CURRENT TREND HEALTH SYSTEM
DEVELOPMENT AND MANAGEMENT
chuchai.s@nhso.go.th
Facebook , twitter : Morchuchai
Line : chuchai...
=
Relationships between
the functions and objectives of health systems
Performance framework (WHO, 2000)
Evidence already exists tiering practice
changes within primary care.
tier 1 : "full-service brokers" and will be delivere...
Strengthening health systems
Building Blocks of the health system and link to health outcomes
Source: World Health Organiz...
Building blocks
– Health systems are highly context specific
– No single model for improved performance
– Key challenge: c...
Building blocks
– Integration of building blocks
Leadership/
stewardship
Human
Resources
Pharmaceuticals
Planning
and M&E
...
The World Health Report 2008
The social values that drive PHC
and the corresponding sets of reforms
Three ways of moving towards universal
coverage
(WHR: 2008 & 2010)
Chronic Care Model
Epping-Jordan, J E et al. Qual Saf Health Care 2004;13:299-305
(Home
services)
(Home
care)
(Home
modification)
(Home nursing
services) (Home-based
& Community
Health services)
(Day care...
Community Based Rehabilitation
Percent DALY 1999, 2004
and 2009 Male
24
Burden of Disease Thailand, 2009
Percent DALY 1999, 2004
and 2009 Female
25
Burden of Disease Thailand, 2009
Percent DALY 1999, 2004,
and 2009 Both
26
Burden of Disease Thailand, 2009
Integration of building blocks
CEO District Health System
Leadership/
stewardship
Human
Resources
Pharmaceuticals
Planning...
2557-
2557
[ ]
1,056.96 1,056.96
1,018.35 1,027.94
3 281.02 271.33
4 383.61 383.61
5 14.95 14.95
6 8.19 8.19
7 128.69 128....
29
Quality and Outcome Framework 2557
Quality and Outcome Framework :QOF) 25571:
1.1 Low Birth Weight (
CUP)
1.2
2:
2.1 OP...
•Concept &
Policy
•Structure &
Organization
•Resources
Allocation &
Sharing
•Manpower
Development
•Information
System
•Sup...
2542 - 2555
80
68
Trainees: Resident Training program.
Trainees: In-service training
Prctical FM
314
: 2550-2552
, 2553-2555
.
130
157
96.34
PT 27
0
2000
4000
6000
8000
10000
12000
14000
2549 2550 2551 2552 2553 2554 2555
: 2549 – 2553
2554
2555 on top
2555
-
11,531
(N...
213
38
chuchai.sn@gmail.com
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
Health systemmn tdevelopment
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Health systemmn tdevelopment

  1. 1. CURRENT TREND HEALTH SYSTEM DEVELOPMENT AND MANAGEMENT chuchai.s@nhso.go.th Facebook , twitter : Morchuchai Line : chuchai55
  2. 2. = Relationships between the functions and objectives of health systems Performance framework (WHO, 2000)
  3. 3. Evidence already exists tiering practice changes within primary care. tier 1 : "full-service brokers" and will be delivered by a wide variety of clinicians. tier 2 : grapple with tensions created by patient demand and bureaucratic systems tier 3 : concerned with community health and social justice.
  4. 4. Strengthening health systems Building Blocks of the health system and link to health outcomes Source: World Health Organization. Everybody’s Business: Strengthening health systems to improve health outcomes— WHO’s Framework for Action. Geneva: WHO, 2007, page 3.
  5. 5. Building blocks – Health systems are highly context specific – No single model for improved performance – Key challenge: cost-effective and high-impact interventions available – But…they require a functioning health system to have an effect at the population scale – Question: how to get drugs, vaccines, and other forms of prevention, care and treatment – on time, reliably, in sufficient quantity and at reasonable cost – to those in need? – Need for learning from country’s experience on integration of building blocks
  6. 6. Building blocks – Integration of building blocks Leadership/ stewardship Human Resources Pharmaceuticals Planning and M&E Health Care Financing Health Services
  7. 7. The World Health Report 2008 The social values that drive PHC and the corresponding sets of reforms
  8. 8. Three ways of moving towards universal coverage (WHR: 2008 & 2010)
  9. 9. Chronic Care Model Epping-Jordan, J E et al. Qual Saf Health Care 2004;13:299-305
  10. 10. (Home services) (Home care) (Home modification) (Home nursing services) (Home-based & Community Health services) (Day care) (Respite care) (Hospital day care) (Intermediate care) : : 19
  11. 11. Community Based Rehabilitation
  12. 12. Percent DALY 1999, 2004 and 2009 Male 24 Burden of Disease Thailand, 2009
  13. 13. Percent DALY 1999, 2004 and 2009 Female 25 Burden of Disease Thailand, 2009
  14. 14. Percent DALY 1999, 2004, and 2009 Both 26 Burden of Disease Thailand, 2009
  15. 15. Integration of building blocks CEO District Health System Leadership/ stewardship Human Resources Pharmaceuticals Planning and M&E Health Care Financing Health Services
  16. 16. 2557- 2557 [ ] 1,056.96 1,056.96 1,018.35 1,027.94 3 281.02 271.33 4 383.61 383.61 5 14.95 14.95 6 8.19 8.19 7 128.69 128.69 8 3.32 3.32 9 - 0.10 2,895.09 2,895.09
  17. 17. 29 Quality and Outcome Framework 2557 Quality and Outcome Framework :QOF) 25571: 1.1 Low Birth Weight ( CUP) 1.2 2: 2.1 OP PCU) 2.2 PCU) 2.3 PCU) 2.4 HT ( PCU) 3: 3.1 PCU) 3.2 CUP) 4: QOF
  18. 18. •Concept & Policy •Structure & Organization •Resources Allocation & Sharing •Manpower Development •Information System •Supportive mechanism •New Management (Partnership & Networking) 1. P &P 2. MCH 3. EMS 4. Acute Minor Diseases 5. Dental Health 6. Chronic Diseases 7. Psychiatric Diseases & Mental Health 8. Disabilities 9. End of life care 10.High risk groups (Pre- school, Adole scent, Elderly)
  19. 19. 2542 - 2555 80 68 Trainees: Resident Training program. Trainees: In-service training Prctical FM
  20. 20. 314 : 2550-2552 , 2553-2555 . 130 157 96.34 PT 27
  21. 21. 0 2000 4000 6000 8000 10000 12000 14000 2549 2550 2551 2552 2553 2554 2555 : 2549 – 2553 2554 2555 on top 2555 - 11,531 (NP) 9,392 81.45% 2549 – 2555
  22. 22. 213
  23. 23. 38
  24. 24. chuchai.sn@gmail.com

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