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168

°“√°√–®“¬Õ”π“®·≈–°“√∂à“¬‚Õπ¿“√°‘®¥â“π ÿ¢¿“殓° à«π°≈“߉ª Ÿà∑âÕß∂‘Ëπ ‰¥â¡’°“√¥”‡π‘π ß“π¡“π“π„πª√–‡∑»øî≈‘ªªîπ å μ—Èß·μà æ.». ÚıÛı.  à«πª√–‡∑»‰∑¬‰¥â√‘‡√‘Ë¡º≈—°¥—π°“√°√–®“¬

Õ”π“® Ÿà∑âÕß∂‘Ëπ¡“μ—Èß·μà æ.». ÚÙ˜ı ®π°√–∑—Ëß “¡“√∂π”¡“¥”‡π‘π°“√‰¥â„π æ.». Úıı. Õ¬à“߉√

°Á¥’°“√°√–®“¬Õ”π“®·≈–°“√∂à“¬‚Õπ¿“√°‘®¥â“π ÿ¢¿“殓° à«π°≈“߉ª Ÿà∑âÕß∂‘Ëπ¬—߉¡à “¡“√∂¥”‡π‘π

°“√‰¥âÕ¬à“߇μÁ¡√Ÿª·∫∫‡™àπª√–‡∑»øî≈‘ªªîπ å.

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ª√– ∫°“√≥å¢Õߪ√–‡∑»øî≈‘ªªîπ å´÷Ëߥ”‡π‘π°“√¡“π“π∂÷ß Ò˜ ªï ∑’Ë¡’º≈°√–∑∫μàÕ°“√æ—≤π“ ÿ¢¿“æ

∑—Èߥâ“π∫«°·≈–≈∫  “¡“√∂π”¡“ª√—∫ª√ÿß„Àâ¡’§«“¡ Õ¥§≈âÕß°—∫ ∂“π°“√≥å„πªí®®ÿ∫—π¢Õߪ√–‡∑»‰∑¬

‡æ◊ËÕ„™â‡ªìπ·π«∑“ß„π°“√ π—∫ πÿπ°“√¥”‡π‘πß“π„π√Ÿª·∫∫¢Õß°√–®“¬Õ”π“® ·≈–À≈’°‡≈’Ë¬ßªí®®—¬∑’Ë

®–∑”„À⇰‘¥ªí≠À“·≈–º≈°√–∑∫®“°°“√∂à“¬‚Õπ¿“√°‘®¥â“π ÿ¢¿“æ.

Decentralization has fully materialized in the Philippines over a period spanning almost two decades. In Thailand, decentralization was initiated as early as 1932, but materialized only in 2007. However, decentralization process in the health sector has been delayed in the devolution of health service facilities from the central to local government levels.

Lessons learned from the Philippines, which has fully implemented decentralization for 17 years, will be very valuable lessons for learning about the positive and negative im- pacts arising from decentralization in order to provide policy options for Thailand so that it can avoid negative impacts and follow successful policy measures in support of the decen- tralization process of health services to the local government level.

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πâÕ¬, ¡’ª√–™“°√ª√–¡“≥ ¯ˆ ≈â“π§π. „π æ.». Úˆ §à“

„™â®à“¬¥â“π ÿ¢¿“æ¢Õßøî≈‘ªªîπ åª√–¡“≥√âÕ¬≈– Û.Ú ¢Õß

√“¬‰¥âª√–™“™“μ‘. °“√°√–®“¬Õ”𓮇°‘¥®“°°ÆÀ¡“¬Õߧå°√

∑âÕß∂‘Ëπ™◊ËÕ The Local Government Code ‚¥¬À«—ß«à“∑âÕß

∂‘Ëπ®–μÕ∫ πÕߧ«“¡μâÕß°“√¢Õߪ√–™“™π‰¥â¥’°«à“ ·≈–

√«¥‡√Á«°«à“. °“√°√–®“¬Õ”𓮇°‘¥¢÷Èπ„π ı Àπà«¬ß“π ‰¥â·°à

Journal of Health Systems Research Vol. 2 No. 2 Apr.-Jun. 2008

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Úı, ·≈– —¥ à«πß∫ª√–¡“≥∑’Ë∑âÕß∂‘Ëπ ¡∑∫√âÕ¬≈– Úı. ß∫

ª√–¡“≥®—¥ √√„Àâ∑âÕß∂‘Ëπ„π√Ÿªß∫°âÕπ∑’ˉ¡à°”Àπ¥‡ß◊ËÕπ‰¢

®—ßÀ«—¥√—∫º‘¥™Õ∫‡√◊ËÕßß∫ª√–¡“≥ Ÿß‡æ√“–μâÕߥŸ·≈‚√ß æ¬“∫“≈¢π“¥„À≠à. πÕ°®“°π—Èπ‰¥â¡’°“√®—¥μ—Èߧ≥–∑”ß“π„π™◊ËÕ The Local Government Assistance and Monitoring Services ‡æ◊ËÕ¥Ÿ·≈°“√∂à“¬‚ÕπÕ”π“®„Àâ‡√’¬∫√âÕ¬·≈–‰¡à

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170

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Journal of Health Systems Research Vol. 2 No. 2 Apr.-Jun. 2008

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 à«πμ”∫≈„πª√–‡∑»‰∑¬§«√¡’∫∑∫“∑ ”§—≠„π°“√®—¥∫√‘°“√

‡Õ° “√Õâ“ßÕ‘ß

Ò. Mar Wynn CB. Overview of the Philippines health systems and the framework for health reforms. Document prepared. Depart- ment of Health, Philippines; 2008.

Ú. Juanito DT. Decentralization of health services in the Philippines.

Document prepared. Department of Health, Philippines; 2008.

Û. Mario CV. Formula one for health handbook. 1st Ed. Manila:

European Commission, Department of Health; 2008.

Ù. Health Policy Development and Planning Bureau. Annual Report 2006. Manila: World Health Organization; 2008.

ı. Macky MM. Plaridel health profile 2007. Document prepared.

Department of Health, Philippines; 2008.

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