貧困の削減から地域共生へ －經濟社會開發の視座から考えるタイ地域醫療の分析－
From the Poverty to the Cooperative Society - Analysis of the Thai’s community centered medicine through the socioeconomic development -
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In the middle of the 1990s, Thai were confronting challenges of two fatal damages: the damage of Economic Crisis mainly caused by the extremely sharp economic growth and the damage of the gap between rich and poor, big cities and the other local areas caused by long term traditional socioeconomic gap. The second damage led to the explode of non-medical insured and has been being fired of the breakdown of the medical security system. The objective of this research is to study the status quo of the poor and clarify the progress of social policy for those people by using the data of Thai’s MoH (Ministry of Health). Then this paper explores the reform of the 30 Bahts scheme with reference to the Japan’s experiences in national medical insurance system. Precisely, the problem of Thai’s medical insurance system in this research only indicates why this injustice system worked for years. However, in this paper, I mostly discuss how Thai tries to seek the equal system for those uninsured and correct the excessiveness between big cities and local ones on the basis of JBIC data gathered and evaluated in 2007. The 30 Bharts scheme related to civil servants, farmers, self-employed, and unemployed will not be discussed in this manuscript because it has been abandoned after the coup detat.
Abstract
In the middle of the 1990s, Thai were confronting challenges of two fatal damages: the damage of Economic Crisis mainly caused by the extremely sharp economic growth and the damage of the gap between rich and poor, big cities and the other local areas caused by long term traditional socioeconomic gap. The second damage led to the explode of non-medical insured and has been being fired of the breakdown of the medical security system. The objective of this research is to study the status quo of the poor and clarify the progress of social policy for those people by using the data of Thai’s MoH (Ministry of Health). Then this paper explores the reform of the 30 Bahts scheme with reference to the Japan’s experiences in national medical insurance system. Precisely, the problem of Thai’s medical insurance system in this research only indicates why this injustice system worked for years. However, in this paper, I mostly discuss how Thai tries to seek the equal system for those uninsured and correct the excessiveness between big cities and local ones on the basis of JBIC data gathered and evaluated in 2007. The 30 Bharts scheme related to civil servants, farmers, self-employed, and unemployed will not be discussed in this manuscript because it has been abandoned after the coup detat.
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