The motivations , progress, and implications of Liberalisation of Trade in Health Services in the ASEAN context. Cha-aim Pachanee Suwit Wibulpolprasert Ministry of Public Health, Thailand. Interest of ASEAN countries on regional trade in health services.
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Ministry of Public Health, Thailand
Cha-aim Pachanee, Suwit WibulpolprasertHealthPolicy and Planning. 2006; 21: 310-318.
(1) Data from Health and Welfare Survey by National Statistical Office
(2) Projecting rate of future increase in Outpatient (OP) and In-patient (IP) visits by using average rate in the previous three biennial periods giving equal weight to each period.
Total visits (OPD equiv.) require MD
(1) Figure from the survey by Ministry of Commerce plus 30 percent of the under-surveyed.
(2) Estimation with the assumption of increase at the rate of 18-20 percent per year
(3) Estimation with the assumption of increase at the rate of 14-16 percent per year
(4) Estimation with the assumption of increase at the rate of 10-12 percent per year
Conditions for projection:
1. IP visit is equal to 5 percent of OP visits and 20 times of OP workload
2. Every patient requires medical doctor
3. One medical doctor provides services to 10,000 – 12,000 OPD visits / year
Internal Brain Drain 2001-2003 of Medical Doctors
Responses from Thai Government 2001-2003
1. Supply Side Interventions
2.Demand Side Interventions
Further Research Questions 2001-2003