Problems in the Enforcement of Laws for Reducing Disparities in Access to Medical Technology
Abstract
This study examines the background, concepts and theories related to reducing health disparities, alongside the National Health Act B.E. 2550 (2007), the National Health Security Act B.E. 2545 (2002) and other relevant legislation. Currently, access to healthcare services for Thai citizens, particularly vulnerable groups, remains restricted regarding timely diagnosis, treatment and access to essential medical technologies. Consequently, it is imperative to establish guidelines for legal amendments to mitigate inequalities in medical technology access appropriate for Thailand's context.
The researcher proposes amending the National Health Security Act B.E. 2545 (2002), expanding the scope of public health services to encompass modern and essential medical technologies, digital health innovations and health applications. The amendment should encourage private sector participation in developing innovations while guaranteeing the public's right to standardized public health services. Furthermore, a specific chapter on health applications should be introduced, including the establishment of a Health Application Committee. The National Health Security Board should be empowered to support and regulate private sector involvement in public healthcare services. Finally, the amendment should limit the liability of medical practitioners who perform their duties in good faith, in accordance with professional standards, or with patient consent, except in cases of willful misconduct or gross negligence.
References
Academy of Moral and Political Sciences. (2018). Creating fairness to reduce inequality in society. In Proceedings of the 2018 Royal Society mobile academic conference. The Royal Society of Thailand.
Digital Health Bureau. (2024). Guidelines for driving the 30-baht treat everywhere with a single ID card policy for healthcare facilities. Office of the Permanent Secretary, Ministry of Public Health.
Jitsuchon, S. (2015). Research report on inequality in Thai society: Trends, policies, and policy drivers. Thailand Development Research Institute. retrieved from https://tdri.or.th/wp-content/uploads/2017/06/Synthesis-Report-Year-2-Inclusive-Growth.pdf
Medical Council of Thailand. (2020). Announcement of the Medical Council no. 54/2563 on guidelines for telemedicine and online clinics. Royal Thai Government Gazette, 137(Special 166 Ng), 52.
Ministry of Health and Social Affairs. (2020). Common starting points for digitisation of social services and health care. Vision for eHealth 2025. retrieved from https://knowledgehub.thcspartnership.eu/storage/documents/RSN0Cg80kDOQADehGCahkmC6tlBipaCCKXd2h5yh.pdf
Ministry of Public Health. (2021). Announcement of the Ministry of Public Health on standards for providing services of health facilities using telemedicine systems B.E. 2564.
Mongkhonsuebsakul, W. (2022). Thailand’s Access to Healthcare Services: The reflection and inequality of Vulnerable Group. SAU Journal of Social Sciences & Humanities, 6(1), 55–69. retrieved from https://so05.tci-thaijo.org/index.php/saujournalssh/article/view/257255
National Health Security Board. (2012). Regulation of the National Health Security Board on rules, procedures, and conditions for the payment of preliminary assistance in case a service receiver suffers damage from medical treatment, B.E. 2555.
National Statistical Office, & United Nations Children's Fund. (2023). The 2022 disability survey.
National Statistical Office. (2023). The 2023 health and welfare survey. Ministry of Digital Economy and Society.
Pharmacy Council of Thailand. (2022). Announcement of the Pharmacy Council no. 62/2565 on guidelines on standards for telepharmacy services. Royal Thai Government Gazette, 139(Special 281 Ng), 8.
Pitakthanin, A. (2014). Review of studies on inequality and injustice in Thai society. Journal of Social Research, 37(2), 281–292. retrieved from https://so04.tci- thaijo.org/index.php/socialresearchjournal/article/view/83852
Tantijinda, K. (2015). Survey article on Thailand’s inequality situation. Development Strategy and Policy Analysis Unit.
Thailand Nursing and Midwifery Council. (2021). Announcement of the Thailand Nursing and Midwifery Council on guidelines for tele-nursing B.E. 2564. Royal Thai Government Gazette, 138 (Special 33 Ng), 49.
Urwannachotima, N. (2016). Social determinants of health and health promotion in population. Journal of Health Science, 25(1), 147–156.
World Health Organization. (2020). Global strategy on digital health 2020–2025. retrieved from https://www.who.int/health-topics/digital-health#tab=tab_1
World Health Organization. (2021). Global patient safety action plan 2021–2030: Towards eliminating avoidable harm in health care. retrieved from https://www.who.int/publications/i/item/9789240032705
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