The situation under this plan is focused on treating illness, and more specifically , the growing elderly population, increasing the health expenditure (by an estimated at 565.1 million baht or 3.6 times) for elderly populations over the next 12 years. There is also a need to manage disability for the elderly and those in need of long term care.
The increase in chronic diseases (e.g. diabetes, hypertension, or cardiac disease) has resulted in complications from illnesses, contributing to long-term disabilities. This situation directly affects the Thai health service system, including: service access, congestion, health expenditure, and economic value. It is estimated that in 2015 Thailand will face a150 million baht loss in revenue from chronic non-communicable diseases Losses can be reduced by 10% -20% if more emphasis is placed on individual health behaviors and disease prevention.
There is emphasis on reforming Thai health service systems to become regional health service systems, based on the principle of decentralizing healthcare management to regions, in order to reduce inequalities in personnel allocation, increased efficiency in accessing healthcare (primary, secondary, and tertiary), and participation among all sectors. Twelve health service zones have been established, each zone encompassing 4-8 provinces, with about 4-6 million people per zone. The roles of healthcare management have been divided between users, providers, and regulators, to create fairness in management.
The efficiency in managing service plans will be increased, in order to increase the efficiency and effectiveness of services provided to the public.