plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Evaluation of Using Practical Guideline Manuals for Health Promoting Hospital 
abstract:This study was conducted to evaluate practical guideline manuals for health promoting
hospital in aspects of the level of use, appropriate use and delivery process. Data collection were
collected by self administered questionnaire with directors or staffs of health promoting hospital,
and focus-group discussion with directors or staffs of health promoting hospital and focus-group
discussion with administrative staffs of health provincial office, health district office and
contracting unit for primary care.
Results showed that most of health promoting hospitals received the set of practical
guideline manuals from Bureau of Policy and Strategy, Ministry of Health. The levels of using
each practical guideline manuals were moderate to high, and most of respondents revealed that the
contents in manuals guided them to complete work easily. However, not all contents in these
manuals could be applied in practical. The barriers of using these manuals were the lack of
communication and public relations, and the lack of staffs to work at health promoting hospital.
The finding of this study suggested that the policy of using manuals should be established
and informed to all organizations: health promoting hospital, provincial health office, district
health office and contracting unit for primary care. The monitoring and evaluation should be done
continuously and the knowledge management should be conducted in each area to gain specific
guidelines for area.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: The knowledge synthesis in shaping referral network of health services in the upper north of Thailand 
abstract:There is a notion saying “the most reliable prediction of the future is to build it”. This synthesis of
tacit and explicit knowledge in shaping referral network of health services in the upper north of Thailand reflects collective actions among doers of the region in accord with such a notion. The actions started from
a health manpower crisis of the former single node of referral chain in 2006 characterized by draining of
almost 300 nurses instantly from the node hospital to private hospitals after dramatic increased workload
without perceived competitive adjustment of financial incentives. The crisis forced the node hospital to
shift its policy of hospitalizing referred cases from unlimited to a limited quota. Joint coordinating and
collaborating mechanisms among networks of public and private hospitals were set up under the jurisdiction
of public health administrative region no. 15. The mechanisms facilitated 1) restructuring roles and
functions of the hospitals into zones of referral chains each with a node and sub-nodes; 2) capacity building
of public hospitals under the restructured zones; 3) planning of human resources, service delivery and
upgrading of facilities including buildings, medical equipment and communication technology through
public and private subsidies; 4) adjustment of payment mechanisms to mobilize previously untapped
capacity i.e., specialized cares of private hospitals; neurosurgery of a public hospital which previously
excluded emergency cases. During 2008-2010, evidence has shown a decline in the number of referred
cases being turn away; better access to standard care such as thrombolysis for acute STEMI, traumatic
brain surgery; neonatal care. Strengths and weaknesses were discussed. Finally, opportunity for future
improvement of continuity of care within the referral network was identified in terms of relational, informational
and managerial continuity.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Current concepts on medical error disclosure 
abstract:Recently, rate of medical malpractice claim and file a law suit on the medical adverse events are
increasing. The primary etiology of claims and filing were adverse medical events which caused by either
preventable medical error or mishap. No one wants adverse event occurred. In the past ten years after the
Institute of Medicine (IOM) reported the facts of medical errors in “To Err Is Human: Building a Safer
Health System”, health care personals have been deeply concerned with and have tried to improve their
practice for patient safety worldwide. However, there are still many medical errors in recent years and
will inevitably occur in the future. So, health care providers should learn how to manage and disclose
when the medical errors occur. Several studies have proved that disclosure of medical error have taken
more benefits than risks. The main benefits are decreased in filing rate, decreased in payments for adverse
events, and maintenance of doctor and patient relationships with trust. Disclosure of medical error is the
process which closely related to the incident report system. The importance of full open disclosure to the
patient after medical error occurrence will significantly increase in the future for patient’s safety and
should be simultaneously integrated into the mediation system.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Attitude and rural job of choices of newly graduated doctors 
abstract:Doctor shortage has long hindered the development of Thai health service system. It is thus crucial
to understand attitudes towards working and living in rural areas and factors driving job of choices of
doctors. The cross-sectional study conducted with 1,219 newly gradated doctors in 2011 was conducted.
Self-administered questionnaire comprising individual characteristic information, questions on attitude
towards working and living in rural areas, factors affecting their jobs of choice was used. Statistics used
were percentage, and Logistic regression.
The results showed that of the population 1,219 (527 from normal track and 313 from rural doctor
track), the majority of doctors were female. Half of the rural track doctors were from regional areas, and
the majority graduated from regional universities. Whereas, the majority of normal track doctors were from Bangkok and vicinity, and graduated from universities located in Bangkok and vicinity. Factors were
likely to affect their job of choices were workplace that : close to their hometown, enhance their learning
experience, provide case consultancy. With regards to their intention to work, few of them intended to
work at rural areas after 3 year and factors associated with their intention to work in rural areas were:
rural background and regional training.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: How to attract new doctors to work in rural areas: Using Discrete Choice Experiment (DCE) 
abstract:As a crucial component of a health system, the shortage of health workforce could deteriorate health
outcomes. Though newly graduated physicians entering the rural areas every year, the turnover rate of
rural physicians was as high as 11% of rural physicians. It is thus crucial to explore strategies to attract and
retain physicians in rural areas. This study was a cross sectional study with 255 physicians serving in
years 1-3 from 9 provinces included in the sample. Job preference was assessed using the Discrete Choice
Experiment (DCE) method, which involved asking subjects to indicate their preference between 2 hypothetical
jobs, one rural and one urban. Each job was characterized by 7 job attributes. A total of 211 physicians
responded, with females (57.8%) responded slightly more than males. The majority of subjects was
from an urban background (83%), and graduated from a regional university (63%). There were 24% of physicians under the rural recruitment project. In relation to their job preference, all attributes were found
to be statistically significant in determining the decision to choose a job in a rural area. The results showed
that high salaries, workplace close to hometown, small hospital size, less overtime work, opportunities
for specialty training and faster career promotion were important for young physicians to choose rural
posts.
The results suggested that the combinations of salary increase, specialty training opportunities, reduce
overtime work, and accelerated promotions seem to be good policy candidates to attract and retain
physicians to rural areas.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Effects of increasing hardship allowance on dentists’ performance in community hospitals 
abstract:The study is aimed at evaluating the recent effects of increasing hardship allowance paid for dentists
who are particularly working in community hospitals. The focused effects were 1) distribution and retention
of dentists; 2) hospital financial status; and 3) performance and productivity of dental workforce. Overview data was collected from many secondary sources such as dentist personnel database and payment
during 2005-2009; dentist mobilization from personnel management database (2008-2010); and dental
service outcome database in 2008 compared to 2010. Primary data included surveying hospital finance
during 2008-2010 using self-reported questionnaire to 725 hospitals and then interviewing a group of 7
senior inspectors in the Ministry of Public Health. The result was revealed that financial measure was
likely to have no impact on distribution pattern or retention of dentist workforce as the mobility found
was mainly from remote areas to rural areas with better social amenity. Regarding community hospital
financial status, paying hardship allowance showed no effect because a budget of 2,750 million baths was
subsidized by the government in 2010. Lastly, comparing performance outcome between 2008 and 2010, it
was found that oral health promotion activities by dental hygienists in 2010 was pushed up to 707 cases/
personnel per annual, while basic dental service performed by the dentist showed no difference in their
productivity.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Employment benefit packages to attract health workforce in public health facilities 
abstract:As the health needs increased, health workforce requirements have been increased too. However,
the policy to downsize the civil servant positions implemented has made the Ministry of Public Health
failed to attract and retain health workforce into public health facilities. This study therefore aimed to assess the factors affecting the health workforce’s decision making in choosing public health facilities as
their job of choices. A Discrete Choice Experiment (DCE) tool was used and that each health workforce
was asked 16 questions to choose between 2 jobs which have different attributes. The data were analyzed
by conditional logistic regression.
The findings showed that both financial and non-financial incentives played important roles in health
workforce decision making to choose their job of choices. Benefit packages that were significantly associated
to their choices of non-civil servant positions were: salary increase at 20%-40%, career advancement,
opportunity for continuing education, bonus provision, pension fund and a longer employment contract.
The results indicated that the government needs to develop the appropriate employment packages that
could attract health workforce in public sectors. The attractive benefit packages comprise: higher salary,
career advancement, opportunity for continuing education, bonus provision, pension fund and longer
employment contract. These packages could be attractive for health workforce to choose to be hired as
non-civil servants.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Recognition of Food Brand Logo in Primary 6 Students 
abstract:One of the factors that contribute to obesity in children is food advertisement because it can influence
the eating behaviour of children. Advertising is a marketing strategy to build brand recognition of food. The goals are to promote the product and increase children’s food consumption. . The objectives of
this survey research were to assess the recognition of brand logos among students in primary 6and to
examine the relationship between individuals’ abilities to recognize brand logos and their demographic
eating behaviour. Methods: There were 453 children from two primary schools in Bangkok and in
Phetchaburi joined in this study by purposive sampling. A self-administered questionnaire survey was
administered to gather demographic characteristics, nutrition, and their abilities to recognize brand logos.
This study found that 64.7% (239 students) of the children demonstrated a high brand logos recognition
recognizing 14 food brand logos in the questionnaire. Among these children, the number of children who
ate unhealthy food; consumption of snack, fast foods, and soft drinks was higher than those who ate
vegetables and fruit. In addition, BMI, parent’s educational level, mother’s occupation, habit of eating
breakfast every day, eating snacks and, fast foods were associated with the abilities to recognize brand
logos. To conclude, there is a correlation between poorer eating behaviours and brand logos recognition
ability of school children. However, health promotion campaign should be emphasized among school
children to increase their awareness of how unhealthy eating habit can affect obesity
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Five Years of Transferring Health Centers to Tambon Administrative Organizations and Municipalities : Health Decentralization, 2007-2011 
abstract:This study was conducted to learn of the changes that had occurred during the five-year period of
the transfer of subdistrict (tambon) health centers to Tambon Administrative Organizations (TAOs) and
municipalities. Both quantitative and qualitative data were collected from primary and secondary sources;
and then data were processed and policy recommendations were synthesized for submission to highlevel
administrators of the Ministry of Public Health (MoPH) and other relevant agencies in the next phase. Documentary review was conducted on program implementation documents of agencies concerned,
various evaluative research papers, and reports on program monitoring and evaluation carried out continuously
by administrators of the local government organizations (LGOs), the transferred health officials,
and the people who had received health services from the health centers before and after the transfer,
and the participatory observation of the transfer process especially to the LGOs as the management
agencies. The results in the three dimensions are as follows: (1) The progress of the transfer, over the past
five years, have shown positive changes in most of the local health programs as their services are responsive
to the needs of the communities. Of all 26 transferred health centers, only 2 health centers had only 1
health official transferred to each of them, which was too few and the recruitment of additional staff by the
local agencies was constrained by the local context. (2) The lessons learned from transfer with regard to
specific cases and overall common lessons are the information that can be used for consideration for
policy and operation improvements. (3) The policy recommendations for MoPH and the Office of the
Decentralization to Local Government Organizations Committee (DLOC) regarding the options of transfer
are: (a) transfer in the old pattern, but with the revision of criteria, conditions, and process to prevent
negative effects; and the roles and responsibilities of relevant agencies have to be made clearer by an
independent mechanism; (b) the new model of transfer, i.e. MoPH has to take this matter seriously especially
in the pilot-scale decentralization and the synthesis of lessons learned; and the DLOC has to have a
strong and adequate support mechanism and procedures; and (c) non-transfer but working together
collaboratively by MoPH and LGOs with clearly specified roles and responsibilities.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Comparison of Pharmaceutical Care Outcomes in Chronic Disease Patients Receiving Refill Prescription between Accredited Community Pharmacies and Primary Care Units, Maha Sarakham Province 
abstract:Role of community pharmacies for caring chronic disease patients together with primary care units is still new in Thailand. The objective of this study was to compare clinical outcomes of providing pharmaceutical
care in patients with diabetes mellitus and hypertension who got prescriptions refilled between
two accredited community pharmacies (the intervention group) and two primary care units (the
control group). The study was quasi-experimental design with a control group. The duration of the study
was between September 2008 - July 2011. The intervention group received the individual care each month
for 5 months by the community pharmacists and PharmD students. In the fifth month at the community
pharmacies, the patient medication record of each patient was reported back to the primary care units.
Blood pressure, blood sugar, drug related problems and patients’ satisfaction were recorded. There were
totally 59 eligible patients (28 and 31 patients in the intervention and the control group, respectively). The
proportions of patients who achieved target goals of blood pressure control and blood sugar control were
1.242 (OR 1.242; CI: 0.458-4.312) and – 0.675 (OR 0.675; CI: 0.174-2.653) when compared with the control
group. There was not different between groups. The community pharmacists mostly solved the drug
related problem of non-adherence in the treatment group (81.8 %) and made a referral to the primary care
units due to an adverse drug event (bradycardia was probably from atenolol). The treatment group was
highest satisfied with the relax feeling to talk to the pharmacists. The control group was highest satisfied
with the willing to comply for the next schedule. In conclusion patients received prescriptions refilled
from accredited community pharmacies have potential clinical benefits as received from the primary care
units. Patients in the treatment group had a high satisfaction to the pharmacists’ service
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Cold Weather Death Surveillance in Thailand,October 2010 - February 2011 
abstract:Cold weather is one of causes that can be effected to higher morbidity and mortality in Thai citizens.
Hypothermia condition can lead to a dangerous of the brain and heart. A cross-sectional study aimed to
monitor trend, described characteristics of the deaths, identified risky behaviors and risk factors of coldrelated
to death for future planning in assistance to the victims. The guidance, definition of cold-related
deaths and reporting form have been developed for the surveillance system. The results showed that total
number of 30 deaths and suspected cases related to the cold weather had been reported from 21 provinces.
Out of these, 2 from Lei and Chiangrai province were confirmed for cold-related deaths. Most of them
were male (86.7%), mean age was 49 years, 30.1% were elderly (> 60 years). 40.0% were indoor deaths
whilst the others were outdoor deaths. The major risk factors were exposure to cold weather combined
with alcohol drinking, having underlying diseases and wearing clothing that could not prevent cold weather
(60.0%, 53.3% and 83.3% respectively). The above results can be beneficial to the health care guidance,
providing appropriate assistance to the risk group such as children, elderly or people with underlying
diseases including health service, referral system and provide warm clothing in order to decrease coldrelated
mortality.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: Compliance of research projects to the Ethical guideline of research on human 
abstract:The study is part of continuous review of the Ethics Committee. The objective of the study is to
follow up the adherence of the research proposals approved by the Ethics Committee of the Institute for
the Developments of Human Research Protections (IHRP). Methods: All the studies approved during the
year 2008-2010 were randomized by stratified random sampling. The sample size is 20 from the total of
197 studies. The relevant documents were revised and the researchers were interviewed. The data were
analysed by percentage. Findings: Majority or almost all of the studies adhered to the approved protocol,
i.e., volunteer recruitment, information provision and consent process, submission for protocol amendments,
documentation in case of protocol deviation, keeping and control of studied drugs, provision of
compensation for the volunteers, keeping of confidentiality, data record and the operating procedure in
case of termination of the study. Conclusion: The studies that strictly adhere to the research protocol are
those drug studies, including both new drugs and bioequivalent studies. The main reason for good adherence
is to maintain the credibility of the data, otherwise it will not be accepted for drug registration. Some
studies that were not fully adhere to the practice guidelines for drug studies were social science studies.
Since there was no appropriate guidelines available. The operational guidelines for social science studies
should be developed.
location: nan, 'Thailand 
year: 2012 source: HSRI 
title: The result of implementing network of care for post operative valvular heart patients who use wafarin 
abstract:Back ground: Valvular heart disease, a chronic illness with high mortality rate, is difficult to treat
and prone to complications, especially from warfarin. In 2009, before implementing the network of care in
Health region 13, we found that about 50 cases of total 217 cases (23.04%) had been brought back to the
hospital due to warfarin using. Because of this problem, the network of care for warfarin use has been set up in January 2010 to look after these patients for continuity of care and to maintain wafarin level. Objective:
To study the result of implementing network of care for post-operative valvular heart disease patients
who use warfarin. Setting: Health region 13 Method: The study is divided into 3 phases;1) situation
analysis 2) developing network of care guideline and 3) implementing and evaluation. The data were
collected during January to March 2009 by questionnaire, depth interview, observation and focus group
discussion. A descriptive statistic and content analysis were used to analyze the data.
Result: During January to March 2009, only 9 patients (8.11 % & 0.48% of post operative patients & of
1,881 patients who use warfarin during that time respectively) came back to the hospital due to warfarin
using ( 5 due to overdose & 4 due to valve dysfunction ). From 15 committed hospitals, 13 hospitals were
ready for implementation, 9 & 4 were community hospitals & general hospitals respectively. Conclusion:
The network of care with guideline, monitoring and supervisioon can improve the quality of life by decreasing
the complication of warfarin use.