Open AccessPerformance of Thailand’s universal health coverage scheme: Evaluating the effectiveness of annual public hearings
Author(s) -
Kantamaturapoj Kanang,
Marshall Aniqa I.,
Chotchoungchatchai Somtanuek,
Kiewnin Kamonwan,
Patcharanarumol Walaiporn,
Tangcharoensathien Viroj
Publication year - 2020
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/hex.13142
Subject(s) - representativeness heuristic , stakeholder , transparency (behavior) , mandate , public relations , business , public participation , legislature , public health , order (exchange) , stakeholder engagement , process (computing) , public administration , political science , medicine , psychology , nursing , computer science , social psychology , finance , law , operating system
Abstract Background Legislative provisions in Thailand's National Health Security Act 2002 mandate annual public hearings for providers, beneficiaries and other stakeholders in order to improve the performance of the Universal Health Coverage Scheme (UCS). Objective This study aims to explore the annual public hearing process, evaluate its effectiveness and propose recommendations for improvement. Method In‐depth interviews were conducted with 29 key informants from various stakeholder groups involved in annual public hearings. Results The evaluation showed that the public hearings fully met the criteria of influence over policy decision and partially met the criteria of appropriate participation approach and social learning. However, there are rooms for improvement on public hearing's inclusiveness and representativeness of participants, adequacy of information and transparency. Conclusions Three recommendations were proposed a) informing stakeholders in advance of the agenda and hearing process to enable their active participation; b) identifying experienced facilitators to navigate the discussions across stakeholders with different or conflicting interests, in order to reach consensus and prioritize recommendations; and c) communicating policy and management responses as a result of public hearings to all stakeholders in a timely manner.