Lessons from understanding the role of community hospital director in Thailand

Clinician versus manager

P Taytiwat, D Briggs, J Fraser, V Minichiello, Mary Cruickshank

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    In 2001, Thailand adopted the Universal Health Coverage (UHC) policy. This policy focuses on primary health care (PHC), with the aim of reforming the Thai health system to provide health services to all, regardless of a person's ability to pay. The community hospital director (CHD) is the middle manager of the provincial health system and the leader of the district health system of Thailand. In recent reforms the emphasis for improving efficiency lies with changes in the provision of primary health services at the community level and this entails understanding the role of the CHD. A qualitative study, utilizing individual interviews and a focus group discussion, was undertaken in order to understand the factors affecting the implementation of rural health care in Thailand. Findings identified several barriers that limit the role of the CHD and a major result of the study was recognition of the dual role of the CHD as both clinician and manager. This study concluded that the goal of the UHC policy in providing equity of access to PHC to all citizens may not be achieved unless the role of CHDs is supported with training in health management and PHC and is supported by the government. � 2010 John Wiley & Sons, Ltd.
    Original languageEnglish
    Pages (from-to)e48-e67
    Number of pages20
    JournalInternational Journal of Health Planning and Management
    Volume26
    Issue number2
    Early online date14 Jun 2011
    DOIs
    Publication statusPublished - Jun 2011

    Fingerprint

    Community Hospital
    Thailand
    Universal Coverage
    Primary Health Care
    Health
    Health Policy
    Health Services
    Rural Health
    Health Services Accessibility
    Aptitude
    Focus Groups
    Nuclear Family
    Interviews
    Delivery of Health Care
    Efficiency

    Cite this

    Taytiwat, P ; Briggs, D ; Fraser, J ; Minichiello, V ; Cruickshank, Mary. / Lessons from understanding the role of community hospital director in Thailand : Clinician versus manager. In: International Journal of Health Planning and Management. 2011 ; Vol. 26, No. 2. pp. e48-e67.
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    abstract = "In 2001, Thailand adopted the Universal Health Coverage (UHC) policy. This policy focuses on primary health care (PHC), with the aim of reforming the Thai health system to provide health services to all, regardless of a person's ability to pay. The community hospital director (CHD) is the middle manager of the provincial health system and the leader of the district health system of Thailand. In recent reforms the emphasis for improving efficiency lies with changes in the provision of primary health services at the community level and this entails understanding the role of the CHD. A qualitative study, utilizing individual interviews and a focus group discussion, was undertaken in order to understand the factors affecting the implementation of rural health care in Thailand. Findings identified several barriers that limit the role of the CHD and a major result of the study was recognition of the dual role of the CHD as both clinician and manager. This study concluded that the goal of the UHC policy in providing equity of access to PHC to all citizens may not be achieved unless the role of CHDs is supported with training in health management and PHC and is supported by the government. � 2010 John Wiley & Sons, Ltd.",
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    Lessons from understanding the role of community hospital director in Thailand : Clinician versus manager. / Taytiwat, P; Briggs, D; Fraser, J; Minichiello, V; Cruickshank, Mary.

    In: International Journal of Health Planning and Management, Vol. 26, No. 2, 06.2011, p. e48-e67.

    Research output: Contribution to journalArticleResearchpeer-review

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