plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: The Development of Appropriate People Public Private Partnership for Managing on Primary Health Care 
abstract:This study aimed to study attitude of health workforce toward primary health care management to examine, synthesize, and develop appropriate model of people public private partnership (PPPP) for managing primary health care. Quantitative and qualitative methods were used in this study. Data collection was conducted in two study areas namely Kuchinarai district, Kalasin province and Dansai district, Loei province. Samples in this study included 61 participants for quantitative and 44 participants for qualitative data collection. They were from community, private and government sectors. Nonetheless, they were identified as executives, implementing staff and common people. The result revealed that samples had relatively high positive attitude toward partnership among people, public, and private sectors. The samples thought that contributing factors of partnership model for primary health care management included 1) national policy, 2) strong health leadership, 3) homogeneous and closerelationship community, and 4) natural and man-made environment capitals and social capital. While hindering factors that the samples figured out were 1) the red-tape system, and 2) lack of resources (human, money, material and knowledge). Processes of developing PPPP for primary health care management included 1) developing relationship among partners, 2) building trust and safety zone of working together, 3) having continuing knowledge communication, 4) empowering each other, 5) strengthening and expanding network, and 6) working together under the rules, regulations and committees. The samples believed that this partnership model could contribute to four dominant outcomes including 1) health outcome (not only access to services in the community), 2) economic outcome, 3) environmental outcome, and 4) learning and knowledge outcome. To materialize the model in other areas, the following two broad recommendations are proposed: 1) integration of the partnership model in the district health system (DHS) that could benefit primary health care in terms of human resource, budget and other resources efficiently; 2) all related stakeholders and their staff should acquire knowledge, skills and positive attitude toward partnership model among three sectors for primary health care management.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: System Governance Factors influencing the Implementation of Participatory Health Region of Thailand 
abstract:This study aimed at analyzing the level of system governance of the participatory health region and the committee roles on system governance; and categorizing system governance of the participatory health regions at national level. Mixed methods of both quantitative and qualitative studies were used. The study covered 13 health regions. The study population consisted of 638 committee members and secretariat teams. Quantitative data were collected by self-administered questionnaires designed according to United Nations’ good governance criteria, and analyzed by descriptive statistics and exploratory factor analysis. Qualitative data were collected by in-depth interview, focus group discussion, report review and observation, and analyzed by content analysis. The study took 15 months from October 2018 to December 2019. Quantitative analysis showed that the participatory health regions had high system governance level since all components got scores greater than 2.5. The top three highest scores consisted of following the rules of law (score 4.01), equity and inclusive coverage (score 3.91) and transparency (score 3.81). The three least scores included efficiency and effectiveness (score 3.65), accountability to people (score 3.66) and responsiveness to target population (score 3.72). Qualitative data analysis revealed 20 important committee roles on the system governance. Holistic care provision and regular meeting reporting got the same highest levels (score 4.04) while the least achievement role was on fulfilling the setup plans (score 3.48). By factor analysis, two categories of system governance were found: the planning and the implementation process. The present study suggests that the network governance can be used to strengthen both the National Health Security Office’s area health and the regional health of the Ministry of Public Health. Public relations, experience sharing in working with soft power, and building collective leadership are recommended for improving system governance. The weakness of the present study was the lack of impact evaluation.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Patient Journeys and Proposed Contents for Communication Strategies to Reduce New Cases of Type 2 Diabetes of Thailand 
abstract:The objectives of this research study were to (1) examine the type 2 diabetes patient journeys and (2) synthesize recommendations on communication campaign contents to reduce the number of new type 2 diabetes patients. Two qualitative methodologies were applied in this study. First, 26 purposive samples from 8 provinces in different regions of Thailand were recruited for in-depth interviews. Second, focus group discussion was employed to collect data on the contents of the communication campaign. The results revealed that the type 2 diabetes patient journeys were divided into three stages. In the initial stage, the risk group exhibited habits that contributed to diabetes in terms of consumption and physical activity. The under 35-year-olds also lacked access to diabetes screening and had misconceptions about type 2 diabetes causing them less aware of the risk of developing the disease. The second stage was the beginning of treatment. Patients chose to come for screening after seeking advice from their family member, village health volunteer, the mass media, and after they themselves faced physical conditions interfering with their daily lives. The beliefs in high blood sugar findings and doctor’s advice were the driving force for seeking treatment. Additionally, patients started seeking more information on diabetes through various means. The third stage was to live with diabetes. Patients acknowledged having disease, yet often reported feeling stressed when they were unable to control their blood sugar levels or encountered diabetes-related problems. There were two main categories of content suggestions for developing communication strategies for lowering the number of new cases. The first was the hygiene content for regularly delivery, such as, food and drink risk behaviors, and physical exercise. The second was the hero content to increase awareness on dangerous complications of the disease.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Development of Telepharmacy Practice Guideline in Thailand 
abstract:Although the Pharmacy Council has launched the Guidelines for Telepharmacy, it required additional details for implementation. The present study aimed to develop the standard practice for telepharmacy and guidelines for pharmaceutical care and to design data architecture that supported and facilitated the operation of telepharmacy. This developmental research was designed into 2 phases. The first phase combined literature review, focus group discussion, and stakeholder hearing with the aim of developing the basic guidelines for telepharmacy and guidelines for pharmaceutical care. Minimum dataset consisting of patient data, prescription, dispensing, logistics, and guidelines for pharmaceutical care was an output and recommendation of phase I study. The results from the first phase were inputs for stakeholder consultation of the second phase. The output of phase II study was the telepharmacy data architecture compliance to HL7 FHIR (health level 7 fast healthcare interoperability resource) for telepharmacy data sharing consisting of patient personal information, health data, treatment history, and logistic statistics. The recommended data architecture of the phase 2 study was named “Thailand Telepharmacy Profile”. Finally, this present study proposes the Pharmacy Council of Thailand to implement the guidelines and standard data set.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Implementation of an Integrated System of Artificial Intelligence and Referral Tracking for Real-time Diabetic Retinopathy Screening 
abstract:Diabetic retinopathy (DR) is one of the most common microvascular complications in diabetes patients as well as one of the most important causes of blindness worldwide. Therefore, DR screening is vital for health care system to prevent blindness. Although, in Thailand, we utilize the percentages of diabetes patients who undergone DR screening program as an indicator of effectiveness in eyes health services, this indicator is not directly reflect the number of diabetes patients who truly go to see retinal specialists for proper management. As a result of the problem mentioned above, this prospective study aimed to compare referral adherence of diabetes patients screened by artificial intelligence (AI) with integrated system group with diabetes patients screened by health care personnel (manual or conventional group). In this study, we screened DR using fundus camera which connected with digital health platform and divided diabetes patients into artificial intelligence (AI) group and manual (conventional) group week by week for 8 month period. However, fundus photo in AI group were reviewed by retinal specialist (overreader) from tertiary hospital and mismatch cases were contacted. Furthermore, referral information was recorded by nurse at tertiary hospital to evaluate referral adherence. Total 1,454 patients included for our analysis (708 patients were screened by AI and 746 patients were screened by manual). Referral adherence of patients diagnosed as referral diabetic retinopathy in AI group was more than manual group and even more than manual group who referred from uncertain fundus images (89.15%, 72.7% and 70.73%, respectively.) Moreover, screening health care personnel’s satisfaction increased after deployment of AI. In conclusion, implementation of an integrated system of artificial intelligence in real clinical setting may improve efficiency in DR screening and also increase referral adherence of diabetic retinopathy patients.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Understanding the Impact of COVID-19 to Improve Our Health Care System Responses: Turning Crisis into Opportunities 
abstract:The coronavirus disease 2019 (COVID-19) pandemic has spread across the globe and impacted everyone, everywhere. Despite COVID-19’s negative impact in several aspects, this pandemic has created an opportunity for researchers to explore new research questions and approaches to the challenging situation which the world is facing with the overall aim to support our communities. The purpose of this study was to address policy-relevant questions arising from the COVID-19 pandemic by investigating the impact of COVID-19 on outpatient (OPD) and inpatient (IPD) service utilization, ambulatory care sensitive conditions (ACSCs), mental health, low-value care (LVC), and mortality. Literature reviews and analyses of real world data from existing administrative databases were used to achieve the overall goal of creating evidence to support the healthcare system in Thailand. In conclusion, this study can consider to be the first study that use real-world data from existing administrative databases to address policy questions. The study delivers outputs on two main areas: 1) answering policy-related questions; and 2) raising new topics for future research based on the study results. This study seeks to turn a crisis into an opportunity and our research team hope that it will help spark and create a foundation for many further studies.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Developing the Tele Village Health Volunteer (VHV) to Connect the Primary Care Pharmacy Service System 
abstract:Introduction: Working in primary care pharmacy in the community Pharmacists have to work with village health volunteers (VHVs) because VHVs are people who are very close to the community. Impact of COVID-19 Happened to many countries around the world and in many ways, Including the public health system very much. Healthcare workers must deal with epidemics and service delivery needs to be adjusted. Therefore, it is necessary to develop long-distance village health volunteers (VHVs) to connect the primary care pharmaceutical service system. To be in line with the normal situation, the new normal. Objective: 1. Develop a platform for remote village health volunteers for village health volunteers to use in primary care pharmaceutical services in the community. 2. Develop village health volunteers to have the ability to use a remote platform to connect the primary care pharmaceutical service system. 3. Design a remote primary care pharmacy service system to connect the work of pharmacists and village health volunteers. 4. Synthesize current primary pharmaceutical policy recommendations to relevant agencies. The research model was a participatory action research divided into 3 phases as follows Phase 1: Develop a Tele Village Health Volunteer Platform (TeleVHV Platform) for village health volunteers to use in primary care pharmacy services in the community. Phase 2: Develop village health volunteers to have the ability to use remote platforms to connect primary care pharmaceutical service systems. Design a remote primary care pharmacy service system to connect the work of pharmacists and volunteers, including risk screening smoking cessation service home visit Addressing the problem of improper drug distribution in the community and pilot a service system designed in the target area. Phase 3: Evaluation in terms of access and use of the platform by pharmacists and village health volunteers, in terms of the effectiveness of services in the developed form. Satisfaction and opinions on the use of the remote village health volunteers platform in primary care pharmaceutical services. and take lessons. Conclusion: The tele village health volunteers platform can enable pharmacists and village health volunteers work together in primary care pharmaceuticals effectively. It should be practiced so that villagers can take advantage of the platform more and there should be further policy push Including the expansion of research results to be applied in primary care pharmaceutical services to achieve sustainability and benefit in a wider area.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Proposal to Conduct a Situational Assessment on Disease Prevention and Control for the Establishment of a Southeast Asia Centre for Infectious Disease Control (SEACID) 
abstract:The proposal to conduct a situational assessment on disease prevention and control for the establishment of a Southeast Asia Centre for Infectious Disease Control (SEACID) was an academic study, led by the Saw Swee Hock School of Public Health, National University of Singapore (NUS) and the Health Intervention and Technology Assessment Program (HITAP). This project was funded by Health Systems Research Institute (HSRI), Thailand. The project aimed to offer recommendations to operationalise the establishment of a regional centre for disease control in the Association of Southeast Asian Nations (ASEAN) region and beyond. This initiative was conceptualised as a collaborative research endeavour, drawing on qualitative data such as inputs from scoping review and key informant interviews of regional health experts. The findings showed that there were many factors facilitating the operationalisation of the regional centre for disease prevention and control with the main ones included having strong governance, effective management and participation of stakeholders, as well as creating collaboration from external organisations. To have an effective regional centre for disease control and prevention, this initiative required mutual understanding of benefit, trust in sharing information, and collective work among member countries. These enablers would support the integration of differences of all country members, promote a sense of coownership, increase workforce capacity through training and knowledge sharing, and facilitate clear communication. A key risk factor to consider for the operationalisation of the centre was the political sensitivity of each area. This context could cause complications, jeopardising certain activities, such as information sharing and the implementation of public health projects which required working across borders. Therefore, the operationalisation of the centre should focus on supporting and working together with local organisations, rather than directing and intervening by setting the rules for member countries. Capacity building and support for knowledge transfer both within and among countries should be encouraged as it invigorated the efficiency and capability of the organisation. These actions would help start a cycle, where success would build image and confidence for the organisation, which, in turn, would help attract other donors to invest more in the organisation. Moreover, financial factor was considered very important for the sustainability of the management and operationalisation of the regional centre.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Modeling Cancers with Patient Derived-Organoids for Determination of Anticancer Effects of Small Compounds on Solid Tumor of Children and Women 
abstract:The disease model is crucial for discovering a new drug and therapy. Currently, organoid technology allows the generation of a self-assembled, 3-dimensional cellular structure. We aimed to use innovative tissue culture to create cancer organoids from cancer tissues of retinoblastoma and breast cancer patients. The success rate was 80 and 32 % for retinoblastoma and breast cancer organoids, respectively. Cancer organoids faithfully recapitulated genetics, gene expression, and histogenesis in the parental cancer tissues. For retinoblastoma, a candidate cancer drug exhibited high efficacy and potency for all subtypes of retinoblastoma in drug screening. The drug signature of retinoblastoma organoids suggested that the candidate drug had dual inhibition of retinoblastoma and angiogenesis. Retinoblastoma growth was inhibited via drug-induced cell cycle arrest and apoptosis. Of note, the candidate drug for retinoblastoma exhibited low toxicity to the retina compared with clinically used drugs. For breast cancers, the drug response profiles were alike between breast cancer organoids and the patients. Nine candidate drugs were more effective for killing cancer cells when compared with the drugs that failed to cure breast cancer of the patients. Generating and collecting cancer organoids would benefit the discovery of universal or personalized therapeutic agents for cancer treatment.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Literature Review Report on Comprehensive Psychiatric Systems 
abstract:Objective: To review the literatures and lessons learnt from foreign countries in implementing a comprehensive psychiatric service system, and preliminarily assessing the feasibility of comprehensive psychiatric service system in Thailand. Methods: Searching for literatures, policy documents, research related to the keyword “comprehensive psychiatric service system” for the provision of comprehensive psychiatric services in various countries over the past 5 years were 127 copies, then reviewed and selected based on objectives, leaving final to be reviewed 29 documents. Result: Comprehensive psychiatric service system is a collaboration between policy makers and budget health agencies, as well as personnel specialists in psychiatry, relevant network partners, people involved in community mental health, and including participation of psychiatric patients and relatives. This study presents examples of policy implementation and guidelines for organizing a comprehensive psychiatric service system in various countries, where considered as a recognized prototype such as Australia, United Kingdom, Canada, etc. The situation of psychiatric service system in the Thai context, which still encountered obstacles to development both at the national policy level that should focus on transition to human rights-based approach following the international guidelines, including manpower problems, mental health / psychiatric personnel knowledge and understanding of mental health/psychiatry among health personnel. The policy gap also found on linking systems between psychiatric service units in various affiliations and transferring policies into practice Including participation in policy formulation of stakeholders at each level. Summary: The development of comprehensive psychiatric service system emphasis on developing the potential of public health personnel and related agencies in caring for people with mental/psychiatric problems. Together with the development of the community's potential (including school and workplace) to care for and rehabilitate people with mental/psychiatric problems so that they can live life to the fullest possible.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Developing a Model of a Primary Care System for Provincial Administrative Organizations (PAOs) and an Action Plan for Inter-Agency Collaboration and Citizen Engagement: Cases of Suphanburi Provincial Administrative Organization and Prachinburi Provincial Administrative Organization 
abstract:In Thailand, the devolution of subdistrict health promoting hospitals to provincial administrative organizations (PAOs) depends on the readiness and willingness of each PAO. In Fiscal Year 2022, six PAOs took full responsibility of all the subdistrict health promoting hospitals in their provincial areas: Khon Kaen PAO, Nongbua Lumphu PAO, Mukdahan PAO, Prachinburi PAO, Roi-et PAO, and Suphanburi PAO. This study sought to develop a model of primary care for the PAOs that possess limited revenue streams and have agreed to take charge of all the subdistrict health promoting hospitals. A strategic framework for citizen engagement and intersectoral collaboration in primary care was also formulated for these PAOs. The research instruments used in this study included focus group discussions, in-depth interviews with primary care experts and local government scholars, workshops, and a survey of subdistrict health promoting hospital personnel and health volunteers in Prachinburi and Suphanburi provinces. Based on the research findings, Prachinburi province has more administrative capacity and social capital than Suphanburi province. Administrative capacity and social capital enabled the Prachinburi PAO to manage the transition period much more effectively. The Prachinburi PAO executives and leaders in the provincial health system followed the “shared leadership” style, while their counterparts in the Suphanburi province used the “paralleled leadership” style. Also, the PAO and provincial health authority in Prachinburi had a more robust working relationship prior to the devolution of subdistrict health promoting hospitals. When we used the “six building blocks” concept and the “ten building blocks of a high-performing primary care” concept to assess the two PAOs’ readiness to run their primary care systems, we found that the Prachinburi PAO performed better than the Suphanburi PAO in terms of service plans, personnel, medicine, information system, financial resources, and leadership and governance. In the end, we developed a model of primary care, which consists of the primary care management unit within the PAO Public Health Department, as well as three alternative models of primary care operations at the sub-provincial level. In addition, policy recommendations for other PAOs, the Ministry of Public Health, the Decentralization Commission, and the Department of Local Administration Promotion were offered.