plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Correlation between Canadian Triage And Acuity Scale (CTAS) implementation and early outcome of patients in emergency department, Maharaj Nakorn Chiang Mai Hospital 
abstract:The National Institute for Emergency Medicine specifies a criteria for triaging patients into five
levels according to the urgency of treatment needed. Canadian Triage and Acuity Scale (CTAS) is a five-level triage tool used worldwide that can rapidly assess patients, and is proved to be accurate and reliable.
However, no study in Thailand has confirmed CTAS as an initial predictor of the severity of patients. This
research aim study the correlation between CTAS level and early outcome of patients, including; 24-hour
mortality rate, intensive care unit (ICU) admission rate and rate of immediate life-saving interventions in
emergency department. Researchers conducted a retrospective observational study and reviewed medical
records from all patients presented to the ED and were triaged by using CTAS in August 2013. There
were 2,508 patients who were triaged by using CTAS and met the inclusion criteria. Five patients died in
24 hours after ED visit and CTAS levels were I and III in 4 (8.16 %) and 1 (0.12 %) patients, respectively. 84
patients were admitted to the ICU and theirs CTAS levels were ranged from I to IV in 18 (36.73 %), 47
(17.41 %), 17 (1.97 %) and 2 (0.17 %) patients, respectively. 115 of the patients received immediate lifesaving
interventions following their arrival and CTAS levels for these patients were from I to III in 29
(59.18 %), 59 (21.85 %) and 27 (3.12 %) patients, respectively. The differences were statistically significant
between each CTAS levels and each early outcomes of patients (p-value < 0.001), so the higher the patient’
s triage level, the higher the severity. Conclusion: Canadian Triage and Acuity Scale (CTAS) has a significant
correlation with early outcomes of patients, including 24-hour mortality rate, ICU admission rate and
rate of immediate life-saving intervention. Therefore, CTAS can be used as an effective five-level ED
triage tool.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Violence Against Children Treated at One Stop Service Center at Maharat Nakhon Ratchasima Hospital 
abstract:One of the strategic plans for a current policy in an integrated management of the problem involving
violence against children and women is to develop the data register and management system. This research
aims to study the basic data and characteristics of children treated at the Maharat Nakhon Ratchasima
Hospital. The study found that during the year 2010-2012, 437 children were treated at OSCC, 412 cases
were female, and 25 cases were male, aged between 4 days and 17 years and 10 months. The main reason
for arrival at the hospital was sexual and physical violence. Nearly all cases were suffered from first time
violence. Main problem in teenagers were having sex with their boyfriends. In case of physical abuse,
most of those children were abused by their parents or close relatives. Event of violence usually occur
from January to March and October to December each year. Sexual violence tends to happens on weekdays
over weekends. Time of sexual violence was highest during 06:01 and 09:00 pm. Most of patients
came to the hospital within one day after the incident. Nearly all perpetrators were non-family member
persons, but the stranger was only 11 percent. The main external factor that encouraged acts of sexual
violence was an intimate environment and the opportunity allows. The scene of violence mostly occurred
at home. The main result of treatment was cure or palliative, however, some died of violence. The average
cost of medical-related care was 3,306.06 THB. In conclusion, sexual problem among teenagers are the
primary problem for OSCC. The major risk comes from the patient’s own and external factors. Parents
should take care to protect their children closely.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Estimate Unit Cost per day of Long term care for Dependent Elderly 
abstract:The objective of this study is to estimate unit cost per day of long term care for dependent elderly in
Lamsonthi district from government spending perspective. Long term care services comprised services
from hospital, services from formal care assistance and services from family. Unit cost of services from
hospital was calculated using data from cost accounting of Lamsonthi hospital, which used a traditional
costing method of Ministry of Public Health. Unit cost of services from local government mainly was
salary of formal care-assistants. Cost of long term care services from family member was estimated using
opportunity cost concept, which opportunity cost was assumed equal to labour cost of formal-care assistants.
Total cost of long term care of hospital services were disaggregated into 3 products; severe dependent
service, moderate dependent service and mild dependent service using allocation by labour approach.
Workload of physiotherapists using simple time motion study was used as an allocation criteria
for disaggregate 3 products of the long term care. The result showed that total actual cost of long term care
service unit in 2012 of Lamsonthi hospital was 4.5 million Baht and total actual cost of formal care assistant
was 420,000 Baht in the studied district. Unit costs per day of long term care from services of both
Lamsonthi hospital and formal care assistant without opportunity cost of family members were 41 Baht,
64 Baht, and 101 Baht for mild, moderate, and severe dependence, respectively. Sensitivity analysis for
estimation unit costs per day of long term care include opportunity cost of family members was done by
replacement of support from family members with formal care assistant using ratio of time spending for
dependent elderly among family members and formal care assistant from Siriphan Sasat et al.(9).Unit cost
per day of mild, moderate, and severe dependence increase to 41 Baht, 128 Baht, and 200 Baht, respectively.
However unit cost of long term care depends on level of dependence and level of support from
family. This study found that the cost of severe dependent elderly, who depend totally on formal careassistants,
is still only one fifth of the cost of long term care in private nursing home. However, further
studies are needed to confirm result of this study, which has limitation on statistics and came from only
one district.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Substitutes for Leadership and Organizational Citizenship Behavior of Public Health Officers in Sub-District Health Promoting Hospitals 
abstract:This study aims to investigate the association between substitutes for leadership and organizational citizenship behavior of 534 public health officers in subdistrict health promoting hospitals under the inspection of Region 10, the Ministry of Public Health. The sample group was randomly chosen using stratified sampling. Data were collected by using questionnaires. Statistical analysis was performed using the computer program of Pearson’s Product Moment Correlation Coefficient and Multiple Regression. Results revealed that public health officers had moderate organizational citizenship behavior. Substitutes for leadership had a low positive association with the organizational citizenship behavior of public health officers (r = 0.266, p-value ≤ 0.05). Substitutes for leadership could explain 11.90% (Adjusted R2 = 0.119) of the variance in organizational citizenship behavior. To achieve effective substitutes for leadership of public health officers at subdistrict health promoting hospitals, the creation of a self-development manual is suggested for public health officers to develop the leadership and train public health officers at every level, introduce the mentoring system and promote on the job training approach.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Transformative Learning in Rural Doctors Education: A Case Study of Medical Educational Centre in Maharat Nakhon Ratchasima Hospital 
abstract:Health workforce is one of the most important factors of health system. However, global society and Thailand have currently faced with shortage and maldistribution of health personnel especially rural doctors. This problem may affect the achievement of Millennium Development Goals and equity in accessing to health services. To solve the problem of rural doctor shortage, it needs systematic approach starting from medical education. Thai government has established the Collaborative Project to Increase Production of Rural Doctors: CPIRD with collaboration between the Ministry of Public Health and Ministry of Education to solve the problem since 1994. This article presents a good case study of transformative learning of Maharat Nakhon Ratchasima Hospital’s Medical Educational Center related to the activity “Medical camp for enhancing experiences of medical students”. This camp is an extra-curricular activity
using transformative learning. Outcomes of this activity are to enhance medical students to understand
rural people as a whole, be familiar with rural contexts, and be satisfied with rural work, as well as gain the skills required from the CPIRD and needed for the 21st century. This activity has also affected the development of teaching and learning processes of the medical instructors following the framework of transformative learning. Therefore, educational institutes producing physicians and other health professionals should organize this kind of co-curricular activity to enhance rural and inter-professional experiences of students who will become health professionals in the future. The Ministry of Public Health and the Ministry of Education may consider this activity to be policy for developing education of health professionals in the 21st century. However, systematic and continuous outcome evaluation of the activity is needed in order to develop a more beneficial and effective co-curriculum.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Transformative Learning for Community Nurse Production: A Case Study of Boromarajonani College of Nursing, Khon Kaen 
abstract:Although approximately 6,500 nurses graduate from over 80 nursing institutions each year, there
seems to be no end in sight to nursing staff shortage. This shortage is both in numbers and in terms of
essential skills to meet the complex needs of the community. In Khon Kaen province, public health care settings have also faced the nursing staff shortage problem, especially at health centers in the rural areas.
The health personnel data of Khon Kaen Provincial Office show that novice nurses prefer to work at the
hospitals more than at the health centers and the attrition rate of the nurses in all levels of health care
settings is high. To overcome the problem, the Community Nurse Production for Community and by
Community Project was launched in Nam Phong District in 2002. It was effectively run and sustained by
the collaboration of several organizations in the community. An evaluation revealed that the shortage was
decreasing while the retention rate was increasing. Thus, Khon Kaen Provincial Office, Khon Kaen Hospital,
readiness community hospitals and Boromarajonani College of Nursing, Khon Kaen agreed to expand
the project to produce 200 community nurses within seven years, from 2009-2015, to cover most areas of
Khon Kaen. After participating in the project, the college has adjusted teaching and learning activities of
both curricular and co-curricular activities by using integrated education approach to develop essential
knowledge and skills for community nursing students. Hence, it can be concluded that the Community
Nurse Production for Community and by Community Project has significantly transformed nursing education
and nursing workforce in Khon Kaen province.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Transformative Learning for Community Health Equity: the Preparation of Community Nurses by Community for community at Namphong and Ubolrat Hospitals, Khon Kaen Province 
abstract:Nursing shortage leads to health problems and health equity of people in rural areas of Thailand. Namphong and Ubolrat Hospitals are community hospitals in Khon Kaen province that used to have nursing shortage. Thus, they have integrated transformative learning to produce community nurses who can stay longer in community. They have collaborated with several stakeholders, such as sub-district administrative organization, Boromarajonani College of Nursing Khon Kaen and College of Asian Scholars to start çthe Community Nurse Production for Community and by Community Projecté. To enhance capability, newly qualified nurses have to participate in several activities, including: 1) learning community with experienced nursing mentor 2) training in “near home near heart” project, and 3) training in transformative learning for self reliance under a concept of the “Sufficient Economy and Sustainable Development Philosophy” of His Majesty King Bhumibol Adulyadej. The projects’ aim is to prepare newly graduated nurses to become change agents for self sufficiency and to live their life happily in their community.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Transforming Diabetes Self Management Education for living with Diabetes: A Story of How One Private Hospital Plays Bigger-Than-Itself Public Role 
abstract:Diabetes management is an essential strategy for better accessible to qualified health care services.
People with diabetes should have learned how they can live with diabetes by adjusting food intake, exercise,
medication regulation, monitoring blood sugar and interpretation. Theptarin Hospital is a role model
of public health that support people with diabetes for lifestyle modification through diabetes selfmanagement
education with varieties of activities of class, camp, and club. With public health concerns,
Theptarin Hospital builds partnership with the National Health Security Office and the Ministry of Public
Health to deliver diabetes case management and foot care education to nurses and physicians across
country. Family doctor should be a doctor who gives holistic care for a patient with diabetes. These
strategies propose that diabetes self-management education and multidisciplinary approach could prevent
complication and better diabetes control. Theptarin Hospital has developed a good practice of transformative
learning for better outcomes of diabetes management in Thailand.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Dental Prosthesis Utilization among Thai Ageing Population, Comparing 2009 with 2013 
abstract:This study is aimed at reviewing how elderly people in Thailand access to dental prosthesis service
comparing 2009 with 2013. Primary data was derived from two major household surveys conducted by
National Statistical Bureau in 2009 and 2013; health and welfare survey, and economic and social status
survey (n = 26,500 households in 2009 and 27,960 households in 2013). Extrapolation to total population
by weight was then calculated.
It was found that proportion of ageing population covered by health insurance in 2009 and 2013 was
97.3 and 97.9%, of which national health insurance scheme contributed 79.3% and 80.9% respectively.
Among them, dental health care utilization was low as 8.2-8.7%. Additionally, the percentage of accessing
to dental prosthesis services increased from 15.6% in 2009 to 15.8% in 2013. Most of the elderly (38.2-
40.3%) seeked dental prosthesis through private services. While a percentage of the omission of health
insurance scheme prevailed at 57.6 in 2009, reduced to 52.1 in 2013. On the other hand, utilization of
dental prosthesis among the elderly with high and low income in Bangkok and municipality areas in 2013
was found 2.8 times higher than the elderly with low income in rural areas. This viewed obviously the
inequity in access to dental prosthesis among elderly people in Thailand.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Raising Communities’ Positive Attitude and Awareness toward Fall Prevention in Elderly Population: An Embedded Mixed Methods Study 
abstract:Despite substantial evidence about the benefits of fall prevention interventions, they have not been
well incorporated into primary care practice. Raising community awareness and attitude toward fall prevention
program is one of the effective strategies to translate the program into practice. The elderly patients need to be aware of the potentially deteriorating effects of their chronic diseases and falling, and
are prepared to manage to reduce fall risk. Educating the elderly and their family on fall prevention by
using audiovisual media and involving community volunteers can be key to successful intervention. This
embedded mixed methods study aimed to compare attitudes and awareness on fall prevention among
community-dwelling elderly (n =144) and their family (n = 100) before and after an educational program
that employed audiovisual media and involved community volunteers. A pre-test/post-test only design,
with structured questionnaires measuring attitudes and awareness on fall prevention, was used for the
quantitative arm. Focus groups were used to interview three groups (ntotal = 38: n1 = 8, n2 = 15, n3 = 15), and
these interviews generated narratives regarding the educational program for the qualitative arm. Quantitative
results showed that the attitudes and awareness scores were statistically higher after the educational
program. Statistically significant areas included exercise and fall prevention. In summary, educating
the elderly and their family by using audiovisual media and involving community volunteers was
found to be one of the important steps toward translating fall prevention guideline to Thai’s community
successfully.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Distribution and Inequality of Registered Nurse Workforce in Thailand 
abstract:The distribution problem and inequality of nurse workforce adversely affect health services in terms
of effectiveness and operational efficiency in health system and also affect the quality of health services.
Nurse workforce should be investigated for solving these problems. This study aimed to investigate
geographical distributions of Thai nurse workforce and to estimate nurse workforce inequality in Thailand.
Those data were obtained from two data sources, Thai Nurses Cohort Study: Health and Working
Life and surveys and the database of the Ministry of Public Health during the year 2005 - 2009. We
analyzed data by frequency and percentage to reflect the distribution of nurse workforce and Gini coefficients
were used to estimate the inequality. The study found that the distribution of nurse during the year
2005 - 2009, the north-east region has the highest ratio of population per nurse (825.30 to 1009.38) while
Bangkok has the lowest ratio (240.19 to 430.70). The level of nurse workforce inequality ranged between
11.42-18.91% and the trend of Gini coefficients demonstrated that the situation of nurse workforce inequality
tends to decrease in the year 2009.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Relationship between Learning Organization Development of Nursing Department and Effectiveness of Patient Unit Perceived by Registered Nurses in Community Hospitals in Phranakhon Si Ayutthaya Province 
abstract:This research is descriptive study. The objectives are:- 1) to study learning organization development
level 2) to study effectiveness level 3) to study the relationship between learning organization
development of nursing department and effectiveness of patient unit perceived by registered nurses in community hospitals in Phranakhon Si Ayutthaya Province 4) to study problems and obstacles in the
process of their works. The studying populalion of 156 registered nurses in 14 community hospitals in
Phranakhon Si Ayutthaya Province were involved. Data was collected by questionnaires devised by researcher
and tested for content validity and reliability. Data collection was done in November 2013, and
percentage, mean, standard deviation and Pearson’s product moment correlation coefficient were used
for data analysis.
The result showed that the overall learning organization development of nursing department in
community hospitals in Phranakhon Si Ayutthaya Province was at moderate level (x = 3.27, SD = 0.60).
The overall effectiveness of patient unit perceived by registered nurses in community hospitals in
Phranakhon Si Ayutthaya was at moderate level (x = 3.44, SD = 0.51). There was a significant positive
relationship at high level between learning organization development of nursing department and effectiveness
of patient unit perceived by registered nurses (r = 0.748) at P = 0.01 level. Problem and obstacles
were personnel shortage (16%) and lack of staff morale (12.82%).
Suggestions from this research:- head nurses should learn or study more about human resource
development and try to develop learning capacity of each personnel, promote team to participate in policy
development process, and provide other essential factors for organization development.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Health Problems and Health Care Behaviors Among Registered Nurses in Thailand 
abstract:This study was aimed to compare health problems and health care behaviors between clinical nurses
and non-clinical nurses. This study used secondary data from Health and Working Life of Thai Nurses
Project that collected data from registered nurses who hold nursing licenses granted by the Thai Nursing
and Midwifery Council during 2002-2009. Data were analyzed using descriptive analysis with frequency,
percent, mean and standard deviation and using Chi-Square test for comparison.
Results: Total of 18,763 registered nurses includes 15,773 of clinical nurses (84.1%) and 2,992 of nonclinical
nurses (15.9%). Musculoskeletal diseases were the most common health problem in both clinical
and non-clinical nurses, 47.8% of clinical nurses and 53.7% of non-clinical nurses, followed by dyslipidemia,
hypertension and viral hepatitis. Clinical nurses experienced insomnia and job strain higher than nonclinical
nurses. In terms of health care behaviors, findings revealed that both clinical and non-clinical
nurses had awareness to get regular checkup. The non-clinical nurses preferred to visit medical specialist
more often than the clinical nurses, but used prescription drugs less often than clinical nurses.