‘NHSO joins with HSRI’ to persuade ‘Nakhon Ratchasima Provincial Administrative Organization – Nakhon Ratchasima Rajabhat University – Nakhon Ratchasima Provincial Public Health Office’ along with network partners. Moving forward with the care of the primary health system after the Korat Provincial Administrative Organization received the transfer of 182 health care hospitals. ‘Lerphong’ is confident that local potential will help provide better and more services. Hopes to deploy full force within the SML framework to make service providers happy, while Dr. Preeda points out that from now on it is an opportunity to break down limitations to take care of the people.
On 20 November 2023, the National Health Commission Office (NHCO) together with the Health Systems Research Institute (HSRI), Nakhon Ratchasima Provincial Administrative Organization, (Nakhon Ratchasima Provincial Administrative Organization) Nakhon Ratchasima Rajabhat University (Nakhon Ratchasima Rajabhat University) Nakhon Ratchasima Provincial Public Health Office (Nakhon Ratchasima Provincial Public Health Office) and network partner agencies Together they held a ceremony to sign a memorandum of understanding on cooperation in developing the provincial primary health system. and developing pilot areas to drive local health system governance (Sandbox) to promote local health system governance. and study the context of structural relationships, authority and duties of local government organizations (Local Administrative Organizations) in the area.
This will lead to the provision of primary health services that meet the problems and needs of the people in the area. After the mission of the Subdistrict Health Promotion Hospital (Subdistrict Health Promotion Hospital) was transferred to the Provincial Administrative Organization, with strategic partners joining as witnesses, such as the National Health Security Office (NHSO), the Health Promotion Foundation. (Thai Health Promotion Foundation)
Mr. Weerachat Thungphai Laem, Deputy Mayor of Nakhon Ratchasima Provincial Administrative Organization, revealed that Nakhon Ratchasima Provincial Administrative Organization There is a policy to develop the quality of life. Develop people to have quality Develop good health Both physically, mentally, intellectually, well-versed in changes. Therefore, the mission of 182 Subdistrict Health Promotion Hospitals was transferred in the fiscal year 2023 for a period of 1 year. It went smoothly. and does not affect public services However, in order to achieve maximum benefit to the health of the people Therefore, there must be continuous development. using the mechanism of governance of the local health system and development of pilot areas (Sandbox) which is in line with the Prime Minister’s policy. Provincial Administrative Organization that sets goals
Development of the local health care system in Nakhon Ratchasima Province
This is in order to develop the local health care system in Nakhon Ratchasima Province according to the goals and for the mutual benefit of all parties. Therefore, there must be a cooperation agreement to carry out the duties and powers of the main agencies. and agreed to sign the memorandum of understanding and join in declaring the intention to continue strengthening the power to develop the local health care system and the health of the people in Nakhon Ratchasima Province.
Mr. Lephong Limrat Chairman of the subcommittee for managing the mission of transferring public health to local administrative organizations Under the Committee on Decentralization for Local Administrative Organizations (K.A.T.), lectured on the topic “Challenges of Developing Local Primary Health Systems in the Next Decade” One section states that since the Act specifying plans and procedures for decentralizing power to local government organizations in 1999 onwards until the present, the TSC sees that if local administrative organizations come to help Carry out a mission to provide primary care services to the people. We believe that people will receive better and more service than before. Therefore, we proceeded to push for the transfer of Subdistrict Health Promotion Hospital.
Mr. Lephong said that what the NBTC would like to see is better and more service than before. The principle of the decentralization plan is that work goes, money goes, people volunteer, and when service providers are motivated and happy to work, this picture will come true. And if compared to the year 2008 where there were transfers to small local administrative organizations, it was found that the transfers in year 66 were different. That is, it is a transfer to the Provincial Administrative Organization, which has more authority, budget, and personnel. In the past, there has been research that the appropriate manpower for providing services according to the size of SML is 7-12-14, but in the past there were limitations so that it could not be filled according to the framework. However, now that the transfer has been made to the Provincial Administrative Organization, it has been found that the Provincial Administrative Organization has high potential and can bring in people to fit into this framework. According to the plan, the operation is set to be completed within 2 years.
“Since there was the Act specifying the plans in 1999 onwards, I would like to invite you to think that local administrative organizations have performed their duties and missions on behalf of all 22 central government ministries, right? Today, the Act specifies The plan specifies that Local Administrative Organizations shall have the power and duties to provide public services according to the law establishing them and that Local Administrative Organizations shall have the powers and duties to provide public services to the people according to the law of decentralization. One of them is accepting mission transfers. Subdistrict Health Promotion Hospital comes to manage Therefore, what invites further thought and is considered a challenge is what the local administrative organizations have done. Especially when there is a Primary Health System Act of 2019 that stipulates that service units have the duty to promote, support, prevent, rehabilitate and provide primary treatment,” Mr. Lerphong said.
within the same event There is a forum for discussion on topics. “The power of cooperation in developing primary health systems Nakhon Ratchasima Province” where the speakers jointly projected the health situation of Nakhon Ratchasima Province, including presenting their perspectives on the governance of the system. and providing primary care services to the people as well as the goal of developing regular service units (CUP split)
Development of regional community primary health systems
Dr. Rakkiat Prasongdee, Director of Phimai Hospital, Nakhon Ratchasima Province Discussing the guidelines for cooperation in developing the regional community health system, he said that when talking about the public health system, it can be divided into 2 parts: 1. Medical, which involves treatment and rehabilitation. People can come to receive services from community hospitals to regional hospitals. 2. Public health, which Thailand has a very good foundation from the past. This will go down to the health centers and Subdistrict Health Promotion Hospitals, which play a role in promoting health and preventing disease, including providing basic treatment. By the future trend after the transfer, it was found that the Provincial Administrative Organization, which has strong points flexible It is believed that it will help promote health and work together as a whole.
“Transition period It is necessary to take care of each other. Dr. Nakhon Ratchasima Provincial Public Health Office has a policy that people must not be affected by the transfer. And once the transfer has been made, people must receive better services than before. Forwarding and coordinating between each other must be uniform,” said Dr. Rakkiat.
Assoc. Prof. Dr. Thanida Phatisena, Dean of the Faculty of Public Health Nakhon Ratchasima Rajabhat University Discussing the importance of research and the development of local health systems, one section states that Sustainable Development Goal (SDGs) Goal 3 talks about ensuring good health. and promote well-being for everyone at every age. This can be achieved by changing the environmental factors that are structural issues. For these reasons As a result, health promotion has become an important tool for inviting people to work to achieve the sustainable development goals.
Current health problems for Thai people include chronic non-communicable diseases (NCDs).
Assoc. Prof. Dr. Thanida further said that in the broad picture Current health problems for Thai people include chronic non-communicable diseases (NCDs), epidemics, emerging diseases, and re-emerging diseases. Therefore, promoting community health universal health service system Healthy behaviors are important. This research helps to develop according to the needs and problems of the area. In the past, Nakhon Ratchasima Rajabhat University Therefore, a lot of research has been done at the local level. It started with a prototype area and expanded to other areas. before raising the level Transfer support section Currently in the process of producing personnel, it is expected that within 2 years they will be able to help the Provincial Administrative Organization.
Dr. Savitri Wisanuyothin, Director of the National Health Security Office, Region 9, spoke about the direction of organizing the health service system for people in the area, saying: The main idea of NHSO is how do we drive or manage it so that people have access to services? which must be quality service The main goal is consistent with the Sustainable Development Goals (SDGs): when people are healthy they will spend less on health. Household bankruptcy or poverty will be reduced.
However, once the Subdistrict Health Promotion Hospital has been transferred, the first thing is how to raise the level of service provision of the Subdistrict Health Promotion Hospital. The next thing is how to ensure that people have access to good, quality services and have a connected service system. Including primary care and continuing care. And the last thing is how to make the Subdistrict Health Promotion Hospital, including community hospitals and other hospitals, able to survive.
“The NHSO’s duty is to do something to make the system survive. The service unit can stay. Once you have provided the service, we will proceed with compensation. But that’s not enough. We must continue to look at whether people receive services or not. Access the service or not Is the quality good or not?” Dr. Sawitri said.
Dr. Preeda Tae-arak, Deputy Secretary-General of the National Health Commission (NCPO) and Chairman of the Executive Committee of the Academic Center for Supporting the Promotion of Public Policy to Empower Aware Citizens (NCPO), NCPO, spoke about public policy and governance. Local health systems at the provincial level said that they would like to invite them to look at the big picture together, whether Nakhon Ratchasima Province will manage the CUP split service or not, but the transfer This time is a good opportunity. That is, if in the past there were limitations on operations Whether it is laws, rules, etc., the issue is how can we use the opportunity that has been transferred to local areas where there is a short chain of command and people with money to break the limitations of the past? But the important thing is that the work still requires the Ministry of Public Health (Ministry of Public Health) and the Provincial Public Health Office to help regulate the quality of academics to meet the needs of the people.
“The important thing is not to think about who the power lies with. But we must look at how to best respond to the people. When taking the people as the starting point What will the area’s problems be like?’ Dr. Preeda said.
Dr. Preeda further said that the NCPO expects to join forces in various dimensions. which is still a boundary during the transition period, supported by HSRI, a health system think tank. In order to invite people to think and seek opportunities together, the “Educational Project and Development of Cooperation Mechanisms between Local Administrative Organizations To oversee the local health system under the context of the transfer of the Subdistrict Health Promotion Hospital to the Provincial Administrative Organization.” which is supported by the HSRI to find ways to make the local health system after the transfer. Efficient, answers to questions by allowing people to participate The local government came to manage and the Provincial Public Health Office came to be an academic mentor. which all parties will take part in setting the direction together
“Throughout the past period, it has been clear that Nakhon Ratchasima Province is an area with high potential. It has knowledge and has always been considered a public health laboratory for the country. Many health models have emerged. and currently found Nakhon Ratchasima Provincial Administrative Organization There is a clear health care policy and the Nakhon Ratchasima Provincial Public Health Office. Help support very well. Therefore, it was selected to be 1 of 6 provinces that came to study under the education project. By the products that we will get from this project It is not just academic benefits alone. But the important point is to make the people in the area get the most benefit from the transfer of the Subdistrict Health Promotion Hospital’s mission,” said Dr. Preeda.
In addition, under the signing ceremony of the memorandum of understanding this time, the National Health Commission and network partners There was also a forum to listen to opinions to develop the local health system. To brainstorm opinions of those involved in the development of the local health system. and jointly develop a driving model in the two pilot areas, Tanot Subdistrict Health Promotion Hospital and Talad Khae Subdistrict Health Promotion Hospital, with executives of strategic partner agencies, local administrative organizations, community leaders, and stakeholders in both areas. participate