Viroj Tangcharoensathien|Supon Limwattananon|Walaiporn Patcharanarumol|Jadej Thammatacharee|Pongpisut Jongudomsuk|Supakit Sirilak
Achieving universal health coverage goals in Thailand: the vital role of strategic purchasing
Ministry of Public Health|Khon Kaen University|Ministry of Public Health|Social Security Office (Thailand)|Social Security Office (Thailand)|Ministry of Public Health
strategic purchasing one key policy instruments achieve universal health coverage uhc goals improved equitable access financial risk protection given favourable outcomes universal coverage scheme ucs study synthesized strategic purchasing experiences national health security office nhso responsible ucs contributing achieving uhc goals ucs applied purchaserprovider split concept nhso purchaser good position enforce accountability public private providers ucs beneficiaries active purchasing comprehensive benefit package resulted high level financial risk protection reflected low incidence catastrophic health spending impoverished households nhso contracted district health system dhs network provide outpatient health promotion disease prevention services whole district population based annual ageadjusted capitation payment cases dhs provider district without competitors geographical monopoly hampered nhso introduce competitive contractual agreement durable mutually dependent relationship based trust gradually evolved accreditation important channel quality improvement strategic purchasing services dhs achieved propoor utilization due geographical proximity travel time costs minimal inpatient services paid diagnostic related group within global budget ceiling estimated based unit costs admission rates admission profiles contained cost effectively prevent potential underprovisions services high cost interventions unbundled closed end payment paid agreed fee schedule executing monopsonistic purchasing power nhso brought price services given assured quality cost saving resulted patients served within finite annual budget