Jongudomsuk Pongpisut, Srisasalux Jaruayporn
Health Systems Research Institute, Thailand.
WHO South East Asia J Public Health. 2012 Jul-Sep;1(3):347-356. doi: 10.4103/2224-3151.207031.
This paper reviews the progress of implementation of health-care decentralization in Thailand since the promulgation of the Decentralization Act 1999, draws lessons learnt and provides recommendations. This review was carried out because of the delay in health-care decentralization, as compared with what was indicated in the Decentralization Action Plan, and to identify the possible causes of delay. The review also analyses other issues that affected implementation of this policy such as consensus on models of health-care decentralization, and other government policies being implemented during the same period. It is recommended that decentralization is not a panacea for health system development and its concept should be applied carefully, based on the country context.
本文回顾了自1999年《分权法案》颁布以来泰国医疗保健分权实施的进展情况，总结经验教训并提出建议。进行此次回顾是因为与《分权行动计划》中的预期相比，医疗保健分权出现了延迟，并确定延迟的可能原因。该回顾还分析了影响该政策实施的其他问题，如医疗保健分权模式的共识，以及同期正在实施的其他政府政策。建议分权并非卫生系统发展的万灵药，应根据国情谨慎应用其理念。
