Suriyawongpaisal PaibulWoratanarat ThiraTansirisithikul RassameeSrithumrongsawat SamritMahidol UniversityChulalongkorn UniversityHealth Insurance System Research Office2018-06-112018-06-112012-10-01Indian Journal of Public Health Research and Development. Vol.3, No.4 (2012), 220-225097602452-s2.0-84878300859https://repository.li.mahidol.ac.th/handle/20.500.14594/14609Obstacles to developing effective Emergency Medical Services (EMS) include a lack of structural models, inappropriate training foci, concerns about cost, and sustainability in the face of a high demand for services. This reported case study from Thailand demonstrated how these obstacles had been addressed through incremental changes via a few initiatives on trauma care. Universal health insurance system and health systems and health financing reforms had taken place during the last 2 decades, and created a window of opportunity for sustainable EMS development in Thailand.Mahidol UniversityMedicineArticleSCOPUS