NHSO investigates clinics over universal healthcare referral issues

Photo courtesy of NHSO MOOC

The National Health Security Office (NHSO) has announced an investigation into clinics that fail to properly refer universal healthcare patients to hospitals, potentially resulting in legal action and penalties. This decision comes in response to complaints from healthcare subscribers in Bangkok, who have reported significant challenges in obtaining necessary referral documents for hospital treatment.

These complaints highlight a worrying trend where some clinics require patients to submit advance requests for referrals, with waiting periods ranging from one week to a month. Such delays have placed an additional financial burden on patients, who face increased transportation and medical expenses if they seek hospital treatment without the proper documentation. Additionally, it has been reported that certain clinics insist on treating critically ill patients despite lacking the capability to provide adequate care.

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Patients have expressed concern over clinics refusing to prescribe medication for chronic conditions for more than a week, which could potentially worsen their health. NHSO Secretary-General Jadet Thammathataree noted the serious implications of such practices, emphasising the urgent need for corrective measures.

In some cases, even when patients manage to secure referrals, they face further obstacles. Various medical facilities, including regional and medical school hospitals under the universal healthcare contract, have reportedly refused to accept these referred patients, despite intervention attempts by NHSO Hotline officials.

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“The NHSO will scrutinise each case individually, with legal charges being a possibility in certain situations.”

Dr Jadet also urged hospitals encountering referral difficulties to reach out to the NHSO, assuring them that the office will cover treatment costs, including an 800-baht deduction for primary clinics. This step aims to alleviate some of the financial pressures on patients and ensure they receive the care they need.

Looking ahead, Dr Jadet mentioned that the NHSO has prepared plans for fiscal 2025. These plans include allocating a monthly rate of 800,000 baht for every 10,000 patients per clinic, ensuring a more streamlined and efficient healthcare service for all universal healthcare subscribers, reported Bangkok Post.

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Frequently Asked Questions

Here are some common questions asked about this news.

Why are some clinics delaying referrals for universal healthcare patients?

Delays may stem from administrative inefficiencies or resource constraints, impacting patient access to timely hospital treatment.

How might the NHSO’s investigation affect healthcare service quality in Thailand?

It could lead to improved referral processes, ensuring patients receive timely and appropriate medical care, enhancing overall healthcare quality.

What if clinics continue to provide inadequate care to critically ill patients?

Persisting inadequate care may lead to legal action, potential penalties, and systemic healthcare reforms to safeguard patient health.

How does the NHSO plan to financially support hospitals dealing with referral issues?

The NHSO offers coverage of treatment costs, including deductions for primary clinics, to ease financial pressures and ensure patient care.

What changes could the NHSO’s fiscal 2025 plans bring to universal healthcare?

These plans aim to enhance service efficiency and resource allocation, potentially reducing delays and improving patient care access.

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Puntid Tantivangphaisal

Originally from Hong Kong, Puntid moved to Bangkok in 2020 to pursue further studies in translation. She holds a Bachelor's degree in Comparative Literature from the University of Hong Kong. Puntid spent 8 years living in Manchester, UK. Before joining The Thaiger, Puntid has been a freelance translator for 2 years. In her free time, she enjoys swimming and listening to music, as well as writing short fiction and poetry.

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