The Effectiveness of first aid solatium payment regarding section 41: Lamphun Province

Abstract

The National Health Security (NHS) Act A.D. 2002 intends to systemize Health service with such standards and efficiency as prescribed to Thai population. Specifically, section 41as preliminary assistance to reimburse beneficiaries who are subject to damage or injury caused by any service provided by the Health care unit, a subcommittee by Provincial Health office shall be pursuant to such rules, procedures. Since 2004, there is an increasing trend of VICTIMS who proposed for preliminary payment petition. This study aims to evaluate the consideration processes following Section 41 and factors that affected or non-affected reimbursement to beneficiaries. Data were retrospectively collected from Lamphun sub-committee meeting reports during 2004 to 2017. Results indicated that among 150 subcommittees meeting reports, 122 cases (81.33 %) were accepted as they were caused directly by service provided by hospitals. All cases could be analyzed and finalized within 30 days procedures. Moreover the preliminary assistance beneficiary process was all followed the regulation of National Health Security Organization. There are no other constraints that affected the decision-making to pay or not pay the victim or their relatives. Nevertheless, all situations of these victims were again reviewed through Service Plan System by a health care unit to determine the cause of damage in order to avoid the same situation in future.