Reports Database:
Sustainable Healthcare System Driven by the Data from Functional Health Care Organizations and IT Platform of Network for Health Care Providers Implementation to Upper Northern Thailand
EXECUTIVE SUMMARY
The Sustainable Healthcare System driven by the Data from Functional Health Care Organizations and IT Platform of Network for Health Care Providers Implementation to Upper Northern Thailand—implemented by The Princess Sirindhorn IT Foundation Craniofacial Center, Chiang Mai University (SCFC)—aims to strengthen a multidisciplinary service system for patients with cleft lip, cleft palate, and craniofacial conditions across eight northern provinces of Thailand. Through coordinated clinical pathways, development of an integrated patient information system, and sustained capacity-building for healthcare personnel, the project enhances treatment continuity, reduces the burden on families, and improves system-wide efficiency. This Social Return on Investment (SROI) assessment evaluates the project’s economic and social value over the full 3-year implementation cycle (2023–2025) and captures benefits that continue for up to three years after project completion, following SVI principles of materiality, transparency, and impact verification.
The analysis identifies key stakeholders—including patients, families, multidisciplinary medical teams, provincial health authorities, funding organisations, and external partners—and maps the outcomes they experienced. Evidence gathered from stakeholder interviews, administrative records, and clinical follow-up data shows substantial positive changes: reduced developmental delays, increased confidence and social participation among patients, reduced parental stress and anxiety, time and cost savings for families, enhanced professional competencies of healthcare providers, and strengthened provincial and inter-organizational networks. These outcomes were valued using credible financial proxies such as minimum wage rates, government budget benchmarks, shadow prices of life satisfaction, and public-sector training rates.
After applying SROI impact adjustments (deadweight, displacement, attribution, and drop- off) and discounting future values at 3.5%, the project generated a total social value of THB 99,828,493.43. This value is compared against a total cumulative investment of THB 22,806,475.62 (covering all resources utilized during 2023–2025). As a result, the project achieved an SROI ratio of 4.38 : 1, indicating that every THB 1 invested produced THB 4.38 in social value. More than half of the total social value accrues to families (60.45%), largely through reduced stress and anxiety and reduced burden from hospital visits, including time savings and lower work absence. Patients receive 10.12% of total value, while the remaining value is generated through improved coordination, professional benefits, and institutional gains across the health service network and the Craniofacial Center.