Policy Proposals to Support the Implementation of Thai Traditional Medicine in Health Region 11.

Abstract

  This study aims to review and analyze the policies supporting the implementation of Thai traditional medicine in Health Region 11 from 2021 to the present. Qualitative data were examined through a review of policy documents, relevant performance reports involving an indeterminate (infinite) population, and focus group discussions. The findings revealed that during 2021–2022, policies emphasized integrating Thai traditional medicine, herbal medicine, and alternative medicine into the primary healthcare system, particularly in response to the COVID-19 pandemic, such as promoting the use of Andrographis paniculata (fah talai jone) and establishing integrated cannabis clinics. From 2023 onwards, the policy direction expanded toward strengthening the health economy under the campaign “Think Thai Herbs Before Seeing a Doctor,” increasing financial support for herbal medicines, and promoting Thailand as a Medical and Wellness Hub to ensure pharmaceutical security and enhance the economic value of health-related products and services. The implementation outcomes in 11^th Health Region showed progress, such as: 1) Providing comprehensive medical cannabis clinic services, with results in 2021 at 87.80 percent, 2022 at 88.06 percent, and 2023 at 98.78 percent;             2) Increasing the number of licensed health products, with results in 2023 at 100 percent, and 2024 at 88.49 percent, which passed the 60 percent criteria; 3) Upgrading to Wellness Centers, with 12 in 2022, 64 in 2023, and 139 in 2024.  However, several challenges remain, including budget discontinuity, workforce shortages, complex reimbursement systems, and a lack of effective intersectoral integration. In conclusion, the policies have played a crucial role in advancing health system development in Health Region 11, but require sustained central-level support in terms of budget, workforce, and standardized guidelines to ensure long-term security and sustainability in the utilization of Thai traditional medicine.