Equal Access to Health Care: A Case of Universal Health Coverage Policy in Thailand

Amporn Tamronglak


This research explored health care reform process of Universal Health Coverage Policy in Thailand and investigated the quality of services of this scheme. Theoretically, top-down and bottom-up policy approaches, New Public Management (NPM), and civil participation movement were used to analyze the findings. Mixed research methods were employed to compare between public and private hospitals in Bangkok. Questionnaires were randomly distributed to patients and in-depth interviews were conducted with doctors, the National Health Security Board members, and administrators. The results found service quality between the two samples statistically different at level 0.01 in six out of seven dimensions adapted from SERVQUAL Model. The respondents from public hospital were more satisfied with the services than private hospital, except for the safety aspect. The solutions to efficient management and sustainable finance are copayment, basic knowledge of self-care, decentralization of UC fund management to local administration, and service quality assurance and evaluation.

Keywords: Universal Health Coverage, 30 Baht Scheme, Universal Coverage in Thailand, Service Quality, Equal access

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Khon Kaen University, Khon Kaen, Thailand


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