There are prolonged conflicts between the Public Health
Ministry
and National Health Security (NHSO) since there had been
a
policy of Medicaid
coverage in 2002 to help poor Thai people
to receive a good healthcare even though they do not
have money.
This conflicts cause critical situation in Thai
healthcare system till
nowadays.
On Wednesday 11,2015 Public Health Minister Rajata
Rajatanavin confirmed the transfer order effective to
transfer
public health permanent secretary Dr Narong Sahametapat
to an inactive according to the decistion of Prime
Minister
Prayut Chan–o-cha to solve the prolonged conflicts which
have caused a standstill in national healthcare system.
Accordind to the transfer order ,Dr Narong was transferred
to
the Prime Minister’s office as a special adviser to the prime
minister on research and national healthcare development
with a
42,00 baht monthly allowance on top of his salary.
Is this can solve the conflicts in Thai national healthcare system.
As public health permanent secretary Dr Narong push for
the
Ministry to take
over sole responsibily for the universal health
coverage scheme from the NHSO
instead of acting only as a
service provider. Dr Narong refer poor management of
budget
by the NHSO.
As Public Health Minister Dr Rajata Rajatanavin who is
mainly
back by NHSO and other organization outside the ministry
working on health issue,insist that the NHSO should
still
supervised the programme.
The lengthy conflicts between the Public Health Ministry’s
Permanent Seccretary office (PSO) head by Dr Narong and
The NHSO are from management of universal
coverage
healthcare scheme (UC) supervised by the NHSO.
Dr Narong proposted that the NHSO should allow the PSO
to manage the budget itself but the NHSO strongly disagreed.
Play role of PSO
and NHSO in Thai national healthcare system.
PSO play the role of service provider while NHSO is a customer.
I think this is good for the national healthcare system
as a service
provider PSO should
not be allowed to manage money of health
purchase or patients for avoiding conflict of interest which
can be
vulnerable the national healthcare system by meddling of
politicians.
The suffer of loss profit in the hospitals under control
of PSO
should solve by management of budget from the government
and
revenue receive from NHSO as a client. If the government
want to
provide good health care to Thai people the, Medicaid
coverage
must continue and appropriate budget must be allocated.
To shunt Dr Narong out of the PSO is not solve a
problem,
It is only a way to open a way to slove the conflicts in
Thai
healthcare system. I always believe that everyone who
work
in PSO and NHSO want to do their best to provide a good
haealthcare to Thai people.What to do next is to try to
understand each
other and make a better solutions to solve a
long time conflicts
to bring unity to Thai healthcare system again.
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