plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Evaluation of the labor unit system development of Srithat hospital, Udon Thani province 
abstract:This evaluation research was aimed at assessing the results of service system development of the Labor Unit of Srithat Hospital, Udon Thani, and its problems and providing a basis for making recommendations for the further development of the Labor Unit.
The qualitative data were obtained from relevant document reviews, in-depth interviews,
participatory and non-participatory observations, from October 1, 2007 to February 29, 2008. It was revealed that the Labor Unit had improved its service system in both process
and outcome as follows: (1) Capacity-building. The administrators assigned multidisciplinary staff members to the Labor Unit.  A staff member visited Kumpawapee Hospital, the model hospital, to gain insight into the Labor Unit’s service system development.
The Unit organized training for staff to improve the quality of care for pre-labor, labor,
post partum, newborn, discharge plan and special equipment applications; (2) Facility
improvement. There was also structural development in that the pre-labor attending room
was separated from the Inpatient and Emergency Units. Essential equipment was procured and allocated to the unit; (3) Process improvement. Three service practice guidelines were developed by the multidisciplinary team to ensure good quality of care for
both normal and high-risk labor. The three practice guidelines were (a) care map for intra-partum and immediate post-partum care: low risk, (b) pregnancy-induced hypertension (PIH) care practices guidelines and (c) birth-before-admission practices guidelines.
A post-partum and newborn care handbook was also developed and distributed to mothers
before they were discharged from the unit in order to educate them on how to look after
themselves and their children. The results of improving the system were satisfactory.  Client
satisfaction with the services of the Labor Unit increased from 75.2 percent to 88.4 percent. There was no infant and maternal death. Maternal complications also decreased.
Problems encountered in developing the Labor Unit service system were unfamiliarity
with the practice guidelines of staff for both normal and high-risk labor. Reporting on the
care given to patients was still incomplete.  Recommendations for further development
included training on applications of the service practice guidelines, simplifying the practice guidelines, monitoring the reporting and establishment of continuous and systematic evaluation of the performance of the Labor Unit.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Health behavior of health club members in Wang Sammoh district, Udon Thani province, 2007 
abstract:This action research was aimed at assessing the health behavior of members of the
health club, Wang Sammoh district, Udon Thani Province. One hundred and ninety-eight
members were purposively selected to answer a questionnaire and to be physically examined
during the period from September 2006 to October 2007. This study employed
both qualitative methods, including focus group discussion, and quantitative methods in
collecting and analyzing data using descriptive statistics: average, percentage and chisquare.
The results of small group meetings found that 86 percent of the members of the
club had diabetes mellitus and/or hypertension; 90 percent of them wanted to know the
causes of leg-pain and back-pain. A method for self-care in a communal way for solving
health problems would be to buy medical supplies from drug stores in conjunction with
promoting the use of herbs.
General data analysis revealed that 79.3 percent of the subjects were women (average
age was 36 years old), 30.81 percent had chronic illnesses or personal diseases;
average body weight before entering to the club was 55.9 kilograms and after was 56.4
kilograms.
The researcher and his team used the results of this research for devising a plan in
such a way as to create two projects: (1) one for adapting and changing heath behavior in
exercise and health checks for monks, civil servants, beneficiaries (insurees) of the social
security assurance scheme; and (2) the other, related to abdominal fat, by using tactics
concerning how to eat food properly; how to exer cise appropriately depending on age
and health status. These projects would be monitored and evaluated every three months
and it could be expected that the people of Wang Sammoh would have awareness about
developing their own health behavior in order to attain better physical, mental and social
health status.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Remodeling health behavior among high-risk civil servants in Prayuen district, Khon Kaen province 
abstract:The objective of the study was to evaluate the effectiveness of the remodeling of
health behavior programme. Participants included 118 civil servants of Prayuen district,
Khon Kaen Province. The programme consisted of lectures and behavioral remodeling
activities lasting two days and one night. Data collection was performed before and six
months after programme implementation. Six areas of health behavior according to the
Ministry of Public Health policy were measured by conducting interviews. Measurement
of blood pressure, body mass index, and blood sugar level were also performed. It revealed
that, at six months after programme implementation, the participants consumed less sugar, took more fish and decreased the amount of food consumed at dinner time,
at significantly different levels than before they began participating in the programme
(p-value = 0.03, 0.02 and 0.01, respectively). They also spent more time in performing
routine physical exercises, taking care of the sanitary environment and recycling garbage
(p-value = 0.01, 0.03 and 0.01, respectively). Significant improvement in physical examination
results were shown in terms of blood pressure (p-value = 0.02) and pulse rate
(p-value = 0.03). However, no significant differences were found in the following variables:
taking raw meat, participating in a health club, controlling emotions, eradicating
disease carriers, treating waste water, practicing protective measures against diseases,
practicing harmful behaviors that would lead to ruin and changes in body mass index.
More studies are needed to understand these unhealthy behaviors and to find appropriate
resolution.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Treatment of HIV-infected and AIDs patients with antiretroviral drugs at Somdetpraboromrachineenart hospital, Nathawee district, Songkhla province 
abstract:Combination antiretroviral therapy has proved to effect lower morbidity and mortality
rates among HIV/AIDS patients. However, the effectiveness of continuing patient care is also important. Therefore, evaluation of treatment to improve the management
system is needed. This study was aimed at evaluating the effectiveness of triple therapy
with antiretroviral drugs by comparing CD4 cell counts, opportunistic infection rates during
treatment, side effect and adherence to treatment.
The patients’ data were retrospectively obtained from patient records. The patients
were those who came for treatment at Somdetpraboromrachineenart Hospital, Nathawee
district, Songkhla Province from January 2003 and April 2008. None of the patients received
treatment previously. CD4 cell count, body weight before and after treatment
were compared and analyzed by Wilcoxon signed-rank test.
There were 46 patients who met the criteria for treatment, but complete data were
available from 42 patients, 23 were male and 19 were female, 17 had AIDS, and there were
16 symptomatic and 9 asymptomatic HIV-infected patients. The results of treatment revealed
that CD4 counts after six months in all groups were significantly increased compared
with those before treatment. Side effects occurred in 10 patients, 8 with rash, 1 with
lipoatrophy and 1 with increased SGPT level. None of the patients developed opportunistic
infection after six months of treatment until now. Almost all (39 patients) showed
good adherence to treatment.
The study concluded that triple therapy with GPO-VIR in a middle-sized community
hospital gave good results. An effective management system that helps patients to
adhere to treatment and continuing evaluation is an important factor.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Tuberculosis situation in four community hospitals in Nakorn Ratchasima province, 2005-2007 
abstract:The aims of this research were to examine the situation and epidemiology of tuberculosis
in four district hospitals in Nakhon Ratchasima Province in fiscal years 2005-2007.
All tuberculosis patients registered between October 2004 and September 2007 were selected
for the study.
The research instruments consisted of OPD card, treatment card, tuberculosis record,
and sputum examination record. The data were analyzed by using descriptive statistics.
The results showed that prevalence rates were 74.3, 112.1, 81.1 per 100,000 population
respectively in 2005-2007. Incidence rates were 64.9, 100.7, 69.0 per 100,000 and mortality
rates were 8.1, 14.0,3.5 per 100,000 respectively during that period. The success rate
was 73.5 percent and cure rate was 53.5 percent. The percentages of HIV infection in
tuberculosis cases were 4.7, 5.8 and 11.0, increasing by year, with a high mortality rate of
44.2 percent.
A high success rate was found in the occupation of civil servants (100%), students
(100%) and prisoners (91.9%). Tuberculosis cases with diabetes mellitus were also found
to have a high success rate (100%). Directly observed therapy (DOT) by health personnel
produced a relative risk of 1.33 significance compared with no direct observation. However,
DOT, with observation by cousins, showed no significant difference compared with
that produced by no direct observation.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Health and safety of workforce manangement in small industries in Rural areas : a case study of wooden furniture factories in Loei province 
abstract:Workers in small industries in rural areas work under unhealthy and poor environmental
conditions because of the limitation of local health services. In addition, unsafe
equipment and chemicals are commonly used in the manufacturing process. This study
explored the working processes in wooden furniture factories in Loei Province after the
workers had received information about the health and safety of workers, and about the health and environmental risks in surrounding communities affected by these small industries.
This study employed both qualitative methods, including participation observation,
in-depth interviews, group discussions and questionnaire interviews, as well as
quantitative methods, such as secondary data analysis from existing documents. The
results of the study showed that the manufacturing processes of these kinds of factories
might be directly harmful to the health and safety of the workers. Poor working conditions,
for example, dust, smoke and noise pollution, might not only affect the health and
safety of these workers but also afftect the health of their family members and communities.
Community hospitals and tambon administrations should be major stakeholders in
managing theses occupational health problems by launching a “healthy public” policy
and providing all sectors with guidance, including that on the manufacturers, workers,
and health centers or primary care units. Moreover, management at the national policy
level should be implemented by providing a simplified version of the diagnosing process
of diseases related to occupational health, strengthening occupational health surveillance
in local settings and initiating prospective cohort studies to identify specific determinants
of local occupational diseases.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Papanicolaou smear screening for cervical cancer in HIV-infected women 
abstract:The purposes of this study were to determine the results of the screening of Papanicolaou
smears (Pap smears) for cervical cancer in HIV-infected women in Prachantakam
district, Prachinburi Province. The subjects enrolled in this study were 34 HIV-infected
women who were among the people living with HIV/AIDS.
PAP smears were done in 34 HIV-infected women; one (2.94%) of them was found
to be abnormal, and one (2.94%) revealed cervical cancer. Compared with the results of
PAP smear that had been done on 7,756 women in Prachinburi Province, 0.31 percent
were found to be abnormal, and 0.04 percent had cervical cancer.
Therefore, standard routine screening for cervical cancer using PAP smears for HIVinfected
women should be necessary under the health insurance policy.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Self-care participation of diabetes patients, Sophisai hospital, Nongkhai province 
abstract:The purpose of this research was to study the level of self-care participation of diabetes
patients according to the opinions of those patients in Sophisai District, Nongkhai Province,
and to study the factors of the correlation and self-care participation. The sample included
400 diabetes patients who had been registered by Sophisai Hospital and cured. A
survey questionnaire was administered to the participants. The study utilized the SPSS program,
with statistics on percentage, mean and standard deviation, including the chi-square
for correlation with normal scale and interval scale factors and utilized the Cramer ’s V coefficient
for ratio scale. The results of the study showed that the self-care participation of diabetes
patients according to their opinion was at the medium level. The analysis of sectors
found that the most common self-care participation of diabetes patients was diet; the next
were exercise and self-care participation in daily life. The least common form of participation
was foot care.
The correlation between the factors related to personal characteristics, economics and
social aspects and self-care participation found that: there was no correlation for sex in the
self-care participation of diabetes patients as a whole nor was there any correlation with
participation in every side when considering sectors.
There was no correlation in age for the self-care participation of diabetes patients, nor
was there any correlation with the participation when considering sectors.
There was correlation in education for self-care participation as a whole; when considering
sectors, but there was correlation with participation, namely diet, exercise and selfcare
in daily life.
There was no correlation in income for self-care participation of diabetes patients as a
whole, nor was there any correlation with participation in considering sectors.
There was correlation in occupation for the self-care participation of diabetes patients,
when considering the sectors; the correlation with was in diet.
There was correlation in the factors of receiving information about self-care participation
as a whole, and there was correlation with participation in every aspect when considering
sectors.
The study would be applied in planning for good-quality services, supporting the
diabetes patients for self-care participation, emphasizing communication. Providing knowledge,
giving health information through the targets, building leaders who acknowledge
and are able to be the primary person in self-care participation and able to transfer information
to the members or the diabetes patient group.
location: nan, 'Thailand 
year: 2000 source: HSRI 
title: Block grant for the first autonomous hospital in Thailand: why 782 baht per capita? 
abstract:Banphaeo hospital is going to be the first autonomous hospital in Thailand: non-profit and government subsidiary hospital. This paper aims to show the background, methodology and philosophy of the hospital subsidiary budgeting for the year 2000 ehich their rational is based on the Banphaeo hospital's mission. It's mission is to provide universal coverage of basic health service package in Banohaeo district. The basic health service package consists of health promotion, prevention, primary health care, rehabilitation, and curative service for the health cardholder.
Thus, the Banphaeo hospital subsidiary budgeting is based on capitation. It will pay to the tertiary care hospital for referred patients and to subcontractors for gatekeeper services too. The new budgeting method will change the service concept by aiming at holistic care not the quantity of curative care.
However, this budget should be only for the operating cost, not including with capital cost, which should be proposed by each item project.
The subsidiary budgeting use the data from morbidity rate and admission rate from Health and Welfare survey of National Statistics Office and average operating cost from several costing studies. Per capita budget is consisted of curative expenses and health promotion expenses. For the curative expense, this study uses outpatient department care (OP) cost (morbidity rate X OP cost per visit) plus Inpatient department care (IP) cost (admission rate X IP cost per case). For the health promotion expenses, this study estimate 20% of per-capita subsidiary budget.
From the calculation above, Banphaeo which is located in the rural of central Thailand will receive per-capita subsidiary health budget about 562 baht per year and per capita subsidiary health promotion about 149 baht per year, all together 712 baht per year. Yet, changing from a public hospital to an autonomous hospital will increase salary up to 150% thus the curative cost will rise to 633 baht. Ultimately, summing up with 149 baht of health promotion, the per capita budget will be 782 baht per year.
The researchers analyze the financial feasibility and found the operating expense is about 100.4 millions. Banphaeo population is 91,000, less Civil Servants Medical Benefit Scheme and health insurance 10% the hospital will receive 64 millions per year (91,000*0.9*782) from government and 39 millions from other revenue. Finally, the researchers do believe that it is possible for Banphaeo hospital to provide the universal health care coverage to the Banphaeo population. Moreover, this study can apply this method of budgeting to the whole kingdom.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: A note on an outbreak of Botulism in Phayao province, 2006 
abstract:The objectives of this descriptive study of a food-borne botulism outbreak caused
by the consumption of minced barking-deer meat in Phusang district, Phayao Province
were: (1) to confirm the diagnosis of botulism and the outbreak of the disease; (2) to
study the characteristics of the disease’s epidemiology, the outbreak and the distribution
of the disease; (3) to find the cause of the outbreak, source and vector of transmission of
the disease, and (4) to measure the disease control interventions. Descriptive and analytical
epidemiological studies used retrospective cohort studies to prove the hypo- thesis
of relative risk (RR) factors.
The result of this study found that 69 persons (26.53%) of the 260 persons who ate
the barking-deer were hospitalized in Chiangkham Hospital (between 24 June and 5 July
2006). The majority were males (62.31%), aged 30 - 60 years (34.62%). The main symptoms
of infection were abdominal distension, stomach ache, nausea, diarrhea, dry mouth,
difficulty breathing, and vomiting, respectively. An analytical epidemiological study
found that the food that caused the illness was raw minced barking-deer meat (RR = 2.04,
95% CI = [1.11 - 3.75] and showed that the persons who ate the raw meat were two times more to get the disease. As for other barking-deer body parts, it was found that the bile
(RR = 1.66,95 % CI = [1.13 - 2.43]) and entrails (RR = 1.66, 95% CI = [1.10-2.05] were the
main risk factors. The laboratory results confirmed that seven of the patients who got
botulism survived.
It was suggested to the public health institute and the officials related to the Bureau
of Epidemiology that they should take care of the people by emphasizing the importance
of hygiene and not eating raw meat, especially entrails, and that they should change their
consumption behaviors.
It was also suggested that the next research (1) study the consumption behaviors
related to eating raw meat and find methods for reducing illness, and (2) study ways to
communicate information on safe consumption behavior.
location: nan, 'Thailand 
year: 1999 source: HSRI 
title: The Reform of drug management system in the MOPH Hospitals, FY1998 
abstract:The economic crisis, that occurred nearly two year ago, has affected on campaigning all sectors to cut back their spendings and buying local made products in order to reduce national currency reserve. Drugs or pharma ceutical products are considered as manufactured goods that are relied on imported raw materials that represented 35-50%of the local manufactured pharmaceutical product cost. For import finished products, it represents 80-100% of the cost. With this import dependency, there is no doubt that the impact of economic crisis on pharmaceutical business would be unavoidable.
This study was aimed at describing and analyzing the situation and problems of drug management system and utilization in the Ministry of Public Health hospitals, recommending measures for drug management reform.