30 baht, an ID card, “4 disease groups”, free physical therapy at the clinic

Currently, using the gold patent, patients with 4 disease groups are participating in a program to improve the treatment of 30 pods with a single identification card in clinics: 1. Stroke patients 2. Stroke patients with traumatic brain injury; 3. Patients with spinal cord injuries treated until they are in a stable condition; and 4. Patients with acute hip fractures due to nonviolent risks (Fragility fracture hip).

In a meeting to explain the guidelines for the implementation of the plan to raise the level of 30 baht to treat everywhere with a single ID card in Phase 2 of Phang Nga province, organized by the National Health Protection Office. (NHSO) has recently had representatives from various professional councils. Participate in discussion and understanding with professional entrepreneurs. About Steps Procedures and Guidelines for Applying as a Service Unit in Gold Card System

According to Assistant Professor Dr. Kanda Saibinio, a representative of the Physical Therapy Council, not many physical therapy clinics are participating in the piloting, phase 1, program in 4 provinces for the physical therapy profession. Most of the participating regions belong to the North Eastern region.

There was a problem in transferring patients from hospitals. This is because the system is established that patients are first treated in the hospital. Then the hospital will refer you to a physical therapy clinic for rehabilitation. Meanwhile, the hospital should coordinate with the hospital to refer them. But the problem is that hospitals don't know who to refer. And when the hospital contacts them, they may not know or trust each other. Providing additional prescribing information is burdensome to the hospital.

“Now, because there are so many patients, someone has to send the information. Once the physiotherapy clinic applies, it has to link the information with the hospital. So, there has to be a clear data linking system. In the second phase, these issues were discussed and more cooperation was sought. NHSO is a partner in communicating with hospitals on this issue. tried to be a mediator. Or in some provinces, the provincial public health doctor invites the hospital director to come and understand the reimbursement system. What should the hospital do? This will reduce congestion and create opportunities for patients to access services. If there is an understanding here, most hospitals will cooperate,” says Deputy Professor Dr. Kanda.

NHSO traveled to various provinces to give presentations. It is expected that this will improve awareness and more physical therapy clinics will apply to join the scheme. The service charge rate paid by NHSO to clinics is, frankly speaking, much lower than what clinics normally charge. But the Physical Therapy Council is trying to convince them that the first step would be based on their abilities to provide services at times when the clinic has free time or can be staffed. It is supposed to be made for the people.

Additionally, the clinic advertises itself as not only treating those it can afford. Those who need services but do not yet have access to them also have a right to good services. Most of what we've talked about is that different clinics want to help because they see it as an area they can do. The clinic can operate as usual. But you can use your free time or allocate resources to provide care or go out and visit homes.

The Physiotherapy Council has proposed to the NHSO that the next step is to help physiotherapists deliver services, such as groups that have undergone knee replacement surgery. Some people return home with swollen, painful knees and are unable to walk. They need a physical therapist to take care of them.

Also includes pain groups such as back pain, neck pain, office syndrome. A physical therapist can provide advice on how to monitor your symptoms and how to exercise to stop the pain. Otherwise, the problem will continue. Some people need treatment for years. Although this group of people is not elderly. But there is a need to get service. Take these things step by step to take care of yourself and avoid becoming a patient in the future. Negotiate to expand services so patients receive more services.