Bangkok has, from the beginning, been the centre of modern education in Thailand. The first schools in the country were established in here in the later nineteenth century. The city is home to the country's five oldest universities, Chulalongkorn, Thammasat, Kasetsart, Mahidol and Silpakorn, founded between 1917 and 1943. The city has since continued its dominance, especially in higher education; the majority of the country's universities, both public and private, are located in Bangkok or the Metropolitan Region. Chulalongkorn and Mahidol are the only Thai universities to appear in the top five hundred of the QS World University Rankings. King Mongkut's University of Technology Thonburi, also located in Bangkok, is the only Thai university in the top four hundred of the 2012–13 Times Higher Education World University Rankings.
Over the past few decades the general trend of pursuing a university degree has prompted the founding of new universities to meet the needs of the Thai students. Bangkok became not only a place where immigrants and provincial Thais go for job opportunities, but also for a chance to receive a university degree. Ramkhamhaeng University emerged in 1971 as Thailand's first open university; it now has the highest enrolment in the country. The demand for higher education has led to the founding of many other universities and colleges, both public and private. While many universities have been established in major provinces, the Greater Bangkok region remains home to the greater majority of institutions, and the city's tertiary education scene remains over-populated with non-Bangkokians. The situation is not limited to higher education, either. In the 1960s, 60 to 70 percent of ten-to-nineteen-year-olds who were in school had migrated to Bangkok for secondary education. This was due to both a lack of secondary schools in the provinces and perceived higher standards of education in the capital. Although this discrepancy has since largely abated, tens of thousands of students still compete for places in Bangkok's leading schools. Education has long been a prime factor in the centralization of Bangkok and will play a vital role in the government's efforts to decentralize the country.
Healthcare Siriraj Hospital, established in 1888, is the oldest hospital in Thailand.Much of Thailand's medical resources are disproportionately concentrated in the capital. In 2000, Bangkok had 39.6 percent of the country's doctors and a physician-to-population ratio of 1:794, compared to a median of 1:5,667 among all provinces. The city is home to 42 public hospitals, 5 of which are university hospitals, as well as 98 private hospitals and 4,063 registered clinics. The BMA operates nine public hospitals through its Medical Service Department, and its Health Department provides primary care through sixty-eight community health centres. Thailand's universal healthcare system is implemented through public hospitals and health centres as well as participating private providers.
Research-oriented medical school affiliates such as Siriraj, King Chulalongkorn Memorial and Ramathibodi Hospitals are among the largest in the country, and act as tertiary care centres, receiving referrals from distant parts of the country. Lately, especially in the private sector, there has been much growth in medical tourism, with hospitals such as Bumrungrad and Bangkok Hospital, among others, providing services specifically catering to foreigners. An estimated 200,000 medical tourists visited Thailand in 2011, making Bangkok the most popular global destination for medical tourism.
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