Hawkins, LoraineSrisasalux, JaruaypornOsornprasop, Sutayut2012-03-192012-03-192009-04-01https://hdl.handle.net/10986/3208This rapid assessment was conducted for the Thailand Ministry of Public Health with the support of the World Bank in partnership with the Thailand International Health Policy Program and the Thailand Health Systems Research Institute. This work was done under the World Bank's Country Development Partnership Agreement with the Government of Thailand. Thailand's health system has some features that lead to complexity and local variation in the scope of health responsibilities of Health care (HCs) and the accountabilities and incentives of HCs before and after devolution. HC staff and Tambon Administrative Organization (TAO) leaders in three of the devolved health centers (Naphu, Salabangpoo, and Pakpoon) have positive perceptions of improvement in management flexibility, in the sense that future decision making is expected to be faster and there should be greater scope for initiative. Three devolved health centers (Naphu, Salabangpoo, and Pakpoon) could point to a number ways in which service delivery had already improved and new services had been provided in response to the needs and preferences of the community. These include a stronger client service orientation, increased curative care services, and increase in promotion and prevention (P&P).CC BY 3.0 IGOALLOCATION OF RESOURCESBEDSBUDGET ALLOCATIONCAPITAL EXPENDITURECAPITATIONCITIZENCITIZENSCLINICSCOMMUNITIESCOMMUNITY HEALTHCOMMUNITY HOSPITALSCOMMUNITY PARTICIPATIONCOST SHIFTINGCURATIVE HEALTH CAREDEBTDECISION MAKINGDESCRIPTIONDEVELOPING COUNTRIESDEVELOPMENT PLANSDISEASE CONTROLDISTRICTSDOCTORSDRUGSECONOMIES OF SCALEEMERGENCIESEMPLOYMENTEQUITABLE ACCESSESSENTIAL MEDICINESEVALUATION OF PROCESSESEXERCISESEXTERNALITIESFEE-FOR-SERVICEFEES FOR SERVICEFINANCIAL CONTROLFINANCIAL POLICIESFINANCIAL RISKFISCAL POLICYGOOD GOVERNANCEHEALTH CARE DELIVERYHEALTH CARE PROVIDERHEALTH CARE PROVIDERSHEALTH CARE PROVISIONHEALTH CARE SERVICE DELIVERYHEALTH CARE WORKERSHEALTH CENTERSHEALTH COVERAGEHEALTH DATAHEALTH DETERMINANTSHEALTH EXPENDITUREHEALTH FACILITIESHEALTH FINANCINGHEALTH FINANCING SCHEMEHEALTH INDICATORSHEALTH INSURANCEHEALTH NEEDSHEALTH POLICYHEALTH PROMOTIONHEALTH PROVIDERSHEALTH SECTORHEALTH SECTOR REFORMHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE PROVISIONHEALTH SERVICESHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEMSHEALTH SYSTEMS RESEARCHHEALTH WORKERSHEALTH-SECTORHOSPITALHOSPITAL AUTONOMYHOSPITAL BOARDSHOSPITAL MANAGEMENTHOSPITAL SERVICESHOSPITALSHOTELHUMAN DEVELOPMENTHUMAN RESOURCESILLEGAL MIGRANTSIMMIGRATIONINCOMEINCOME COUNTRIESINFORMATION SYSTEMINFORMATION SYSTEMSINTEGRATIONINTERVENTIONLOCAL AUTHORITIESLOCAL COMMUNITYLOCAL GOVERNMENTSLOCAL HEALTH PLANSMANDATESMEDICAL ACTIVITYMEDICAL BENEFITSMEDICAL CAREMEDICAL STAFFMEDICINESMIGRANTSMOBILITYNATIONAL GOVERNMENTNATIONAL GOVERNMENTSNATIONAL HEALTHNATIONAL HEALTH SERVICENATIONAL LEVELNATIONAL POLICYNURSENURSESOUTPATIENT CAREOUTPATIENT SERVICESPATIENTPATIENT CHOICEPATIENT SATISFACTIONPATIENT SATISFACTION SURVEYSPATIENTSPERSONAL CHOICEPHARMACISTSPHARMACYPHOPOLICY MAKERSPOLITICAL DECISIONPOLITICAL PARTYPRIMARY CAREPRIMARY HEALTH CAREPRIVATE BEDSPRIVATE PHARMACIESPRIVATE SECTORPROFESSIONAL ASSOCIATIONSPROGRESSPROVIDER PAYMENTPUBLIC EXPENDITUREPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH EXPENDITUREPUBLIC HEALTH SERVICESPUBLIC HEALTH SYSTEMPUBLIC HOSPITALSPUBLIC POLICYPUBLIC PROVIDERSPUBLIC SECTORPUBLIC SERVICEPUBLIC SERVICESPURCHASER-PROVIDER SPLITQUALITY IMPROVEMENTREGIONAL NETWORKSRESOURCE ALLOCATIONRESOURCE MOBILIZATIONRURAL AREASSERVICE PROVIDERSERVICE PROVIDERSSOCIAL HEALTH INSURANCESOCIAL SECURITYTECHNICAL CAPACITYTECHNICAL TRAININGTERTIARY LEVELUNIONSURBAN BIASUSER FEESVILLAGE LEVELWASTEWORKERSWorld Bank10.1596/3208