Using economic levers to change behaviour: The case of Thailand's universal coverage health care reforms

Social Science and Medicine

Volumn 70, Issue 3, 2010, Pages 447-454

  Hughes, David ^a   Leethongdee, Songkramchai ^b   Osiri, Sunantha ^c  

^a SWANSEA UNIVERSITY   (United Kingdom)

^b MAHASARAKHAM UNIVERSITY   (Thailand)

^c BURAPHA UNIVERSITY   (Thailand)

Author keywords

30 baht Scheme; Economic incentives; Health care reforms; Policy implementation; Thailand; Universal coverage

Indexed keywords

FINANCIAL SYSTEM; HEALTH CARE; HEALTH POLICY; HEALTH SERVICES; INCENTIVE; POLICY IMPLEMENTATION; POLICY REFORM; PUBLIC HEALTH;

ADMINISTRATIVE PERSONNEL; ARTICLE; BEHAVIOR CHANGE; BUDGET; CHANGE MANAGEMENT; FUNDING; GOVERNMENT REGULATION; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; ORGANIZATIONAL RESTRUCTURING; PRIMARY MEDICAL CARE; QUALITATIVE ANALYSIS; RESOURCE ALLOCATION; RURAL AREA; THAILAND; URBAN AREA;

ATTITUDE OF HEALTH PERSONNEL; BUDGETS; CAPITAL FINANCING; CONTRACT SERVICES; FINANCING, GOVERNMENT; HEALTH CARE RATIONING; HEALTH CARE REFORM; HUMANS; MOTIVATION; NATIONAL HEALTH PROGRAMS; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; RESOURCE ALLOCATION; RURAL HEALTH SERVICES; THAILAND; UNIVERSAL COVERAGE;

THAILAND;

EID: 73149122310     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2009.10.031     Document Type: Article

References (34)

1. Alford R. Health care politics: Ideological and interest groups barriers to reform (1975), University of Chicago Press, Chicago
2. Barrett S.M. Implementation studies: time for a revival? Personal reflections on 20 years of implementation studies. Public Administration 82 (2004) 249-262
3. Boehm F. Regulatory capture revisited: Lessons from economics of corruption (2007). http://www.icgg.org/downloads/Boehm%20-%20Regulatory%20Capture%20Revisited.pdf Internet Center for Corruption Research (ICGG) Working Paper. Retrieved on 10 May, 2009 from
4. Buchanon J.M., and Tullock G. The calculus of consent: Logical foundations of constitutional democracy (1982), University of Michigan Press, Ann Arbor
5. Chamchan C. Impacts and constraints of universal coverage in Thailand's public health: a survey study in the northeast region. Southeast Asian Studies 45 (2007) 229-271
6. Freidson E. Professional dominance: The social structure of medical care (1970), Aldine, Chicago
7. Gilson L., Doherty J., Lake S., McIntyre D., Mwikisa C., and Thomas S. The SAZA study: implementing health financing reform in South Africa and Zambia. Health Policy and Planning 18 (2003) 31-46
8. Glaser B.G., and Strauss A.S. The discovery of grounded theory (1967), Aldine, Chicago
9. Hecht R., Overholt C., and Holmberg H. Improving the implementation of cost recovery for health - lessons from Zimbabwe. Health Policy 25 (1993) 213-242
10. Hill M., and Hupe P. Implementing public policy: Governance in theory and practice (2002), Sage, London
11. Hsiao W. Why is a systematic view of financing needed?. Health Affairs 26 (2007) 950-961
12. Hsiao, W. (2007b). Personal communication, 27 July.
13. Hughes D., and Leethongdee S. Universal coverage in the land of smiles: lessons from Thailand's 30 baht health reforms. Health Affairs 26 (2007) 999-1008
14. In: Jongudomsuk P. (Ed). NHSO annual report 2004: Implementation of universal health care coverage (2004), S.P.S. Printing Co. Ltd., Nonthaburi (in Thai)
15. Kuhmerker K., and Hartman T. Pay-for-performance in state medicaid programs: A survey of state medicaid directors and programs (2007), The Commonwealth Fund, New York
16. Mannion R., Goddard M., Kuhn M., and Bate A. Decentralisation strategies and provider incentives in healthcare: evidence from the English national health service. Applied Health Economics and Health Policy 4 (2005) 47-54
17. Meuwissen L.M. Problems of cost recovery implementation in district health care: a case study from Niger. Health Policy and Planning 17 (2002) 304-313
18. Mills A., Bennett S., Siriwanarangsun P., and Tangcharoensathien V. The response of providers to capitation payment: a case study from Thailand. Health Policy 51 (2000) 163-180
19. NaRanong V., NaRanong A., and Traimworakul S. The monitoring and evaluation of universal health coverage in Thailand, second phase 2003/04 (2005), Thailand Development Research Institute, Bangkok (in Thai)
20. NaRanong V., NaRanong A., Trimvorakul S., and Wongmontha S. The monitoring and evaluation of universal health coverage in Thailand, first phase 2001/02 (2002), Health Systems Research Institute, Ministry of Public Health, Nonthaburi (in Thai)
21. Nitayarumphong S. Annex 8: achieving universal coverage of health care in Thailand through the 30 baht scheme. In: WHO (Ed). Social health insurance: Selected case studies from Asia and the Pacific. SEARO series Vol. 42 (2005), WHO, Regional Office for South East Asia, New Delhi 191-209
22. Pannarunothai S., Patmasiriwat D., and Srithamrongsawat S. Universal health coverage in Thailand: Options and feasibility (2000), Health Care Reform Project, Ministry of Public Health, Nonthaburi (in Thai)
23. In: Pramualratana P., and Wibulpolprasert S. (Eds). Health insurance systems in Thailand (2002), Health Systems Research Institute, Ministry of Public Health, Nonthaburi
24. Stigler G.J. The theory of economic regulation. Bell Journal of Economics and Management Science 2 (1971) 3-21
25. Suraratdecha C., Saithanu S., and Tangcharoensathien V. Is universal coverage a solution for disparities in health care? Findings from three low-income provinces in Thailand. Health Policy 73 (2005) 272-284
26. Tangcharoensathien V. Healthcare financing in Thailand: An update in 2007 (2007), International Health Policy Programme, MoPH, Nonthaburi
27. Tangcharoensathien V., and Jongudomsuk P. From policy to implementation: Historical events during 2001-2004 of universal coverage in Thailand (2004), National Health Security Office, Nonthaburi
28. Tangcharoensathien V., Wibulpholprasert S., and Nitayaramphong S. Knowledge-based changes to health systems: the Thai experience of policy development. Bulletin of the World Health Organization 82 (2004) 750-756
29. Teerawattananon Y., and Russell S. A difficult balancing act: policy actors' perspectives on using economic evaluation to inform health care coverage decisions under the universal health insurance coverage scheme in Thailand. Value in Health 11 Suppl. 1 (2008) S52-S60
30. Towse A., Mills A., and Tangcharoensathien V. Learning from Thailand's health reforms. British Medical Journal 328 7431 (2004) 103-105
31. Walker L., and Gilson L. 'We are bitter but we are satisfied': nurses as street-level bureaucrats in South Africa. Social Science & Medicine 59 (2004) 1251-1261
32. Wesson A.F. Structural differences and health care reform. In: Powell F.D., and Wessen A.F. (Eds). Health care systems in transition: An international perspective (1999), Sage, Thousands Oaks, CA 369-392
33. Wibulpolprasert S., and Pengpaibon P. Integrated strategies to tackle the inequitable distribution of doctors in Thailand: four decades of experience. Human Resources for Health 1 12 (2003). http://www.human-resources-health.com/content/1/1/12 Available from
34. Zamiska N. Seeds of reform: in China, farmers become health-care monitors. Wall Street Journal February 13 (2007) A1-A22