Thailand's universal health coverage reform as a policy process roadmap for countries pursuing bold health system change.
Efforts to achieve universal health coverage (UHC) in low- and middle-income countries often face structural, political, and institutional barriers. This article analyzes a case of rapid national health reform that expanded coverage across an entire population, despite limited fiscal resources. Draw...
| Publicado en: | Discover Public Health Vol. 22; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
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Springer Nature
11/8/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189212474&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189212474 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 30050774 NM7Z jtl: Discover Public Health issn: 30050774 maglogo: N pubinfo: dt: 11/8/2025 vid: 22 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 189212474 189212474 189212474 10.1186/s12982-025-01080-w 189212474 ppf: 1 ppct: 10 formats: tig: atl: Thailand's universal health coverage reform as a policy process roadmap for countries pursuing bold health system change. aug: au: Animashaun, Emmanuel Hassan, Kehinde A. Karbo, Sharon Nortey-Adom, Emmanuel affil: https://ror.org/00za53h95 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA sug: subj: Universal Health Care Health Policy Health Care Reform Low and Middle Income Countries Policy Making Human Thailand Models, Theoretical Financing, Government Politics Health Services Accessibility Conceptual Framework Public Policy Implementation Science Primary Health Care Thailand Health Care Delivery Health Services Administration ab: Efforts to achieve universal health coverage (UHC) in low- and middle-income countries often face structural, political, and institutional barriers. This article analyzes a case of rapid national health reform that expanded coverage across an entire population, despite limited fiscal resources. Drawing on Kingdon's Multiple Streams Framework alongside Punctuated Equilibrium Theory as organizing frameworks, this analysis examines how problem recognition, technical policy development, and political alignment converged to enable transformative health policy change. Key contributors to success included long-standing work by health system reformers, supportive civil society mobilization, and strategic engagement by political actors. The case offers broader lessons for advancing health reforms elsewhere, including the value of early technical preparation, coalition-building across sectors, and seizing policy windows when conditions align. It also underscores the importance of balancing rapid implementation with system capacity and stakeholder engagement to ensure reform sustainability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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