plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Seamless and Integrated Emergency Medical Services System for Mental Health Crisis Patients in Thailand 
abstract:Currently, there has been an increasing number of psychiatric patients. From 1 in 5 people in the country to have mental health problems, Thailand has 14.3% or 7 million psychiatric patients at risk of mental health crisis with a chance of inflicting self-harm or violent behaviors towards people and surrounding property. The present research aimed to implement a seamless locally integrated emergency medical service system for emergency mental health crisis patients, monitor, evaluate, and provide policy recommendations. The mixed methods research comprised quantitative and qualitative analysis. The sample group is a multidisciplinary stakeholder in the field of “Emergency Medical Service Systems for Locally Integrated Emergency Mental Health Patients”. The research is conducted in 12 provinces distributed across Health Region 1-12 using a purposive sampling. The tool consisted of a knowledge set, risk evaluation survey, warning sign knowledge assessment form, and questions for the group discussion. The data were analyzed with descriptive statistics and content analysis. The results showed that 1,858 risk groups in 12 pilot sub-districts were mostly male (76.7%), aged 21-50 years (71.4%), with a history of intermittent treatment for psychiatric disorders (43.8%). From these 2,099 relatives/caregivers, most had good understanding on “warning symptoms and requests for help for emergency mental health patients”. As for the self-management community system, most pilot areas had working guidelines before, during, and post treatment, especially on organizing a response team to assess and mitigate before external teams enter the scene. This is connected to the local police unit in conjunction with the initial emergency operations to bring the health service system to the appropriate destination hospital. As an outcome, patients with mental health crises have faster and more access to emergency medical services. In addition, there were no reports of injuries to patients, officer or surrounding people as well as being able to extend the results through the service plan of the Mental Health and Substance Abuse. The impact for the expected effects, those at risk of mental health crisis can access the health system quickly and appropriately, reducing complications and preventable dangers. In addition, it is expected that the community become more self-reliant, increase in health literacy in promoting, preventing, and providing basic assistance for mental health crisis situation, as well as having established integrated guidelines for the health service system including prevention, pre-hospital care, in-hospital care and inter-facility transfer seamlessly.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Clinical Characteristics of Diabetes Diagnosed Age before 30 Years in Thailand 
abstract:Currently, there is no epidemiological study of diabetes diagnosed before the age of 30 in Thailand. The aim of this study was to determine type of diabetes and clinical characteristics of Thai diabetic patients diagnosed before age 30 years. Six hundred and forty-six patients were enrolled from 31 network hospitals in Thailand between August 2018 to December 2021. Type 1 diabetes was identified in 63.6% of patients, type 2 diabetes in 19.8%, and other specific types of diabetes in 16.6%. For type 1 diabetes patients, the median age at diagnosis was 11 years and presentation with diabetic ketoacidosis (DKA) was common (45%). The average glycated hemoglobin (HbA1c) at diagnosis was 9.9%. For type 2 diabetes patients, the median age at diagnosis was 18 years and the presentation of DKA was 4.7%. The average HbA1c at diagnosis was 10.9%. In conclusion, type 1 diabetes was more common in diabetes diagnosed before age 30 years and DKA was frequent. The prevalence of type 2 diabetes increased with age and HbA1c increased during adolescence. This study can be used as reference and may lead to applicable public health policies related to diagnosis, treatment, and prevention of diabetes in young people in Thailand as well.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Prevalence of Diagnosed and Undiagnosed Obesity and Complications Found in Electronic Medical Record Database of a University Hospital 
abstract:At present, it is apparent that the incidence of obesity keeps increasing. It has also been discovered that there is a strong positive correlation between body mass index and the prevalence of chronic diseases. However, there are still many undiagnosed obesity patients. Therefore, the present research aimed to determine the prevalence of obesity in terms of underdiagnosed cases and chronic diseases in all obese patients from the Prince of Songkla University Hospital information system. This study employed a cross-sectional descriptive approach. We gathered data of all outpatients older than 18 years, excluding pregnancy cases. Data collection was taken from the hospital information system between 1 January 2016 and 31 December 2020. From 327,300 patients, a total of 135,112 patients were included in the study and 35.6% of patients met the Asia Pacific criteria for obesity (BMI ≥ 25 km/m2), but only 15.9% of them were given a diagnosis of obesity using Asia. The prevalence of 3 chronic conditions in obese patients was 21.3% for hypertension, 12.3% for type 2 diabetes mellitus, and 32.4% for dyslipidemia. Moreover, 9.5% of patients met the World Health Organization criteria for obesity (BMI ≥ 30 kg/m2), but only 33.5% of them were given a diagnosis of obesity. The prevalence of 3 chronic conditions in obese patients was 16.3% for hypertension, 18.8% for type 2 diabetes mellitus, and 11.3% for dyslipidemia. This present study showed that despite having a BMI exceeding the threshold for obesity, many people are still not given a diagnosis of obesity. Moreover, the prevalence of hypertension, type 2 diabetes mellitus, and dyslipidemia found among obese patients were lower than research in western countries.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Exploring Hospital Resources in Providing Continuous Renal Replacement Therapy 
abstract:Background: Acute kidney injury can occur from many reasons. As a result, the body cannot excrete wastes from the body. In Thailand, the number of acute kidney injury patients accessing renal replacement therapy show a decreasing trend with two potential assumptions: true reduction in the number of patients; or inaccessible to the treatment. There are no measures from relevant agencies to address this problem, in addition to different service systems even in the same service providers. Moreover, the reimbursement for continuous renal replacement therapy (CRRT) does not reflect the actual cost of the service. Objective: The objective of this study was to survey the hospital resources for providing CRRT in Thailand. Methods: The study used data from a document review and secondary data from a previous study in Thailand including distribution of hospitals, medical personnel training information and characteristics of patients receiving services. A questionnaire survey on CRRT services in 280 public and private hospitals registered to the National Health Security System in the fiscal year 2020 was undertaken. Results: The survey revealed that hospitals were capable of providing CRRT services to more patients if the reimbursement to hospital increased to an average of 25,563 baht per patient. Given the appropriate reimbursement rates for CRRT services, 88% of the hospitals could provide services to more number of patients with acute kidney injury in critical periods, leading to greater access to CRRT.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Cost Analysis of Outpatient Services for Hypertension, Heart Attack, and Stroke among Older Adults in Community Hospitals in Thailand 
abstract:The purpose of this study was to estimate the cost of outpatient care for older patients with a primary diagnosis of hypertension, heart attack, and stroke at community hospitals in Thailand. This cross-sectional study used cost information in 2014 from four community hospitals. The hospital cost information consisted of service data, hospital statistics, and financial reports. We used the International Classification of Diseases (ICD-10), the 10th revision coding system to identify hypertension, heart attack, and stroke. Traditional cost and the cost to charge ratio methods were used to estimate average cost per visit and cost per person-year. Inflation rate was used to report the average cost in 2021. Overall, the major costs were for labor (53%), followed by material (42%), and capital (6%). The unit cost per visit for older outpatients in 2014 was between 447-688 THB for hypertension (531-817 THB in 2021), 634-1,171 THB for heart attack (753-1,392 THB in 2021), and 611-1,238 THB for stroke (726-1,470 THB in 2021). Our cost analysis used actual cost data, which provided useful information for budgetary planning and management for outpatient care among older adults with a primary diagnosis of hypertension, heart attack, and stroke.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Cost of Health Service Model for COVID-19 Inpatient Care in Thailand: A Case Study of 5 Hospitals 
abstract:This research aimed to study the cost of health service model for COVID-19 inpatient care that hospitals provided according to the level of inpatient’s condition. The data were from a 5-hospitals case study in Thailand, employing a standardized top-down cost analysis and the micro-costing method based on provider perspective. Three regional and two general hospitals participated by providing hospital data of the fiscal year 2021. There were 7 health service models under study: 1) cohort ward 2) intensive care unit-cohort ward 3) hospitel 4) field hospital 5) field hospital for prisoners 6) home isolation and 7) community isolation. The average cost of treating COVID-19 patients was 31,342 baht per case for the average length of stay (aLOS) of 10.9 days. The cost at the ICU-cohort ward was the highest at 187,257 baht per case, followed by the cost at the cohort ward at 62,033 baht per case and the lowest cost at community isolation at 4,532 baht per case. For COVID-19 patients who experienced more than one service models due to clinical condition change, the average total cost was 91,568 baht per case for aLOS of 11.0 days for those cared in community then moved to hospital; and 149,844 baht per case with aLOS of 12.1 days for those cared in cohort ward then moved to ICU-cohort ward. The results of this study demonstrating different resource uses by service models could be used to evaluate the amount of COVID-19 budgets that health insurance funds made available and paid for service delivery of the hospital compared to the actual cost by service model.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Field Hospital Administrative System in COVID-19 Situation: A Case Study of Budsarakhum Hospital 
abstract:Budsarakhum Hospital was a large field hospital specialized in providing temporary care for COVID-19 patients. The research objectives were to describe the current situation, problems, constraints, and administrative strategies of Budsarakhum Hospital and to develop policy recommendations for field hospital administrative systems. This is qualitative research and documentary review with a purposive sampling on directors of field hospitals from public and private sectors; emergency medical specialists; administrators and health care providers; including patients who were admitted to Budsarakhum Hospital. Data were collected from participants through in-depth interview and analyzed using the content analysis. Results: 1) From literature review and interviews with experts, administrative system of Budsarakhum Hospital was compliant to administrative model of field hospital for COVID-19, in the scope of input, process and output. However, the emergency human resource mobilization and outcome monitoring were unclear. 2) Problems, constraints, including hospital administrative strategies were identified on hospital structure, extra-organizational communications, risk management, infection control, personnel recruitment and stress management, medical record system, handling of medical materials/devices, admission process, clinical care, patient referral system, and outcome monitoring. 3) Policy recommendations on administrative system of field hospital focused on the information for the public, private, and people sectors to prepare themselves to deal with the epidemic particularly field hospital administrative system if facing future crises.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Proposal of House Dust Mite Sublingual Immunotherapy Compared with Subcutaneous Immunotherapy for Treating Allergic Rhinitis with and without Asthma in the COVID-19 Pandemic 
abstract:The COVID-19 outbreak greatly disrupted healthcare systems and made it more difficult for patients to access treatment, ultimately affecting the quality of life of patients and society. This paper highlighted the issues and importance of policy management and examined the financial cost and social benefits of treating allergic rhinitis and allergic asthma caused by house dust mites (HDM) amid an outbreak of COVID-19. A comparative analysis was executed between HDM sublingual immunotherapy (SLIT) as an intervention and subcutaneous immunotherapy (SCIT) as a comparator. It was found that HDM SLIT provided a better return on investment from the perspective of society during the COVID-19 pandemic in 2021 than HDM SCIT. The benefit to cost (B/C) ratio of the HDM SLIT to HDM SCIT was 1.72 and likely to be less than 1.00, respectively, which were statistically different. Policymakers could use these results to establish strategies for treating allergic rhinitis with and without asthma by choosing between HDM SLIT and SCIT, particularly during the pandemic.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Mapping, Monitoring, and Assessing Impacts from Air Pollution from Coal-fired Power Plant on Community Health and Quality of Life in Nan Province 
abstract:This research developed tools and data systems to collect field data and evidence for monitoring health and vocational impacts from transboundary air pollution from a coalfired power plant in Lao on laypeople in 8 villages in Huai Kon subdistrict and Khun Nan subdistrict, Chaloem Phra Kiat district, Nan province. This research applied the principle of community citizen science (CCS), starting from formulating research questions to address the community’s concerns and negative direct experience potentially caused by transboundary air pollution. Next, these concerns and experience were used to design relevant environmental indicators for field monitoring to verify the association between community’s concerns and transboundary air pollution. Next, air pollution dispersion and deposition models were used to create risk maps illustrating health risk from PM2.5 and PM10, agricultural land degradation risk from acid deposition from SO2 and NO2 , and child’s IQ development risk from consumption of Hg-elevated fish, all of which are caused by major transboundary air pollutants from a coal-fired power plant. These risk maps helped us identify risky areas and receptors as well as environmental indicators to prove the effects from these pollutants. Low-cost air pollution sensors, soil acidity, Hg in fish and human hair were assessed. We found that every village except Ban Dan village started to get impacts from acid deposition already as confirmed by acidic soil pH in every village from pH 4.20 to 5.09 much lower than natural, non-acidic soil with pH of 5.5. Also, Huai-kon, Nam-ree, Kewchan, and Sop-Puen villages were likely affected from transboundary Hg already because Hg in fish was relatively high (0.16 mg/kg) even though this is still lower than the acceptable level (0.3 mg/kg), but Hg in hair of women in the area with elevated Hg in fish was abnormally high in comparison to normal Thai people. We roughly estimated the health and vocational cost from transboundary Hg and acid deposition to be around 975 million THB in 30 years. This serious problem should be properly managed using CCS to establish a database which reflects actual current and future impacts from transboundary air pollution. Moreover, the owner of the coal-fired power plant should join force with this CCS effort to design prevention, mitigation, and compensation measures. A risk management fund of 1,000 million THB should be established together with a clear protocol to use this fund for community in the fairest and the most community-engaging manner.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: A Study of International Pharmaceutical Management Patterns and Assess the Possibility of Establishing a National Pharmaceutical Management Model in Thailand 
abstract:An integration of pharmaceutical management, under limited budget, for sustainability and security of national supply would lead to equity in accessibility. The objectives of this study were 1) to explore the international pharmaceutical management patterns at the national levels 2) to analyze current Thai pharmaceutical management system to find gaps and opportunities to improve 3) to propose policy options for Thai national pharmaceutical management system. The qualitative method was employed to present descriptive and analytical information from primary and secondary data. The population and samples were organizations related to national pharmaceutical management in Thailand and abroad. Data were collected by documentation search, interview in-depth, and focus group discussion. Analysis of qualitative data was performed by the content analysis. The results comprise of 3 parts: 1) international pharmaceutical management patterns at the national levels of Singapore, England, Taiwan, PHARMAC of New Zealand and Thailand. 2) comparative analysis of Thai pharmaceutical management patterns and abroad in 6 dimensions as: Entry points, Horizon scanning, Health technology reassessment, Procurement/Negotiation method, Monitoring and evaluation. 3) propose the appropriate pharmaceutical management system for Thailand. Finally. the policy proposal to deal with stakeholders’ 3 pain points (national medium price, information system, and procurement regulations and laws) was presented.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: A Study of Duties and Powers of the Phitsanulok Provincial Administrative Organization on the Adopt of the Sub-District Health Promoting Hospital, a Case Study for Making Recommendations for Legal Reform and Amending the Relevant Provisions 
abstract:The objective of this study was to determine the duties and powers of Phitsanulok Provincial Administrative Organization regarding jurisdiction of sub-district health stations. Attention was focused on rules and regulations relevant to the transfer of control over sub-district health stations in the province. Solutions were proposed on how to amend rules and subordinate legislations conducive to efficient transfer of operation of those health stations. Special attention was paid to promoting the healthcare system. The final outcomes were 27 recommendations for national and local policy and measures necessary for public health law reform, especially the operation of universal health coverage scheme. Analyses were carried out on duties and powers of a given provincial administrative organization in dealing with transferring of parts of its missions. Relevant laws, rules and regulations, and subordinate legislations required to achieve any transfer of its mission were also analyzed. Also included were announcements made by the Decentralization Committee, standard operating procedures in managing manpower, budgeting, materiel, and office space. Relevant management systems analyzed included information, drug and medical supplies, patient referral, cooperation and coordination of local and central administrative bodies, and collaboration among primary healthcare units in each province. In short, research findings included a lack of urgent measures to ensure implementation of relevant laws and guidelines provided by the Decentralization Committee. Consequently, problems and issues, and misunderstanding among relevant workers in the field, particularly in the public health sector and provincial administrative organization. Dealing with these issues in a timely manner could potentially lead to reform and improvement of the system by implementing recommendations from this study.
location: nan, 'Thailand 
year: 2023 source: HSRI 
title: Performance Evaluation of Latent Tuberculosis Infection Diagnostic Test from Whole Blood: QuantiFERON-TB Gold Plus and QIAreach QuantiFERON-TB 
abstract:Diagnosis and proper management of latent tuberculosis infection (LTBI) are important components in reducing the number of patients and deaths from tuberculosis (TB). The diagnosis of LTBI using the interferon-gamma release assays (IGRAs) to detect interferon-gamma in bloods sample has advantages over the tuberculin skin test (TST), but the currently used test kits are expensive and require enzyme-linked immunosorbent assay (ELISA), making it complicate and unsuitable for a district or provincial laboratory use. The QIAreach QuantiFERON-TB (QIAREACH-TB) is a novel blood-based test that uses lateral flow immunoassay (LFA) and digital fluorescence signal measurement to detect interferon-gamma. This study aimed to evaluate the QIAREACH-TB for the diagnosis of LTBI using a whole-blood sample compared to the QuantiFERON-TB Gold Plus (QFT-Plus). Blood samples were collected from 154 healthcare workers (HCWs) and tested for LTBI using the QFT-Plus and QIAREACH-TB. The results showed that the overall percentage agreement (OPA; accuracy) between the QIAREACH-TB and QFT-Plus was 93.46% (95% confidence interval [95% CI]: 88.31-96.82), the positive percent agreement (PPA; sensitivity) was 88.46% (95% CI: 69.85-97.55), and the negative percent agreement (NPA; specificity) was 94.49% (95% CI: 88.97-97.76). In conclusion, the QIAREACH-TB has high agreements with the QFT-Plus, but requires fewer laboratory resources and does not require ELISA, thus making it allows for the expansion of efforts to detect individuals with LTBI following the national TB control strategy.