Faculty of Sociology, Bielefeld University, Bielefeld, Germany.
Department of Public Administration, Faculty of Humanities and Social Sciences, Valaya Alongkorn Rajabhat University, Pathum Thani, Thailand.
Front Public Health. 2024 Mar 7;12:1249497. doi: 10.3389/fpubh.2024.1249497. eCollection 2024.
Commonly, research investigations on social policy reform primarily examine the national processes at the core of policy formation rather than considering their global context. Concerns are raised regarding the diffusion and influence of global health norms on Thai universal health coverage policymaking. The findings demonstrate that global health ideas and actors have an impact on national policymaking and that they can share ideas in a variety of ways, including glocalization, vernacularization, policy learning, and policy entrepreneur intervention, in setting the agenda for national universal health coverage. Global and universal health coverage (UHC) concepts have existed for decades; success would not be possible without the efforts of policy entrepreneurs such as the Rural Doctor Movement, who localize and vernacularize global concepts for implementation. These concepts must be compatible with the national and local sociopolitical contexts in which they exist. The Thai case contributed to a better understanding of the influences of global ideas and actors on transnational health policy transfer, as well as the intervention of the national medical professional movement as policy entrepreneurs in healthcare policymaking and policy change for equity in health.
通常，社会政策改革的研究调查主要关注政策形成核心的国家进程，而不考虑其全球背景。人们对全球卫生规范对泰国全民健康覆盖政策制定的扩散和影响表示关注。研究结果表明，全球卫生思想和行为体对国家决策制定有影响，他们可以通过多种方式分享思想，包括本土化、通俗化、政策学习和政策企业家干预，为国家全民健康覆盖制定议程。全球和全民健康覆盖（UHC）的概念已经存在了几十年；如果没有政策企业家的努力，如农村医生运动，将全球概念本土化和通俗化以付诸实施，成功是不可能的。这些概念必须与它们所处的国家和地方社会政治背景相适应。泰国的案例有助于更好地理解全球思想和行为体对跨国卫生政策转移的影响，以及国家医疗专业运动作为政策企业家在医疗保健决策制定和政策变革方面为健康公平所进行的干预。
