plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Health Care Utilization of Thai People Who Had No or Were Not Aware of Health Insurance 
abstract:This study analyzed health care utilization of Thai people who did not have or were not aware of health insurance, using data from Health and Welfare Survey 2015. Demographic, socio-economic characteristics plus utilization patterns of outpatient (OP) and inpatient (IP) services were analyzed. Out of pocket payment was reported as the median amount. The results showed that 1.49% of Thai population neither had health insurance nor knew their status. Majority (38%) lived in Bangkok while 17% and 12% lived in Health Region 5 and 6, respectively. Approximately 51% were male and aged 30 years on average. Sixty-five percent completed up to the primary schools and 41% were private employees. With respect to economic gradients as measured by household asset index, the poorest quintile had a greater proportion of the primary school graduates and private employees than the rest. Of all Thai population, ten percent reported having non-hospitalized illnesses (outpatient, OP) during one month and mainly received care at private hospitals (37%) and clinics followed by drug stores or traditional healers, and public hospitals. Median paid amounts for the above OP services were 350, 80, and 2,300 baht per visit, respectively. The poorest quintile used drug stores in the largest proportion, followed by private and public facilities, and paid for a visit of 80, 300, and 200 baht, respectively. The richest quintile used private facilities the most, followed by public facilities, and drug stores. There were only four percent reporting being hospitalized during the past year, which was not different across economic quintiles. Approximately, 70% of those hospitalized were admitted to public hospitals. All people in the poorest quintile were hospitalized in the public hospitals and paid 8,000 baht per admission, while 69% of the richest quintile were hospitalized in the private hospitals and paid 40,000 baht per admission. To mitigate financial risks to health payments by households, especially among the poor, and strategies for identifying the Thai population who did not get access to the UCS registration are thekey priority issues, especially in the urban areas and big cities.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Holistic and Humanized Health Care: A Case Study of HIV/AIDS Patients at Bamrasnaradura Infectious Diseases Institute 
abstract:Holistic and humanized health care is an essential guideline for health care personnel. The modern medicine that focuses on only biological aspect is not adequate and has neglected the psychosocial and spiritual aspects. The clients may feel that their self-esteem and dignity have been decreased especially for people living with HIV/AIDS (PLWHA) suffering from society’s stigma and discrimination. This article illustrates the experiences of holistic and humanized health care for PLWHA provided by Bamrasnaradura Infectious Diseases Institute. This institute has been providing care for PLWHA since the early period of HIV infection and has continually improved its services to be recognized nationally and internationally. This article also displays evidence to confirm that holistic and humanized health care has yielded excellent outcomes for the clients, health care providers, and health service systems. However, implementing this concept systematically and broadly remains challenging for health care personnel and health service systems of Thailand.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Utilization and Unmet Healthcare Need for Outpatient and Inpatient Services of Population Living in Bangkok Metropolitan in 2015 
abstract:An achievement of the Universal Health Coverage since 2002 has increased an access in health care utilization of the Thai population. However, populations in Bangkok tend to have an access problem. Basic structure of health service system in Bangkok is different from other regions. This study aims to analyze healthcare utilization and unmet health need both in outpatient (OP) and inpatient (IP) services of population in Bangkok. This is a descriptive study. The 2015 Health and Welfare Survey provided a sample of 5,893 individual persons living in Bangkok for data analysis. Majority of population in Bangkok were covered by the Universal Coverage Scheme (UC) (47.9%) and Social Security Scheme (33.8%). 64.2% of population under UC were in age group 15-60 years, however, 35.8% of them did not work and 18.8% of them were in the poorest quintile. For the OP illnesses, 35.2% of the UC had self-care, mostly by purchasing medication from drug stores. When seeking care at the public hospitals, the UC poorest quintile paid out of pocket disproportionately higher (24%) than patients of other quintiles, with the median amount 1,500 baht higher than the richer quintiles. For IP services, majority of the UC (71.1%) admitted to public hospitals. 32.5% of the poorest quintile had to pay out of pocket for the service with median amount 2,000 baht. Among UC respondents, unmet health need for services was 7.4% for OP and 1.3% for IP, higher than other schemes. The main reasons of the unmet health need for IP services among the UC were unaffordability, inconvenience in travelling, and time barrier (34.6%, 22.3%, and 13.9%, respectively) In Bangkok Metropolitan Area, public hospitals should facilitate an easy access to health services for the UC beneficiaries who had relatively low socio-economic status. This would help mitigate the unmet health need caused by financial hardship due to health payments.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Factors Related with Oral Health Behavior Regarding PRECEDE Framework among Students in Grade Nine, Maesai District, Chiang Rai Province 
abstract:Caries and gingivitis are major and chronic problems in dental public health especially among adolescence. In particular junior high school students, they lack continuous oral health care. The present study adopts PRECEDE model as a study’s framework to determine association of predisposing, reinforcing, and enabling factors with oral health promotion behavior in ninth graders. The study was a cross-sectional analytical design. The population was ninth graders who lived in Maesai district, Chiang Rai province during academic year of 2015. Sample size was estimated by proportion of factor. Three hundred and seventy-five students were simple randomly selected from 13 schools in Maesai district. The study instrument was a questionnaire asking general information, enabling factors, predisposing factors, reinforcing factors, and oral health behavior. Data analyses were performed using descriptive statistics, chi-square, Pearson’s correlation for univariate, and multivariate ordinal logistic regressions were used to analyze adjusted effects of independent factors. Data were presented using Pearson’s correlation coefficient, adjusted odds ratio and 95% confidence interval. The results revealed that parent’s education had significant association with oral health behaviors. Correlation analyses found that knowledge had a significant inverse correlation with oral behavior (r=-0.164, p=0.001). While attitude, values, and enabling factors had significant positive correlations with oral health behavior (r=0.119, p=0.021; r=0.152, p=0.003; and r=0.392, p<0.001 respectively). By multivariate analysis, fac¬tors that positively affected on oral health behavior were the opportunity expansion school with the highest education of grade 9 (adj. OR 1.70; 95%CI 1.12-2.57, p=0.012), parent with graduate degree compared to those with no/primary school education (adj. OR 2.58; 95%CI 1.19-5.59, p=0.016), value of food consumption (adj. OR1.32; 95%CI 1.04-1.68), and enabling factors (adj. OR 1.60; 95%CI 1.25- 2.05). But knowledge negatively affected on behavior (adj. OR 0.60; 95%CI 0.43-0.82). These findings will facilitate planning and guidance for dentistry personnel in changing oral health behaviors among grade 9 students.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Effectiveness of Nutrition Information Provision on Food Consumption Behavior among Undergraduate Students in Urban Areas 
abstract:The objective of this study is to evaluate the effectiveness of the provision of nutrition informa¬tion on food consumption behavior. Field experiments were conducted on undergraduate students from three universities. The total number of research participants was 375 undergraduate students. Each participant was randomly selected to answer one of 12 possible questionnaires, each with a different set of nutrition information. They were subsequently provided with a meal of their choice. At each university, the experiment was conducted twice, within a one-week interval. Mean differences and regression analyses based on an ordinary least squares (OLS) technique were used. The results show that the provision of calorie information for each item on the menu and the provision of information on daily recommended caloric intake did not have an impact on food consumption behavior. Nevertheless, the selection of dishes into a recommended menu had an effect. Participants who answered questionnaires with healthy recommended dishes were more likely to choose a meal that contained lower calories by 73.97-105.4 Kcal, compared to those who were assigned with a menu highlighting unhealthy recommended dishes. However, the effect was found only in the first week and dissipated by the second week. The implication is that featuring a healthy recommended menu may have only a contemporaneous effect on food consumption.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Food Consumption Behaviors among Different Groups of Thai Population: Do Demographic, Socio-Economic, and Health Status Matter? 
abstract:An unhealthy diet is a major risk factor of obesity and non-communicable diseases (NCDs). The diet-related health problems are increasing continually in Thailand. This study aimed to assess the association between dietary patterns of Thai adults (15 years old and above) and their demographic, socio-economic and health status. In this study, the dietary patterns asked on daily consumption of sugar-sweetened beverages (SSBs), and adequate intake of fruits and vegetables (FVs) at least 4 ladles and above per day. The data, obtained from the 2015 National Health and Welfare Survey, were ana¬lyzed using descriptive data analysis and multiple logistic regression. The results show that Thai adults aged 15-24 years old were more likely to drink SSBs and to consume less than 4 ladles a day of FVs compared to other age groups. Government/state and private employees were more likely to drink SSBs every day than the business owners. Compared to the poorest, people with higher economic status were more likely to drink SSBs daily. The findings suggest that nutrition policy should focus in¬tensively on high risk groups including students, government/state and private employees and people with high ability to pay for SSBs. Potential interventions include a comprehensive nutrition promotion program in and around education institutions as well as in workplace. Pricing and taxation and social marketing campaign are also the promising strategies to promote the consumption of healthy diet among Thai population.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Labor Price Index for Physicians in Thailand 
abstract:This research aimed to formulate and develop the labor price index (LPI) for physicians in Thailand in both public and private health service sectors. LPI was developed and used extensively in the US, Australia, New Zealand and Canada to enable the monitoring of labor cost in the healthcare market and planning wage policies in public and private sectors. However, LPI is new and has not been comprehensively studied and developed in Thailand. Physician compensation in this study included salaries and benefit or welfare. The total physician compensation in public and private hospitals was estimated from the annual budget and the survey by the National Statistical Office (NSO). The weight was calculated by the ratio of share for labor expenditure in a base year. The LPIs of 2008 to 2011 were calculated. The Laspeyres LPI was used in this study, and LPI of 2010 was defined as the base year. It was found that between 2008 and 2011, the average of physician compensation in private hospitals was higher than public hospitals. On the contrary, the average growth rate of physician compensation in public hospitals was higher than private hospitals. The results showed that the LPI of public hospitals increased approximately 1.5-1.6% annually while the LPI of private hospitals declined approximately 1.4-1.5%. This study recommended that surveys to represent physician populations should be undertaken. Moreover, LPIs for other professional groups such as nurses, dentists, pharmacists, other medical workers working at back offices should also be studied.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: The Healthy Public Policy Process for Trang Provincial Driven Tobacco Control 
abstract:This study is a mixed methods research between quantitative and qualitative research focusing on action that aimed to develop a Trang province tobacco control model by using healthy public pol¬icy concept. Purposive sampling was employed to recruit the target groups including: 1) 50 leaders of the central and local government and people sectors, and 2) 120 cigarette sellers and 120 restaurant owners; 240 persons, altogether. The operation comprised two phases: preparation phase and the 5 steps of healthy public policy process phase (as agenda setting, policy formulation, decision-making, policy implementation and policy evaluation). Data were collected by the survey, group discussions, and in-depth interviews, and analyzed by descriptive statistics for quantitative data, and by content and thematic analysis for qualitative data. The results showed that the model of driving public policy to tobacco control of Trang province consisted of 1) provincial network coordination, 2) team estab¬lishment, 3) exploration on the tobacco control awareness of the people, 4) the establishment of tobacco control measures in the province, 5) driving tobacco control measures into practice, as 5.1) measures to understand the law: focusing on the outreach campaign at the provincial and district levels to inform the effects of smoking in all media accessible to the public (such as location-based, radio campaigns, posters and leaflets, and 5.2) non-smoking enforcement measures: starting from government offices and expanding to public areas (such as markets, bus stations, and parks), and 6) performance evaluation. The research found the increases in the perception of non-smoking law enforcement in the restaurant without air condition, hospitals and health care services, other gov¬ernment offices and fresh markets (21.16%, 19.71%, 15.39%, and 15.16%, respectively). The cigarette sellers were more aware of the cigarette/tobacco vending law that selling cigarette to those under 18 years of age is illegal, and displaying cigarettes in the window even without seeing brands also consid-ered advertising (4.11% and 3.7%). The key success factors were identified: 1) having a non-smoking leader (the governor of Trang province himself) 2) having a dedicated and capable team to coordinate the network and 3) having a variety of communication channels. Therefore, the provincial tobacco control model requires strong public communication management to empower network partners to participate in the public policy process and to develop people to be an active citizen and care for the health and well-being of the society.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Development of Environmental Management Model by the Aging people in rural areas in Thailand 
abstract:This study aims to study environmental management in household and community by elderly people and by local administrative organization (LAOs) in rural areas of Thailand, to synthesize model for the environmental management and then to assess the model. Questionnaires with four hundreds elderly people and one hundred local administrative organization and a survey of eight case studies in environmental management for elderly people from local administrative organization were used to gather data. Interviews to experts on elderly people and environmental management were also carried out.Data was analyzed in order to find out model for environmental management for elderly people.
The results showed that LAOs have allocated resources for environmental management for elderly people at high level and provided facilities for elderly people at moderate level. While, LAOs have law enforcement, measures, plans to support environment management for elderly people at moderate level. The influencing factor for enhancing quality of life of elderly people is to be a volunteer.The results from questionnaires of elderly people indicated that municipal waste, natural disasters, floods, droughts, landsides, soil subsidence and storm are major environmental and natural resource problems in community. More than half of the elderly people resemble a residential two-floor detached house, which have bed bathroom, toilet bowl and seat and handrail. There is no device or place for recreation activities for elderly people. According to elderly quality of life, they have problems about uncertain incomes. From the results mentioned above, a manual for environmental management for elderly people in rural areas is composed of 1) energy
management, 2) water management, 3) waste management in households and 4) local wisdom in organic agriculture. The manual was tested to five communities and it was found that LAOs have issued policy in environmental management especially waste management. Assessment of the model for environmental management for elderly people
in rural areas of Thailand by using the manual showed that LAOs in each rural area
have clearly issued in environmental development strategies and have carried out
projects and activities for improving quality of life of elderly people to support environmental management in the community for example the waste bank project,
the municipal waste management campaign project and the increase forest areas in
community project.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Peritoneal Dialysis Patients Care: Treatment, Surveillance, and Prevention of Peritoneal Dialysis-Related Infection Using Evidence-Based 
abstract:Background and significance: Peritoneal dialysis (PD)-related peritonitis is a common serious complication among PD patients leading to technical failure and a significant cause of morbidity, mortality, and healthcare costs. For the treatment of peritoneal dialysis (PD)-relatedperitonitis, intraperitoneal (IP) administration of antimicrobial agents is recommended due to its higher concentrations at the target site and more success compare to intravenous administration. Besides, prevention strategies of PD-related infection are still unclear. This research programs consists of three research topics. Objectives: 1) To (1) systematically review and meta-analyses the effectiveness of different empirical treatment options for PD-related peritonitis and (2) to examine the temporal trends, potential predictors, microbiological pattern with antimicrobial susceptibility rates, treatment patterns, and clinical outcomes of PD-related peritonitis. 2) To (1) systematically review bundles all published stability and compatibility of data on IP administration of antimicrobial agents via PD solutions and (2) to investigate the physical and chemical stability of selected antimicrobial namely: imipenem, meropenem, ertapenem, cefazolin/ceftazidime, and cefoperazone/sulbactam in 6 type of commercial PD solutions with polyvinyl chloride container that available in Thailand (Extraneal®, Dianeal® PD2: 1.36%, 2.27%, and Dianeal® Low calcium: 1.36%, 2.27%, 3.86%) at different temperatures for various time points. 3) To compare effectiveness, safety, and cost-utility of chlorhexidine gluconate (CHG)-soaked cloths to mupirocin ointment and exit site usual care (normal saline) with aseptic technique in prevention of PD-related infection. Conclusions: In contemporary review, evidence of antimicrobial for treatment of PD-related peritonitis is limited. No specific antimicrobial in terms of route, dose, schedules, and optimal antimicrobial agent or regimen appear to have superior efficacy for treatment of PD-related peritonitis. There was a downward trend in PD-related peritonitis incidence over this past 10 years to 0.39 episode per patient-years. Causative organisms for peritonitis of gram positive bacteria decreased, but gram negative bacteria increased over time. In daily practice, a combination of cefazolin and ceftazidime is suitable for mixed with icodextrin-based and glucose-based PD solutions at least 24 hours at body temperature. Carbapenems group appear insuitable for IP administration. Likewise, to concern the degradation products, a combination of cefoperazone with sulbactam should not be mixed with PD solutions. In addition, the study to compare effectiveness, safety, and cost-utility of chlorhexidine gluconate (CHG)-soaked cloths to mupirocin ointment and exit site usual care (normal saline) with aseptic technique in prevention of PD-related infection is ongoing to the second year.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Healthy Happy Kids Mobile Application (Year 2) 
abstract:Childhood is an important age for growth and continuing development. A child is more
likely to reach their full potential if they recieved adequate care. The care giver has a crucial role in raising, delveloping and making sure the child receives adequate care and health supervision to enable the child to be healthy so that they become our country's future asset . Mobile applications are becoming more popular with increase usage at affordable prices. We developed a mobile application (KhunLook Mobile Application) as a platform for parents, caregivers and health care providers. It can keep health and immunization records, eases basic child health supervision assessment, developmental screening and enables notifications. It contains health supervision and anticipatory guidance information from creditable sources made readily accessible to its users in Thai language. The information can be accessed from smartphones, tablets or computers and supports numerous and a wide range of users. It also has a back up feature and can be easily updated when health care information and child health supervision guidelines are revised KhunLook Mobile Application is easy to use and enables parents to initially assess their child’s health parameters. It is distinctive for it’s mobile and back-up features; it supports up to date health care knowledge and is scalable. There was no statistically significant difference between the agreement of parent-physician assessment of their child’s health status by using KhunLook Mobile Application or the Maternal and Child Book. KhunLook Mobile Application received higher overall scores than the Maternal and Child Book; the difference was statistically significant in all subject groups. KhunLook Mobile Application benefits parents, caregivers and health care professionals. For maximal potential it should be ongoing studies, it should be endorsed and supported for more user coverage and sustainable future development.