CROSS-BORDER HEALTHCARE SERVICES IN THE UNITED KINGDOM UNDER EU DIRECTIVE 2011/24/EU AND REGULATION (EC) NO. 883/2004: LESSONS FOR THAILAND
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Abstract
At the present time, Thailand has problems that need to be solved which are inequity in accessing to healthcare services and difference of the benefits packages of insured persons under the three Thailand’s healthcare models: National Health Security Scheme, Civil Servant and State Enterprise Scheme, and Social Security Scheme. The system that covers most Thai people is the National Health Security Scheme, which is aimed to create security in healthcare for all Thai people. Thai people should have efficient healthcare treatment, and they should not have problems pertaining to monetary or financial issues as obstacles to receiving basic healthcare treatment. Besides, management in healthcare system still needs to be developed to take care of people. Patients’ rights, including reimbursement right, should not be ignored but be considered in both the domestic and international perspectives.
Healthcare itself on domestic level involves complex issues, but when it is in the international context or cross-border context, it becomes even more complicated. Therefore, there should be legal mechanisms to facilitate cross-border healthcare services. The possible solution is learning from the United Kingdom under European Union’s experience. EU legislation might be an appropriate model for arrangements of cross-border healthcare services including patient’s reimbursement, control quality and safety, and cooperation across borders.
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