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How Nurses in Nursing Community Clinics Enhance Client Care Under Thailand's Universal Coverage Scheme (UCS): A
Nakharin Chueanit1, Areewan Oumtanee1, Chawapon Sarnkhaowkhom2
1Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Public Health Nursing (Boston, Mass.)
|July 25, 2026
Summary
Nurses in Thailand
Area of Science:
- Public Health
- Nursing
- Health Services Research
Background:
- Thailand's Universal Coverage Scheme (UCS) aims to provide equitable healthcare access.
- Nursing Community Clinics (NCCs) are integral to primary healthcare delivery within the UCS.
- Understanding the role of nurses in NCCs is crucial for optimizing client care.
Purpose of the Study:
- To explore how nurses in Thailand's Nursing Community Clinics (NCCs) enhance client care within the Universal Coverage Scheme (UCS).
Main Methods:
- A qualitative study utilizing semi-structured interviews with 12 purposively recruited nurses from NCCs across Thailand.
- Data collected January-February 2024.
- Thematic analysis was employed to identify key themes, ensuring trustworthiness via Guba and Lincoln's criteria.
Main Results:
- Nurses enhanced access through strategic clinic placement and free services, reducing barriers for vulnerable populations.
- Personalized patient education and self-management support improved outcomes and quality of life.
- Effective interdisciplinary collaboration ensured seamless care coordination.
Conclusions:
- Nurses in NCCs play a vital role in improving healthcare access and health equity within the UCS.
- Community-based nurses are essential first-contact providers for underserved populations.
- Specialized training and expanded scope of practice for public health nurses are recommended to strengthen primary healthcare.
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