20

()

2559

(retreat)

13-14
2529
4 1) Prevention&
Promotion Excellence ( ) 2) Service Excellence (
) 3) People Excellence ( ) 4) Governance Excellence (
) 4.0"
(Sustainable Development Goals SDGs
by 2030) 11 10 (
) 2559 20
(.. 2560- 2579 )

16 48
20 ( )

20

1
2
3
4

20 ()
20 18
5 20 ()

1
5
21
23

27
1) Prevention& Promotion Excellence () 27
1.1
27
1.2
28
1.3
30
1.4
3

2) Service Excellence ()
2.1
2.2
2.3
2.4

3) People Excellence ()
3.1
3.2
3.3
3.4

4) Governance Excellence ( )
4.1
4.2
4.3
4.4

31
32
33
35
37
37
37
38
38
41
41
42
43
44
46

 1






(Retreat)

/
..
(positioning)

()

(vision)

(mission)

(intention)
(core value) MOPH : Mastery , Originality , People-centered approach, Humility
Mastery

Originality
People-centered approach
Humility

1) Prevention& Promotion Excellence (

) 2) Service Excellence () 3) People Excellence
() 4) Governance Excellence ()

(Future events and driving forces) 4.0

(Sustainable Development Goals SDGs by
2030) 2558 11 10
( ) 2559
20 (.. 2560- 2579 )
12 (..2560-2564)

20 ( ) 4 5
4 1 2
3 4 1 3
1.1 20 ()

2560 - 2564

2565 - 2569

2570 - 2574

2575 - 2579
1 3

1
3 20

20 ( ) 4 16 48

1) Prevention & Promotion Excellence ()
1.1
1.2
1.3
1.4
2) Service Excellence ()
2.1
2.2
2.3
2.4
3) People Excellence ()
3.1
2

3.2
3.3
3.4
4) Governance Excellence ()
4.1
4.2
4.3
4.4
2 3
20 ( ) 4
4 Excellence 20 ( )
20 18 (18 months mile-stone) 5

20 ( )
4 excellence 1) Prevention& Promotion Excellence
( ) 2) Service Excellence ( ) 3) People
Excellence ( ) 4) Governance Excellence ( )

1. Promotion & Prevention Excellence ()

1.1
1) (0-5 )
0-5
374.3 .. 2505 23.3
.. 2557 (MDGs) 18


2 0-5
(
1)
1 100,000 .. 2505-2557

 2 5 1,000 .. 2553-2557

:
: ..2539 - ..2540

..2541

2,500 7
99.3
98.7 85
3 2,500 ..2539-2556

: 1. .. 2539-2548
2. .. 2549-2556

2) (5-14 )



4 (.. 2551-2552)

6

6-11

12-14

: 4 .. 2551-2552
5 100,000 ..2551-2557

2551

2552

2553

2554

2555

2556

2557

39.3 (IQ) ( 90-109)
( 90) 49.9
25
3) / (15-21 )

15
7



UN 15-19
10
1 15 .. 2549-2557

Cigarette smoking

2549
18.9
2550
18.5
2552
18.1
2554
18.4
2557
20.7
:

36.9
36.5
35.5
36.1
40.5

Alcoholic drinking

2
1.6
1.7
1.7
2.2

31.5
30
32
31.5
32.3

50.2
52.3
54.5
53.4
53

9.1
9.1
10.8
10.9
2.9

6 .. 2538-2557

: 1. , 2557 :

2. United Nation Statistics Division

4) (15-59 )



60
/
60 /

( 100,000 ) 10
0-59 .. 2552 .. 2554 .. 2556

100,000
2554
2552
2556
63.3
63.8
61.8
38.9
34.1
35.7
29.4
28.8
30
24.3
27.5
28.6
23.3
24.2
26.8
22.4
24.5
24.2
15.5
14.1
13.5
14.1
13.4
12.8
11.2
11.1
9.8
10.3
10.7
10.9
154.6
165.6
162.2
407.3
417.9
416.3

: .. 2552 .. 2554 .. 2556

: .. 2552 , 2554 2556

3

(100,000 ) 10
0-59 .. 2552 .. 2554 .. 2556
100,000

2552
2554
2556
/
20.1
15.5
15.9

15.0
14.7
14.3

14.5
12.5
11.9

11.5
12
12.3

10.6
9.1
9.1

9.7
8.9
8.9

9.1
9.2
9.8

7.7
9.0
8.7

5.4
5.5
6.1

5.3
6.2
5.7

92.3
95.9
91.6

201.1
198.7
194.3
: .. 2552 .. 2554 .. 2556

:
.. 2552 , 2554 2556

5)

(Aging Societies)
60 10
.. 2556
60



4 .. 2556

DALY
DALY

%
%
Disease
('000)
('000)
1

224
10.6
12.2
270

173
8.2
10.8
239

131
6.2
6.0
132

127
6
5.4
119

104
4.9
4.7
104

94
4.5
3.3
74

92
4.4
3.0
66

82
3.9
2.9
65

53
2.5
2.8
62

10

47
2.2
2.7
60

982
46.5
46.0
1,017

2,110
100
100
2,208
: .. 2556

.. 2551-2552
1
1.2
1)



.. 25462555
10

 5 / .. 2552-2555

2552
2553

()
GDP
()
GDP
()

GDP
:

5,252.60

16,338.80

0.12

0.36

207.40

2554
23,839.20

2555
716.00

0.52

0.01

189.90

109.10

6.80

0.00

0.00

0.00

0.00

108.30

1,415.20

131.90

99.20

0.00

0.03

0.00

0.01

2)

6 100,000 .. 2553-2557

2553
2554
2555
2556
Occupational diseases
Perticide poisoning
3.39
3.20
2.35
0.85
Lead poisoning
0.04
0.02
0.05
0.08
Mn,Hg,As poisoning
0.17
0.06
0.14
0.01
Petroleum products poisoning
0.30
0.21
0.2
0.02
Gas, vapor poisoning
0.12
0.07
0.12
0.07
Pneumnconiosis
0.42
0.30
0.96
0.28
:

2557
0.43
0.01
0
0.04
0.02
1.00

2. Service Excellence ()
2.1 Medical & Wellness Hub
(Medical Hub)

.. 2546 -2557 1,144,355 /
11

 /
62,480
7 .. 2546 2557
..
()
2546
973,532
2547
1,103,095
2548
1,249,948
2549
1,330,000
2550
1,373,807
2551
1,363,295
2552
695,779
2553
934,587
2554
954,307
2555
1,127,755
2556
1,426,159
2557
1,200,000
: ..
2555
.. 2555 2557 ( 30 )
8 .. 2547 2557
..
()
()
2547
430,075
31,798
2548
582,392
40,586
2549
901,825
66,602
2550
744,101
59,735
2551
821,892
61,570
2552
686,609
53,714
2553
679,585
53,515
2554
840,054
70,625
2555
895,224
79,770
2556
1,013,502
88,485
2557
919,164
80,880
: Annual report 1014 ()

3. People Excellence ()
3.1
899 .. 2540
2,481 .. 2557 326 .. 2540 719
.. 2557 712 .. 2540 1,745 .. 2556
12

 4,200 .. 2540 7,451 .. 2555

9
.. 2540-2557
8,000
7,000
6,000

5,000
4,000

3,000
2,000

1,000
0

:
: 2553-2555
2557-2560

10
2547-2556

()

2547
998
32
1,030
468
468
436 / 43.7
2548
741
37
778
663
663
626 / 84.5
2549
1,188
110
1,298
777
777
667 / 56.1
2550
1,128
150
1,278
736
736
586 / 51.9
2551
1,024
159
1,183
785
785
626 / 61.1
2552
999
191
1,190
669
669
478 / 47.8
2553
761
68
829
617
617
549 / 72.1
2554
954
52
1,006
706
706
654 / 68.6
2555
1,193
110
1,303
709
709
599 / 50.2
2556
1,377
90
1,467
647
647
557 / 40.5
:
=
= ( ) x 100 /

13

3.2
5
3
7,000:1 .. 2522 2,400 : 1 .. 2556
45,000:1 .. 2522 8,400:1 ..
2556 18,000:1 .. 2522 5,500:1
.. 2556 2,600:1 .. 2522
500:1 .. 2556
2,900:1 .. 2531 9,400:1 .. 2556
8 .. 2522-2556
50,000
45,000
40,000

35,000
30,000
25,000

20,000
15,000
10,000

5,000
0

: ,
11 .. 2551-2556

2551

30.5
13.0
16.7
21.2
28.5

29.1
20.1
24.1
28.9
42.1

40.4
67.0
59.2
49.8
29.4
2552

29.7
11.8
17.0
20.7
33.7

26.7
18.8
23.4
28.7
42.7

43.7
69.4
59.6
50.6
23.7
2553

32.1
11.5
17.4
21.4
34.3

28.9
19.2
23.8
28.5
42.4

39.0
69.3
58.8
50.1
23.3
2554

35.0
12.1
18.6
23.3
36.4

26.7
17.8
21.5
26.6
39.6

38.3
70.2
59.9
50.1
24.0
2555

34.8
11.9
18.9
23.4
36.2

26.2
17.7
22.1
27.0
39.4

39.0
70.4
59.0
49.6
24.4
2556

29.0
11.2
18.0
23.2
35.6

20.6
17.9
22.1
26.0
39.0

50.4
70.9
59.9
50.8
25.4
: ,
14

4. Government Excellence ()
4.1


(CT-scanner) 266 .. 2546 553 .. 2556
(MRI) (ESWL)
(Mammogram)

(CT-scanner)
CT-scanner
CT-scanner 3-4 .. 2542
9 .. 2526-2556
600

500
400

300
200
100

553
496
464
434
399 385404
375
368
343
331
307314
260266272 242 266
232
202
198215
188
172
151
152
137
139
130
130
99
102112 101 113
75 75 76 90 74 111
79 97
74 68
75
39 57 24 32 39 58
32
30 34 38 38
53 86 9 16
3 6 8 9 15 17
12 14 15 16 19 26
80
45 54 43 51 39 47 60 57
31 38
6 7 8 12 13 15 25 26 25 26
3 5

CT scanner
Mammogram
ESWL
MRI

: , :
, 2542 ..2545-2556

12 (Discrepancy index) ..
2556
(Discrepancy index)

ESWL CT
MRI Mammogram ESWL
CT
MRI Mammogram

6.9 26.9 4.6

23.9
2.4
3.1
3.7
4.2

2.5 6.8
0.9
3.9
0.9
0.8
0.7
0.7

3.2 12.0 1.0

5.3
1.1
1.4
0.8
0.9

2.4 6.8
0.7
3.5
0.8
0.8
0.6
0.6

2.5 3.3
0.7
2.7
0.9
0.4
0.6
0.5

1.6 6.2
1.5
5.1
0.6
0.7
1.2
0.9

2.9 8.6
1.2
5.7
1.0
1.0
1.0
1.0
: (ESWL, MRI)
(CT, Mammogram)
15

4.2
1)



1 3

1
2
1. (Governance)

2. 3

3.

4.

5. 3
(Fee for Service)

(Capitation)

6.
41

7.


8.

1
2

;

1 (.. 2558)

16

1.

2.


3.
)
(Provider payment method)

: 1 (.. 2558)

2)


..
2556-2565 3.7
.. 2555 5 .. 2556 3
.. 2559-2565
o

1.8 GDP .. 2556 2.4 .. 2565
o GDP ..
2565 4.96
o .. 2565
15.6

1 (.. 2558)

17

5
4

GDP

600,000
500,000
400,000
300,000
200,000
100,000
0

127,655
3.5
147,837
3.5
177,103
3.8
189,143
4
172,811
3.7
162,124
3.5
167,147
3.4
170,203
3.3
201,679
3.7
211,957
3.6
228,041
3.5
251,693
3.5
274,055
3.5
303,853
3.6
356,275
3.9
371,832
4.1
384,902
3.8
434,237
4.1
513,213
4.5

10 GDP .. 2537-2555

2
1
0

GDP (

: .. 2555

250,000
200,000
150,000

4.5
4.3
4.4
4.2
4.3
4.2
4.8
5.3
5.4
5.8
6.3
6.4
6.7
7.3
7.7
7.2
7.1
6.7
6.9
7.4
7.6
6.9
7.9
8.3
8.6
7.8
9.5
9.1
8.4
8.7

11 . .. 2527-2556
10.0
8.0
6.0

100,000

4.0

50,000

2.0

0.0

:
: .. 2538-2556

4.3

(Good Manufacturing Practice: GMP) .. 2546

GMP 30.4 .. 2532 75.6 .. 2546
95.2 .. 2556 .. 2558 GMP 86.9

18

 12 GMP .. 2532-2556
80
60

40
20

30.4
42.0
51.6
58.3
62.2
65.7
67.8
68.1
72.0
73.8
73.8
73.0
76.2
77.0
75.6
82.5
91.0
94.4
90.5
94.0
94.0
93.5
92.3
95.2
95.2
88.6
86.9

100

GMP

65.2

34.8
23.5
26.5
28.5
31.1
27.7
28.3
28.0
30.4
30.4
30.0
31.9
37.0
36.5
40.6
36.8
42.8
44.3
46.4
45.1
49.5
49.1
43.7
40.7
43.8
35.5
34.7
32.0
36.6
31.3
33.0

90
80
70
60
50
40
30
20
10
0

76.5
73.5
71.5
68.9
72.3
71.7
72.0
69.6
69.6
70.0
68.1
63.0
63.5
59.4
63.2
57.2
55.7
53.6
54.9
50.5
50.9
56.3
59.3
56.2
64.5
65.3
68.0
63.4
68.7
67.0

13 () .. 2520-2556

4.4
1)
(Government Indicator)
(Government Effectiveness)
50-75 .. 2553-2557
(Government Effectiveness) (Regulation Quality)
50-75 (Contour of
Corruption) (Rule of Low) (Voice and
Accountability) (Political Stability and
Absence of Violence)

19

 14 .. 2553-2557

: Worldwide Governance Indicators

2)

(Transparency International: IT) 2558

76 168 ( 38 )
.. 2557 85 ( 38 )
.. 25552558
2555 37 38 2558
88 176 2555 76 168 2558
2558
3
15 ..2548-2558

:
http//www.transparency.org/

20

 3
0505/ 62 26
2559 20

20 ( )

( .)
(.) (.) (.)
(.) (.)

1.
(retreat)

1.1
12-14 2559

1.2 (core value)

14-16 2559


/



1.3 2

(Wednesday Meeting)

21

2. 4 1) 2)
3) 4) Medical hub
4 1) 2) 3)
4)
3
3. 2

1) 1 21 2559
20

2)
4 4
16 3 48
3) 2 29 2559
4 Excellence 16 48 20 (
)

4) 4 Excellence
16 48 20 ( )

5)
4
Excellence 16 48 20 ( )

4
Excellence 20 ( ) (.. 2560-2579)
4 1) Prevention& Promotion Excellence
( ) 2) Service Excellence ( ) 3) People
Excellence ( ) 4) Governance Excellence ( ) 16
48

22

 4 4 excellence
20 ()
4 1) Prevention& Promotion Excellence (
) 2) Service Excellence () 3) People Excellence (
) 4) Governance Excellence () 16 48
20 () 16 48
4 Excellence

1. Promotion & Prevention

Excellence

2. Service Excellence

3. People Excellence

4. Governance
Excellence

1.1.
(4)
1)
(P3)
2)
(P4)
3)
(P1)

2.1
(4)
1)
(P1)
2)
(P3)
3)
(DHS) (P2)

3.1
(HRP) (3)
1)

(P1)
2)

(P3)
3)
(P4)

4.1
(6)
1)
(HIS) (P2)
2)
(PHR) (P1)
3) (HDC)
(P3)

1.2.
(1)
1)

(P2)
2)
(P1)
3)
(P3)

2.2
(4)

3.2
(HRD) (3)

4.2
(4)

1) 13
(P3)
2) (P2)
3)
(P2)

1)
(P2)
2) hard
skill soft skill (P4)
3)
Talent
Management (P2)

1)
3 (P4)
2)

(P3)
3)

(P3)

23

1.3
(4)

2.3
(4)

1)
(P4)
2)

(P1)
3)
(P2)

1)
(P4)
2)
(P4)
3)
(P4)

1.4
(5)

2.4 (1)

1)
(P1)
2)
(P4)
3)
(P2)

1)
(Wellness Hub)
(P1)
2)

(Product Hub) (P1)

3)
(SEZ) (P3)

3.3

(HRM) (3)
1)
(P1)
2)
(P3)
3)
(Performance
Management System) (P3)
3.4

(4)
1)
. . (P1)
2)

3)

4.3

(1)
1)

(P4)
2)
(P2)
3)

(P3)
4.4 (6)
1)
(P2)
2)
(P1)
3)
(P4)

24

 20 6 20
()

1)

Mile stone 18
25

 18

Prevention
& Promotion
Excellence

Service
Excellence

People
Excellence

Governance
Excellence

LTC
100,000
4

: EOC,
Eliminate
5 /

250,000

.
4
.

10 /

Primary care cluster

(6 /48 )

(76 /200

(HRP)
: (Analysis)
: (Strategy)
:

IT: HIS
3

G
.
./.

(HRD)
:
(Soft & Hard skill)
:
(Talent management)
:

IT: HIS 1

500,000
.

.
.
.

(76 /350 )
: 1

medical hub

(HRM)
:
:
: (PMS)

IT: HIS 12

./..

26

 5 20 ()
1. Promotion & Prevention Excellence
1 : (.4)

/
1.

///

2.

- / -
- .

-
-
- .
2563

( 2559

16
)
-
- 1-2

- 2-3

15 6.4
-

27

3.

-


-

2 : (.1)
1.


/

-
- .

- -

-
(One Health)
-

28


2.

3.

-


-


-

- -

-

-

-


-

29

3 : (.4)
1 .

-

/


2 .

- /

-

-
(Traceability)

3 .

-

4 : (.5)
1.
-

(./

- .
-
- .
- .

- .
-
- .
- .

- .
-
- .
- .

30

2.

3.

2. Service Excellence
5 : (Primary Care Cluster) (.4)

1.

6,500

2.
- (virtual
account)

PP-Basic
service

3
30,000 6,500
2569
- -



PP Community District
Health Board

31

PP-Basic service
PParea-base

-

(PP)

3.

(DHS)

-
-
(
)
-

6 : (Service Plan) (.4)

1.
-
13 13

-
//

-
-

32

2.

- -

3. -
-

-

( Public

Health Emergency Operation -

Center : PHEOC)

. .
-

(Regional Training Center for -

Emergency and Disaster risk
management for health)

10

7 : (Excellence Center) (.4)

1. -

-
-
-
- .

33

2.

3.

(New Issued/
Diseases)

(New
Technology)
-

/


International Program

(Sub specialist)

-
-
-
- .

-
-
-
- .

34

Clinical Sciences

8 : (Medical & Wellness Hub)/ (.2)

1 .
Super Cluster -

-
(Wellness Hub)
1
3

(Alternative Health Service)

(Medical Hub)

35


2 .

(Product Hub)

3.


(SEZ)

-
( -

23
15 )
-

10 /5
-
1
-

36

-
10 /5
-
1
-


-

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