, W., Chanwongpaisarn, L. (2005). Challenges of Implementing Universal Health Care in Thailand. In: Kwon, Hj. (eds) Transforming the Developmental Welfare State in East Asia. Social Policy in a Development Context. Palgrave Macmillan, London. https://doi.org/10.1057/9780230523661_12
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DOI: https://doi.org/10.1057/9780230523661_12
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