orthopedics. Besides, the endemic of influenza contributed to more admission of pediatric patients. The disappointing social security income stemmed from the lower payment rate of both Adj RW and discharge

OPD and per admission for IPD, including the addition of 15 patient beds during the 3rd quarter of 2016; 2. The revenues from patients under the Social Security Scheme for the 2nd quarter of the year

decreasing by 75% and Influenza decreasing by 35% (Statistical reference from Trang Public Health Organization). Thirdly, the insurers have stricken their policies regarding admission process and patient’s