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Wrap-up: Creating & Managing New Models of Care in Thailand

Asst. Prof. Borwornsom Leerapan, MD PhDMGMG 548: Health Service Systems and Health Systems

CMMU, Mahidol University August 16th, 2016

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Format

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F/U

Mini-lecture

PresentationDiscussion

Q&A

Wrapup

To-do list

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Housekeeping Issues

1) No final exam– But an oral presentation (with your PPT slides) of your course paper is

due in the class#14 tonight (Aug 16th)

2) Course papers and oral presentation:– Both of your writing and your presentation will be graded.

– More importantly, it’d be better to aim for sharing your learning experiences with your classmates, and providing constructive feedbacks to your classmates.

– Hopefully, each of your course papers will provide valuable lessons to your future careers!

3) Your course paper is due at 11.59PM on Aug 22th

• From the whole course, what would be “our” lessons learned?

• Discussions/Q&A

Outline for Today

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“How could we improve our health & healthcare systems?”

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“Why should we concern about health & healthcare systems?”

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Looking Forward

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Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

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Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

Financing of Healthcare Systems

Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

Desirable Healthcare Systems• Systems Thinking• Focus on quality,

efficiency & equity• Responsive (esp. to

health needs of certain disease and certain populations)

• Good governance in all level of health system

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Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

Towards a Better Healthcare System

Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

Towards a Better Healthcare System

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Source: Mills A. Health Care Systems in Low- and Middle- Income Countries. N Engl J Med. 2014;370:552-7.

Towards a Better Healthcare System

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Policy Recommendations for Thai UHC

ØTwo sets of policy recommendations are offered with a view to sustaining and improving the UCS over the next 10 years (2011-2020):

1) “The Unfinished Agenda”1. Governance and strategic purchasing2. Managing the purchaser-provider split3. Harmonizing the three public health insurance

schemes

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

The Unfinished Agenda #1

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

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The Unfinished Agenda #2

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

The Unfinished Agenda #3

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

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Policy Recommendations for Thai UHC

ØTwo sets of policy recommendations are offered with a view to sustaining and improving the UCS over the next 10 years (2011-2020):

2) “The Future Agenda”1. The private sector

2. Decentralization

3. Epidemiological transition and the ageing of the population

4. Quality monitoring, quality assurance and health technology assessment

The Future Agenda #1

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

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The Future Agenda #2

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

The Future Agenda #3

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

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The Future Agenda #4

Source: Health Insurance System Research Office (2012). Thailand’s Universal Coverage Scheme: Achievements and Challenges. An independent assessment of the first 10 years (2001-2010)

Ø Learning about health systems: “Experience, not explanation.”

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Adult Learning

EXPERIENCE

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Food-for-Thought

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“If I had asked people what they wanted, they would have said faster horses.”

--Henry Ford

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“The best way to predict the future is to create it.”

--Peter F. Drucker

Q& ADiscussions

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