Jun 2, 2012

Thailand - ASEAN - Medical brain drain feared after 2015

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The Public Health Ministry has expressed concern over a potential brain drain of medical personnel after the launch of the Asean Economic Community in 2015.

Public health permanent secretary Paijit Warachit yesterday said Thailand is suffering from a shortage of doctors and nurses and the situation must be closely monitored, particularly when the AEC is established in three years.

The AEC could trigger an influx of patients from other Asean countries to seek treatment in Thailand.

At the same time, it could encourage a brain drain of local doctors and nurses to the private sector here or to hospitals in other Asean countries, Dr Paijit said during a seminar on trade liberalisation in health services.

The seminar was held yesterday at Rangsit University in Pathum Thani.

The permanent secretary said Thailand must also prepare for a flood of foreign doctors and nurses coming to work in the country.

Dr Paijit said the ministry and universities would work together to turn out more medical personnel.

Hospitals run by the ministry and other hospitals would assess the number of doctors and nurses needed in the health service sector, he said.

Other agencies, including the Medical Council, the Dentists' Council of Thailand, the Nurse Council and the Medical Technology Council, must work out how many more medical personnel the country still needs, he said.

A source said Thailand faces a shortage of doctors and a serious urban/rural gap in health personnel distribution.

Many physicians work in Bangkok, its surrounding provinces or in big cities.

However, only small numbers of doctors work in the northeastern and border southern provinces.

According to 2009 figures from the Public Health Ministry, there are about 30,000 doctors in the country. About 10,000 work under the ministry, some 10,000 at medical schools and other state agencies and the remaining 10,000 in private sector hospitals and medical establishments.

The World Health Organisation says an acceptable patients per doctor ratio is 1:5,000. In Thailand, it is 1:7,000.



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