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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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Purchasing Community-Based Long-Term Care Services Under Thailand's Universal Coverage Scheme: A Provider's

Aungsumalee Pholpark1, Samrit Srithamrongsawat2

  • 1Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|June 24, 2026
PubMed
Summary
This summary is machine-generated.

Community-based long-term care (CBLTC) in Thailand faces challenges like budget limits and caregiver payment issues. Improving purchasing arrangements is crucial for supporting older adults and family caregivers under the Universal Coverage Scheme (UCS).

Keywords:
Thailandcommunity-based long-term carelong-term care financingpurchasing

Related Experiment Videos

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Gerontology

Background:

  • Thailand's Universal Coverage Scheme (UCS) includes community-based long-term care (CBLTC) to support aging populations.
  • CBLTC aims to improve quality of life for dependent older adults and aid family caregivers.

Purpose of the Study:

  • To examine community-based long-term care (CBLTC) purchasing arrangements at the subdistrict level in Thailand.
  • To identify challenges within these purchasing arrangements under the Universal Coverage Scheme (UCS).

Main Methods:

  • Qualitative case study utilizing a health financing framework.
  • Semi-structured interviews with 40 key informants across subdistricts and regional/central levels.
  • Thematic analysis using inductive and deductive approaches.

Main Results:

  • Significant challenges identified in CBLTC purchasing: budget constraints and inadequate volunteer caregiver compensation.
  • Misalignment exists between outlined service benefits and actual service provision.
  • A lack of a robust monitoring system hinders effective CBLTC implementation.

Conclusions:

  • Improvements are needed in CBLTC purchasing arrangements within Thailand's UCS.
  • Enhancing provider payment mechanisms is essential for efficiency.
  • Addressing identified challenges will better support dependent older adults and family caregivers.