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Year : 2016  |  Volume : 9  |  Issue : 6  |  Page : 444-445
Universal coverage in real practice: A case study on problematic case

1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 Joseph Ayo Babalola University, Ikeji-Arakeji, Nigeria; Faculty of Medicine, University of Nis, Nis, Serbia; Surin Rajabhat University, Surin, Thailand; Dr. D.Y. Patil Medical University, Pune, Maharashtra, India; Chulalongkorn University, Bangkok, Thailand

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Date of Web Publication14-Nov-2016

How to cite this article:
Wiwanitkit S, Wiwanitkit V. Universal coverage in real practice: A case study on problematic case. Ann Trop Med Public Health 2016;9:444-5

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Universal coverage in real practice: A case study on problematic case. Ann Trop Med Public Health [serial online] 2016 [cited 2020 Jun 5];9:444-5. Available from:
Dear Sir,

The universal coverage is the concept to promote equity in health assessment for all patients. It becomes the important tool in public health. However, in real life, the problem in using system can be expected.[1],[2],[3] The knowledge and understanding of the practitioners in the system become an important issue to be discussed.[4] Here, the authors present an interesting case study of a patient with acute ischemic stroke admitted to a governmental hospital. This patient has the right for medical care in the category of direct payment by the government due to governmental officer right. However, this case got delayed diagnosis and treatment because the medical personnel at the hospital had to wait for clearance of medical care right of the patient. Although the personal identification number of the patient confirmed that the patient is a governmental officer, waiting to have the official confirmation document by his office is needed. Unluckily the case was admitted on holiday, and he had to wait until the official day to get the confirmation. The unexpected delayed management in the present case seems to be a bad story implying the poor management system of the hospital. In the public health concept, health care for all, especially for acute sickness, is the “must.” Unethical practice, delayed treatment aiming at financial reason, as seen in the present case, represents the rooted poor management system in the underdeveloped country. The previous similar case of delayed diagnosis that results in patient death can also be seen.[5] It must be the role of international public health agency to promote the understanding and recognition of a “must” to care the patient without concern on the “money.”

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Conflicts of interest

There are no conflicts of interest.

   References Top

McPake B, Russo G, Hipgrave D, Hort K, Campbell J. Implications of dual practice for universal health coverage. Bull World Health Organ 2016;94:142-6.  Back to cited text no. 1
Greer SL, Méndez CA. Universal health coverage: A political struggle and governance challenge. Am J Public Health 2015;105 Suppl 5:S637-9.  Back to cited text no. 2
Tangcharoensathien V, Limwattananon S, Patcharanarumol W, Thammatacharee J. Monitoring and evaluating progress towards universal health coverage in Thailand. PLoS Med 2014;11:e1001726.  Back to cited text no. 3
Suphanchaimat R, Kantamaturapoj K, Pudpong N, Putthasri W, Mills A. Health insurance for people with citizenship problems in Thailand: A case study of policy implementation. Health Policy Plan 2016;31:229-38.  Back to cited text no. 4
Joob B. “D”, a case study on practical problem in diagnosis of swine flu in pandemic situation. Case Study Case Rep 2011;1:164-6.  Back to cited text no. 5

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.193981

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