plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Medical Rehabilitation Services for People Living with Disabilities in Thailand: Current Situations in Public Hospitals 
abstract:Medical rehabilitation aims to strengthen or sustain functions of persons with disabilities. The objective
of this research was to explore the current situations of medical rehabilitation services for persons
with disabilities available in public hospitals, including community, general and regional hospitals in
Thailand. The questionnaires were mailed to 215 hospitals in 20 provinces between January and March
2014. The data were derived from 155 hospitals (72 percent response). Descriptive statistics were used for
data analysis.The results showed that, at community level, physiatrists and rehabilitation nurses were employed
in only 4% of hospitals; 88% of hospitals hired physiotherapists and there was no audiologist, speech
pathologist and orthotic technician. There were physiotherapists working in all general and regional hospitals
whereas physiatrists and rehabilitation nurses were found in only 40% and 25% of general and
regional hospitals.
The assessment of disability and prescribing assistive devices were mainly for persons with physical
and mobility disability. The most common services were physiotherapy (100% in regional and general
hospitals, 91% in community hospitals) while speech and hearing rehabilitation services were provided at
the smallest proportion (2% in regional and general hospitals and no service in community hospitals). The
services of training programs for using assistive devices, user follow-up and device repair were still missing
in some hospitals. Visual and hearing aids were unavailable in community hospitals. Medical device
services for all type of disabilities were provided in regional and general hospitals but some items of
devices still were unavailable in some hospitals.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Outcomes and Factors Influencing Access to Assistive Device for Mobility Disabled People 
abstract:This study aimed to 1) investigate effects of assistive devices on quality of life (QOL) and functional
outcomes in disabled people, and 2) quantify factors affecting access to devices. From March to May 2014,
an observational study was carried out in mobility impaired individuals of ages 15 to 65 years old, who
need to use assistive devices i.e. wheelchair, handicap tricycle and prosthesis leg in 10 provinces throughout
Thailand. The sample was classified into two groups: 1) access group; and 2) without access group.
Individuals that have the assistive device, use it regularly and are satisfied with their device were classified
into the “access group” while those who did not meet the aforementioned criteria were classified into the “without access group“. World Health Organization Quality of Life (WHOQOL) - BREF was used to
elicit QOL while selected International Classification of Functioning, Disability and Health (ICF) codes
were used to measure functional outcomes. This study included a total of 308 individuals in the “access
group“ and 295 individuals in the “without access group“. Compared to those who without access,
disabled people with access had significantly better QOL in all dimensions except for the environment
dimension. Additionally, the “access group“ showed a significantly higher level of functioning than the
“without access group” in all functions with exception to the education. Factors affecting access to assistive
devices were age, health scheme, registrations for disabled people, occupation, and care from family. In
conclusion, assistive devices enhance both QOL and function in disabled population; hence, increase
access to these technologies is crucial. Furthermore, health scheme and disabled registration are government-
side factors influencing access to assistive devices.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Medical Rehabilitation Services for Person with Disabilities: The Perspectives of Clients,_x000D_
Providers and Policymakers 
abstract:This qualitative research aimed to examine the perspectives of three key informant groups purposively
selected from those who had direct experiences in receiving, providing medical rehabilitation services, and those responsible for development of related policy. The data were collected in May and
June 2014 in three focus group discussions (FGDs) involving 11 representatives of persons with disability
organizations, 13 service providers, and 16 executives and managers from respective policymaking
authorities. Content analysis was introduced in the data analysis.
The results showed that access to medical rehabilitation services including assistive devices among
persons with disability (PWDs) was limited. This was because PWDs did not get the information on
benefits and services provided in the public sector, and that most of them needed one or more accompanying
persons when they travelled to receive services. Other impediments included inadequate service
providers and the disparity, in terms of coverage and quality, of the information for PWDs disseminated
by public agencies. The lack of effective system for assistive devices management was identified as crucial
obstacle. It was agreed among FGD participants that health benefits for PWDs in the three governmentfinanced
schemes were different resulted in unequal access to services and assistive devices. Moreover,
when PWDs were employed by private business and therefore, transferred from the Universal Coverage
Scheme to the Social Security Scheme (SSS), their health benefits would be diminished because the latter
scheme covered fewer benefits than the former. To solve the problems as earlier mentioned, the FGD
participants proposed: (1) the National Committee for Empowerment of Persons with Disabilities to
develop mechanisms to strengthen the integration and collaborations of organizations that ensure quality
of life of PWDs and allow PWD representatives to participate in every level of policy making decisions;
(2) PWDs databases currently managed by different institutes be strengthened and integrated with each
other; (3) increase the numbers of health providers for PWDs in particular areas of the country; and
(4) reduce the disparity in health benefits by collectively develop a single benefit package for use in the
three government schemes.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Disabled Persons Satisfaction with Rehabilitation and Assistive Devices Services Provided by Public Hospital in 8 Provinces 
abstract:Patient satisfaction on health service is derived from direct experience and expectation of patients,
which directly relates to therapeutic compliance. Results of patient satisfaction can be used in developing the health service system. This study aimed to evaluate the satisfaction of disabled persons on the
rehabilitation and assistive device services, where they were provided in government hospitals. This study
used a structural questionnaire together with face-to-face interview by trained staff and collected satisfaction
information from disabled persons who used rehabilitative or assistive device services at the regional
or general hospitals and community hospitals in 8 provinces, namely Phrae, Phitsanulok, Maha Sarakham,
Roi Et, Lop Buri, Samut Prakan, Surat Thani and Trang. The study evaluated 7 dimensions (with 1-4
sub-dimensions), namely, interpersonal manner, quality of care, service accessibility, finance, environment,
adequacy of providers and equipment, and outcome of services. The data from 244 disabled
persons found that average score of satisfaction in all dimensions was 3.77 out of 5. Interpersonal manner
and quality of care were the dimensions that got the highest score at 4.14 each, while the finance dimension
was scored the lowest at 3.15. The waiting time was scored as the lowest sub-dimension comparing to
all sub-dimensions. However, there were no dimensions or sub-dimensions that scored lower than
3. Some additional comments and suggestions from disabled persons were provided for improving the
services in terms of distance and comfort of settings, and waiting time. Policymakers and providers should
consider those issues as important issues for the improvement of rehabilitative and assistive device
services. The services that respond to the needs of disabled persons can help their compliance and
continuity in receiving rehabilitation and assistive device services, which will directly improve health
status of disabled persons.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Home Modifications for People with Disabilities and the Elderly: Recommendations from Policy to Practice 
abstract:Home and environment modifications are essential to improve quality of life (QoL) of persons with
disabilities (PWDs). Our research aimed to conduct economic evaluation of home and environment modification service to develop the service guideline and address policy recommendations to improve
the services and to suggest how the resources should be mobilized. Sixty houses of PWDs were recruited
based on designated criteria. Capacity building sessions for architects, engineers, local builders, nurses,
physiotherapists and social workers were also conducted. Functions of PWDs before and after modifications
were recorded using the questionnaire based on the International Classification of Functioning,
Disability and Health (ICF). Forty-nine houses were successfully modified. The important findings from
this study were that (1) the home and environment modification service was cost-effective (2) health
personnel and non-health personnel should be involved in the selection process of PWDs who are
suitable to receive the service and (3) PWDs and family members should also be invited to participate in
all construction process. Those with the same impairments may not end up with the same design of the
home and environment modifications because the design depended upon PWDs functions. If the ultimate
goal of services for PWDs is to improve QoL, the home and environment modification is merely one
among other tools to enhance QoL. We recommend that to provide the service, the following procedures
should be considered: stakeholder linkage, resource integration and allocation, decision making based
on functioning data and capacity building. Knowledge management should be conducted to add more
knowledge and understandings.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: The Development of Appropriate Interior Environment of Hospital Ward for Senior Visibility and Recovery 
abstract:At present, there is a dramatic increase of elderly in Thailand. There is an awareness and there are a number of studies of the significance of the effect of environment on elderly, especially in United State and Europe. However, there is a little knowledge about the design of health care environment for Thai elderly. Moreover, since there is a difference of physical characteristics and psychology between people from United State and Europe, the design recommendation from the studies in these areas seem to not apply to Thai elderly. This is especially there is a little knowledge about the design of environment for Thai elderly in terms of lighting, colour, material and view-out and their effects on visibility and health recovery.
	The main objective of this study is to develop interior environment suitable for the visibility and recovery of Thai elderly. There were two types of hospital to be surveyed,, which are 1) provincial hospital and 2) community hospital. There were two main parts in the study. The first part deals with the effect of interior environment of ward on visibility of Thai elderly. The second part related to the effect of interior environment of ward on recovery of Thai elderly. The results showed the significant effects of factors relating t interior environment of ward. The study also proposed an approach for design guideline of ward suitable for visibility and recovery for Thai elderly in provincial hospital and community hospital.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Cost-effectiveness of thrombolysis service for patient with ST segment elevation myocardial infarction in primary care hospital 
abstract:ST segment elevation myocardial infarction (STEMI) is a major cause of death. Recent evidences showed that primary percutaneous coronary intervention (PPCI) can reduce mortality rate. However, in a situation where PPCI is unavailable, facilitated percutaneous coronary intervention (FPCI) using fibrinolytic drug before patient referral could be an important life-saving solution. Since FPCI may increase the risk of major bleeding and it incurred more expenditure, the information on cost-effectiveness of FPCI is useful for policy makers.    
A Markov model was used to compare the lifetime cost and quality-adjusted life years (QALYs) accrued to patients receiving FPCI before referral or PPCI at referral center from societal and health system perspective. All analyses were performed using Microsoft Excel. Input data were retrieved from literatures and electronic databases.  
We found that FPCI program at community hospital is a dominant alternative given its lower cost and higher effectiveness than PPCI at referral center. This means it is a cost-effective policy option. 
Therefore, community hospitals with the capacity to provide FPCI service for STEMI patients should be supported to offer such service for better access to the patients with higher overall quality of life and lower costs to the systems. We suggest that policy makers in the Ministry of Public Health and the hospital administrators should consider these findings and provide support to make FPCI available in community hospitals with existing capacity. Capacity strengthening particularly in terms of manpower, and budget should be provided especially in the areas where there is still shortage of supply.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Provision of trauma care in Ministry of Public Health hospitals regional health 3 
abstract:Road accident tends to rise, resulting in enormous loss of lives and assets. According to statistics of deaths from road accident from The World Health Organization found that Thailand mortality rate was 38.1 deaths per 100,000 populations and 3rd in the world ranking. The purpose of this report was to study the situation of trauma care process in Ministry of Public Health hospitals in regional health 3 through mixed methodology research. 382 traumatic patients were randomized from Emergency Department and 59 of administrators and staffs were interviewed and group discussed.
The result found that most traumatic patients were urgent. The average time of care in Emergency Department was 86.4 minutes. Most were highly satisfied to the services. Most traumatic patients entered to hospital privately. Patients who came with ambulance would communicate directly through emergency call of 1669 in trust of the safety system. The problems of Emergency Room management were insufficient of medical personnel especially emergency physicians and inadequate of referral system, budgets, equipments and information system including lacking of coordinated work and integrations with Fast Responder unit of other local government and foundations.
The policy recommendations from this study were Ministry of Public Health and Emergency Medical Institute should long-term plan to support emergency physicians and other medical personnel for hospitals in any level from A,S,M to F in 5-10 years. Including encouragement of local government to participate in developing of emergency system.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: A National Survey of Thai Traditional and Alternative Medicine Services of Ministry of Public Health Hospitals in 2014 
abstract:Background: Increasing trend of Traditional and Complementary Medicine use has been documented worldwide. In many developing countries, the majority of the population continues to use Traditional Medicine to meet its primary health care needs. In Thailand, the Thai Traditional Medicine service is a priviledge for all Thai according to our constitutional as well as Universal Health Care Coverage program. However, none of the study has been conducted to survey for Thai Traditional and Complementray Medicine (TT&CM) services together. This study therefore aims to survey the data base of TT&CM services as well as to study the factors influenecing outpatient department utilization of TT&CM services of Ministry of Public Health hospitals.
Method: The data base of TT&CM services were collected from October 2013 to March 2014. The structured collection sheet was distributed and collected through the 76 representatives of Thai Traditional services at the Health Provincial Office. The factors influenecing the outpatient department utilization of TT&CM services were analysed with Pearson’s Correlation, Independent t-test and multiple linear regressions.
Results: There were 266 from 456 hospitals have been reported their information. The response rate was 58.33. Only 231 hospitals (86.84%) could be analysed. One hundred percent reported that they have provided Thai Traditional Medicine services with 186 hospitals (80.52%) provide only Thai Traditional Medicine services while 45 hospitals (19.48) provide TT&CM services. The ratio of outpatient department utilization of TT&CM services among Ministry of Public Health hospitals was 16.69. Factors influencing outpatient department utilization of TT&CM services were the number of staffs (p-value<0.001), clinical competency for inpatient services (p-value=0.002), the number of staff receiving wage at least 15,000 Baht per month (p-value=0.017), being a study/ visiting site for education (p-value=0.011), continuing year of services (p-value=0.004) and herbal consumption value (p-value <0.001).
Discussion and Conclusion: Results of this study reveal that the numbers of Minsitry of Public Health hospitals providing TT&CM services are increase. To support TT&CM services, human resource planning along with reliable wage, clinical skill for Thai Traditional doctor especially inpatient services and networking with university are prioritized factors.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Situation analysis and study on the factors affecting the achievement of problem solving of maternal health care in the 3 southernmost provinces of Thailand 
abstract:Maternal and child health (MCH) situation in three southernmost provinces has been in a critical stage. MMR was about three times higher than country’s targets and almost two times in MDGs Plus target, lower than the performance in almost all indicators. Most deaths due to causes that can be prevented in the context of modern obstetrics. There is only a small detail that seems to be absent. Prenatal care to pregnant women with traditional midwives. The way of life, religion and cultural norms determine the practice of pregnant women. But it is not seen as important as surveillance and health complications.   Key factors which affect the success of maternal and child in three southernmost provinces are
1. Manpower  : Turnover rates are frequent, because it is a difficult task, required high skills and experience. More tools and indicators and some indicators are not consistent with the context in three southernmost provinces. 
2. Belief : Two believes persists that determines the norms and practices of pregnant women are 1) do not eat more and do not take the medicine  2) seek female personnel’s service for delivery. Including lifestyle, religious values are very high in regard to procreation, and that the death is natural. The attitude that contraception is wrong, against the principles of Islam.
3. Traditional Birth Attendants (TBA) : TBA is the strength of maternal and child health in the southernmost provinces. Pregnant women are faithful and believe in TBA. While Islam still had limited access to medical services. 
Suggestion and Policy Brief 
1.	Urgent measures : Cooperation with TBA to reduce MMR (Maternal Mortality Rate) in three southernmost provinces. Development competency TBA to learn assessment of high risk pregnancy, refer and delivery of emergency cases safely. Appropriate Incentive measures are important. We should also encourage Muslim husbands to have proper attitude and to help woman during pregnancy and childbirth. 
2.	Medium and long term measures : Department of Health and related agencies  should review policy,  strategy and tools that is flexible, affordable and possible. Provides analysis and support capacity in maternal and child health. We should put more obstetricians in the three southernmost t provinces and enhance them and their MCH team to understand the way of truly Muslim.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Time-to-treatment of stroke patients: Experience  from Ubon Ratchathani Province, Thailand. 
abstract:Treating ischemic stroke patients with rt PA no more than 3 hours or 180 minutes after the stroke can increase the chance of recovery or improved condition.  If, however, treatment is delayed, the potential outcome may be permanent disability or death.  This descriptive study was conducted with the objective of assessing time elapsed before treatment in ischemic stroke patients and analyzing the factors influencing the amount of time elapsed before ischemic stroke patients receive hospital treatment.  The sample group was composed of 300 ischemic stroke patients treated at Sanphasitthiprasong Hospital in the province of Ubonratchathani, Thailand.  Data were collected from November 2014 to February 2015.  The following three sets of instruments were employed:  1) Demographic Data Questionnaire; 2) Ischemic Stroke Evaluation Form and 3) Time to Treatment Evaluation Form.  Data were analyzed by descriptive statistics and by finding the correlations by using Spearman's correlation coefficient.
According to the research findings, 229 of the 300 ischemic stroke patients (76.3%) had pre-hospital times of more than 180 minutes.  The mean pre-hospital time from the occurrence of stroke to hospital arrival was equal to 1,117.7 minutes (SD=1,556.4).  The amount of time elapsed from arrival in the emergency room at Sapphasitthiprasong Hospital until receipt of treatment (in-hospital time) was equal to 134.0 minutes (SD = 93.4).  Therefore, the mean time from the initial presenting symptoms until treatment was equal to 1,218.7 minutes (SD = 1,602.0).  Furthermore, the pre-hospital time, the distance from the site of the incident to the hospital and the in-hospital time from arrival until laboratory test results were received were found to be positively correlated with the pre-hospital time from the initial presenting symptoms until receipt of treatment (rs= .661, .185, .235, p<.01).  The severity of symptoms evaluated with NIHSS scores was found to be negatively correlated with pre-hospital time (rs= -.129, p<.05).
In summary, most ischemic stroke patients within the boundaries of Ubonratchathani receive delayed treatment in which the pre-hospital time has the highest correlation with receipt of treatment and instructing patients, people at risk for ischemic stroke and their relatives.  Moreover, the development of an emergency medical service provision system and a hospital referral system that minimizes procedures and time in transferring ischemic stroke patients is vital to helping ischemic stroke patients receive timely treatment.