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Title: Lessons from understanding the role of community hospital director in Thailand: clinician versus manager
Contributor(s): Taytiwat, Prawit (author); Briggs, David  (author); Fraser, John  (author); Minichiello, Victor  (author); Cruickshank, Mary  (author)
Publication Date: 2011
DOI: 10.1002/hpm.1040
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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.
Publication Type: Journal Article
Source of Publication: International Journal of Health Planning and Management, 26(2), p. e1-e20
Publisher: John Wiley & Sons
Place of Publication: United Kingdom
ISSN: 1099-1751
Field of Research (FOR): 111709 Health Care Administration
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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