The National Health System Development Committee convened its inaugural meeting to discuss the implementation of a pilot project, “one ID card for every treatment,” in four health zones. The objective is to develop a digital health database system that will connect treatment services. The expected launch of this public service is set for January 2024, as a New Year’s gift to the people.
Prime Minister Mr. Settha Thavisin chaired the meeting, accompanied by Vice-Chairman Ms. Paethongthan Shinawatra and relevant representatives from the National Health System Development Committee and other sectors.
Dr. Chonnan Srikaew, Minister of Public Health, emphasized the continuous development of Thailand’s public health system. It must adapt and transform to align with societal conditions, elevating the quality of healthcare across all dimensions for the people. To guide this transformation, the Ministry of Public Health has formulated 13 policies that will be implemented in 2024.
During the meeting, five main topics were presented: “One ID card protects all,” comprehensive cancer care, the Biomedical Center’s role in supporting dependent, housebound, bedridden, or palliative patients, improving access to services in urban areas (especially Bangkok and Chiang Mai), and enhancing mental health care for psychiatric and drug patients.
In the Bangkok area, there are approximately 7.7 million people under the care of three healthcare systems. Additionally, there is a hidden population of 2.2 million individuals. The healthcare services are provided by a total of 112 hospitals, comprising 24 government hospitals and 88 private hospitals. However, some hospitals don’t have enough beds to accommodate patients, leading to overcrowding and the need for additional treatment facilities. The Don Mueang area, in particular, will be upgraded to the Royal Thai Air Force Hospital (Sikan) to address this issue. Furthermore, the Public Health Service Center No. 60 will be upgraded to a specialist outpatient hospital. Rajavithi Hospital 2, under the Department of Medical Services, Ministry of Public Health, will be established as a referral hospital for patients, including mental health care for drug patients.
Currently, there are approximately 166,563 psychiatric patients at risk of committing violence, accounting for 25.4% of all psychiatric patients. Around 42,287 individuals fall into this high-risk category. Among drug patients, the number stands at 129,081, with a 50.5% average risk of committing violence, equivalent to about 65,206 people. Notably, 75% of psychiatric and drug patients exhibit symptoms before the age of 18.
Despite the pressing need, access to quality psychiatric and drug services remains limited, particularly in terms of multidisciplinary mental health psychiatrists.
Dr. Phongsathorn Pokpermdee, Acting Deputy Permanent Secretary of the Ministry of Public Health, highlighted the significance of the “One ID card protects all” policy. This policy aims to integrate health system data with service units at all levels, making it easier for the public to access services. It also seeks to enhance the efficiency and quality of services, accommodating individuals who don’t have access to mobile phones or smartphones. With the implementation of this policy, individuals can utilize one ID card to apply for services. The Ministry will develop data recording systems for hospitals, pharmacies, and clinics, alongside identity verification systems and electronic health records. Additionally, the Ministry will establish electronic systems for medical certificates, prescriptions, appointment scheduling, and telemedicine. Citizens will be able to access these services through applications like LINE and other various platforms.
The Ministry currently possesses information from over 66 million people who have received COVID-19 vaccinations, while information for approximately 35 million individuals is available through the LINE application. The pilot project for the “one ID card for every treatment” initiative will commence in Phrae, Roi Et, Phetchaburi, and Narathiwat provinces in January 2024. Notably, these provinces will have mobile-based medical records, including health records for pregnant women. The traditional pink antenatal care book will be digitized and stored on individuals’ mobile phones. Moreover, digital medical certificates, complete with doctors’ signatures, will be introduced to eliminate paper usage and prevent forgery. Electronic referral forms will be available for individuals who need to collect medication or undergo blood tests. Various hospitals, public health hospitals, and clinics will establish remote treatment systems, enabling the delivery of medicines via postal services. Payments can be made through online channels.
By April 2024, online payment channels for treatment services and medicines will be available to the public. Patients will no longer have to wait in payment queues but can conveniently make payments through their smartphones. Moreover, referral letters will no longer be necessary as hospitals will be connected online, facilitating the exchange of medical history information. To ensure security, a robust system with a unique OTP code will be implemented.
The National Health Security Office (NHSO) will supervise two measures to enhance convenience. Firstly, the helpline number, 1330, will be expanded to provide 24-hour service to address inquiries and concerns from the public. Secondly, NHSO will support the population by adjusting the advance payment system for different medical facilities. Efforts will be made to expedite budget disbursements, with a maximum processing time of three days. For patients requiring hospitalization, NHSO will aim to approve payments within 14 days.
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The National Health System Development Committee held its first meeting to consider ‘one ID card for every treatment’ as a pilot project in 4 health zones, ready to develop a digital health database system to link treatment. Providing a public service in January 2024 is a New Year’s gift to the people.
Mr Settha Thavisin, the Prime Minister, chaired the meeting of the National Health System Development Committee No. 1/2023 together with Ms Paethongthan Shinawatra, Vice-Chairman of the National Health System Development Committee. and related sectors
Dr. revealed Chonnan Srikaew, Minister of Public Health, that Thailand’s public health has developed continuously. Currently, the public health system must adapt. Change to be more consistent with social conditions. Raising the level of health care for all dimensions of the people. Therefore, there are 13 policies from the Ministry of Public Health that will be guided in 2024.
Today 5 main topics are presented: ‘One ID card protects all’ Comprehensive cancer topic, Biomedical Center When caring for dependent, housebound, bedridden or palliative patients and the elderly, access to services in urban areas, especially Bangkok and Chiang Mai
In the Bangkok area, there are 7,700,000 people in the 3 health care systems and a hidden population of another 2.2 million people, with a total of 112 hospitals providing services, divided into 24 government hospitals and 88 hospitals private.
Although there are approximately 30,180 beds in each hospital, some of them There are not enough beds for people to receive treatment, causing additional beds for treatment, especially in the Don Mueang area. which will be upgraded to Royal Thai Air Force Hospital (Sikan) Air Force Medical Department Royal Thai Air Force It is a secondary hospital with a capacity of 120 beds, receiving patients with all rights to treatment Public Health Service Center No. 60 has ‘to upgrade to a specialist outpatient hospital. together with the host hospital and prepare Rajavithi Hospital 2, Department of Medical Services, Ministry of Public Health, to be a referral hospital for patients and mental health care for drug patients
Currently, around 166,563 psychiatric patients are at risk of committing violence at 25.4 per cent, or 42,287 people. In terms of psychiatric patients who commit violence, there are around 9.1 per cent, or around 15,066 people, while drug patients are 129,081 people, the average risk of committing violence is 50.5 per cent, or about 65,206 people, and the average risk of committing violence is 2-3.5 per cent, or 30,372 people, with 75 per cent of psychiatric and drug patients presenting with symptoms before the age of 18.
Meanwhile, access to quality psychiatric and drug services remains low. In terms of multidisciplinary mental health psychiatrists, it is considered to be rare.
Dr. Phongsathorn Pokpermdee, Acting Deputy Permanent Secretary Ministry of Public Health Please note the policy ‘One ID card protects all’ It is an important policy in order to link the data of the health system. with service units at all levels and facilitating the public to receive services There will also be an increase in the efficiency and quality of the service for people who are unable to use mobile phones or smartphones. You can use one ID card to apply for a service. Development of data recording systems for hospitals, pharmacies, clinics Development of an identity verification system for the provision of services and treatment Development of working systems or electronic health systems, medical certificates, prescriptions, appointment systems, or telemedicine systems Development of a system to contact citizens such as the LINE application and various applications
At the moment, the Ministry of Public Health has information from more than 66 million people who have received COVID-19 vaccinations, while there is information in the Application Line of about 35 million people. There will be pilot treatment across states in 4 states first: Phrae, Roi Et, Phetchaburi, Narathiwat It will start in January 2024 in 4 provinces, which will have medical records on mobile phones. Contains health records for pregnant women There is a pink antenatal care book in my mobile phone. There will also be a digital medical certificate with the doctor’s signature. without using paper In order to prevent counterfeiting Those who wish to pick up medicine in the drugstore Or to have blood drawn, there will be a referral form in electronic form. Various hospitals, public health hospitals and clinics will have remote treatment systems. Sending medicines by post Payment through online channels
In April 2024, online payment channels for treatment services and medicines will be added to the public. without having to wait at the payment counter But you can pay via your smartphone. and there is no need to have a referral letter Information will be linked between hospitals in an online format. Regarding medical history information, there will be a higher security system with a unique OTP code.
As for NHSO, it will be responsible for 2 parts of convenience: facilitating the public will add more people to the 1330 helpline to serve the public 24 hours a day. in various inquiries and problems Budgetary support for the people at all times with adjustments to the advance payment system. to different medical facilities Speeding up the process of paying the budget. Initially this will take no more than 3 days. If people need to stay in hospital, NHSO will start approving payment within 14 days.
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