Difference of Income of Health Service Units Before and After Reconciliation of Health Service Units Under the Office of the Permanent Secretary

Abstract

Objective: This is to analyze the allocated budget data between 2020–2022 and compare the difference in revenue from health services between before and after the adjustment in 2020–2021.

Methods: This documentary research was conducted between January–August 2023. The unit of analysis was health insurance budget in Thailand, which was allocated to health service units in each health area, 13 health areas. Secondary data collection tools were used, followed by analyzing the allocated budget data during the year 2020–2022 and analyzing the difference in revenue from health services between before and after the adjustment in the year 2020–2021. Data were analyzed using descriptive statistics.

Results: The income of service units under the Office of the Permanent Secretary, Ministry of Public Health in Thailand in 2020 had been allocated a flat rate of 3,600 baht per capita for 48.26 million persons; in 2021, amount 3,719 baht per capita for 47.44 million persons; in 2022, amount 3,799 baht per capita for 47.55 million persons; in total amount 140,533, 142,364, and 140,550 million baht respectively. The difference in revenue between before and after reconciliation in 2020–2021, the allocation of 16 categories was shown as follows 1) general outpatients decreased 27.50% and 27.46%; 2) general inpatients decreased 18.09% and 17.01%; 3) specific cases decreased 35.87% and 16.37%; 4) health promotion and prevention decreased 0.47% and 24.58% ; 5) rehabilitation decreased 7.02% and 58.29%; 6) Thai traditional medicine increased 1.67% and 4.14%; 7) investment budget decreased 23.52% and 23.51%; 8) initial aid payment decreased 90.44% and 88.90%; 9) paid for work quality criteria decreased 36.13% and 14.37%; 10) HIV and AIDS patients decreased 19.24% and 0.39%; 11) chronic renal failure increased 4.93% and 2.80%; 12) chronic disease increased 8.01% and 2.77%; 13) payment for more barren areas had no difference; 14) 90.89% and 93.25% reduction in dependency in the community; 15) additional payment for primary care with doctors increased 6.95% and 7.02%; and 16) compensation for the vaccine was only received in 2020.

Conclusion: Most health service revenue allocations will be increased in fiscal year 2021, but some activities received a reduced budget. Further studies on the financial status of service units should be conducted for effective budget allocation planning.