plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2003 source: HSRI 
title: Family violence: state of the art review and research promoting system in the future 
abstract:Family Violence State of the Art Review and Research Promoting System in the Future. This paper reviews research on domestic violence internationally and nationally and suggests the direction of research promoting system in the future. The analysis of this literature considers historical context, methodology issues, concepts and theories related to domestic violence and situational reviews on wife abuse, dating violence and child abuse. As domestic violence is emerging as a significant social problem all over the world, there is a growing body of multidisciplinary research on domestic violence. However there are key issues of controversies in the study of domestic violence including definition, method of measuring and data sources. The review suggested to create the structure and the process of domestic violence research. It is suggested to develop a National Research Center that could collect, process and disseminate reliable information, which can support policy and practice efforts in the field. It will develop data from practice and return it to practice. The Center will cover several areas of study including violence against women and all forms of spousal violence; child abuse and neglect and dating violence.
location: nan, 'Thailand 
year: 2005 source: HSRI 
title: Thailand's policies on genetic modified organisms 
abstract:Genetically Modified Organisms have a great potential in national economic development. However, the global market acceptance is presently yet quite limited. Intellectual property, ecological risk, organization, rule and regulation as well as economic analyses indicated that Thailand should impose the so-call “Safe Use of Forefront Technology” policy on GMOs issue. Prior to the acceptance of the technology for the enhancement of the country competativeness, the enacting process to have a complete legal system on biosafety must be accelerated in order to have the system fully implemented within 3 years. Capacity building for government officials who will responsible in controlling GMOs must also be urgently executed. The knowledge on the risk from using and consuming GMOs as well as the responsibility of GMOs developers and producers should be disseminate nationwide. Policy organization and regulatory organization must be permanently established to oversee the GMOs issue. The component and the role of these organizations must be stated in an Act. The above action has to be fully in place before the policy organization starts working. The policy organization will consider and determine the national direction on research, study and utilization of GMOs, especially in an open system. For the time being, capacity building in science and technology must be emphasize on biosafety management. Other research works must aim to obtain a patent able result as well as to serve the demand of Thai society and her markets. A unit in the Ministry of Natural Resource and Environment should be assigned to implement the biosafety regulation. The expense arising from GMOs utilization shall be born to the producer, on polluter – pay principle. The above suggestion is based on the present evidence that cannot yet confirm that GMOs do not pose higher risk than ordinary organisms.
location: nan, 'Thailand 
year: 1998 source: HSRI 
title: The development of public health budget system for efficiency and equity of budget allocation and administration at the policy level 
abstract:The Development of Public Health Budget System for Efficiencyand Equity of Budget Allocation and Administration at the Policy Level	The current public health budgeting system is largely determined by the Budget Bureau, the Ministry of Finance. Its obvious weak points are the existence of budget ceiling which responds neither people’s demand nor needs, lack of outcome-based activity evaluation, and the use of historical base budgeting system in which new activities are less likely to initiate. Two main objectives of the public health budgeting system should be on improvement of resource use equity and efficiency. It is suggested that health services be grouped into their hierarchies to lessen the existing current problems in addition to using health service information for categorizing such services.
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Operating costs of health centers in Samut Sakhon, fiscal year 1999 
abstract:Samut Sakhon, a small province in Central region has three districts, Muang, Banphaeo and
Krathumbaen. Banphaeo hospital, the first autonomous hospital in Thailand through Public
Organization Act, 2542 BE. will be financed through capitation according to population size in the
district. This will have significant changes to financing mechanism at provincial health office and
health centers in the district. The objective this study is to assess unit cost (covers labor and material
costs, excludes capital depreciation costs) of services provided by health centers in order that
Banphaeo hospital could fairly purchase care from health centers. We assess operating cost in fiscal year 2542 BE., among all health centers in the province. Staff time allocation survey was done to
allocate labor cost to various key activities of health center, material cost was directly collected for
each activities. Cost from general administration and reporting function were allocated to service
activities using simple allocation method.
Results: operating expenditure per capita population at health center was 120 Baht per year, (110
Baht from health centre and 10 Baht from District Health Office). Annual operating expenditure was
834,136 Baht per health centre, of which 56% was labor and 44% material cost. Each health center
was staffed by 4.16 health workers. Time allocation reported 22% contributed to curative services,
27% to administrative function, 18% on health promotion activities and 30% community based
services. Curative services consumed 40% of total operating expenditure, most were drugs and
supplies. Unit operating cost for curative service at health center was 59 Baht per visit (range 53 to
65), health promotion and mother child health services was 100 Baht per visit (range 88 to 120). If
cost from District Health Office was included, unit cost would increase by 9%. Unit cost was
influenced by staffing intensity, magnitude of labor cost and productivity. Unit cost is one of several
tools for proper resource allocation.
This study provides evidence on how hospital could purchase services from health center that reflects
operating cost. Several options are capitation base on population size, total cost inclusive for each
group of activities, or unit cost per service rendered. It depends on how to stimulate proper service
behavior by health center. However, current funding available at health center from central
government and local administration should be taking into account to purchase services from health
centers.
location: nan, 'Thailand 
year: 2004 source: HSRI 
title: Acute coronary syndrome registry 
abstract:Objective: To establish a national registration of acute coronary syndrome (ACS) registry in Thailand in order to study clinical epidemiology, determine the demographic, management practices and in-hospital outcomes of patients with ACS.Methods and results: Thai ACS registry is a multi-center prospective project of nationwide registration in Thailand. The enrollment of the patients started in August 2002. After one year, records of 3025 patients were collected from 16 hospitals. The patients were classified as ST elevation myocardial infarction (STEMI) (38.9%), non-ST-elevation myocardial infarction (NSTEMI) (35.6%) and unstable angina (UA) (25.5%). The mean age was 64.5 years old with 59.8% of male and 40.2% of female. The cardiovascular risk factors were 44.8% of diabetes mellitus, 62.1% of hypertension, 68.9% of dyslipidemia, and 31.9% of smoking. About 52% of the STEMI patients received reperfusion/revascularization therapy. The median time of door to needle was 100 minutes in patients received thrombolytic treatment and only 11% of them were received within 30 minutes after admission. The most complication of congestive heart failure was found 42.1% in ACS group. The total mortality rate was high in STEMI (16.2%) followed by NSTEMI (11.7%) and UA (3.1%) respectively. The mean length of hospital stay was 10 days.Conclusion: Thai ACS registry provides a detail of demographic, management practices and in-hospital outcomes of the patients with ACS. These data may have an impact on our health care system and alert the government to make a policy for these problems
location: nan, 'Thailand 
year: 2000 source: HSRI 
title: Inapprapriate use of drug injection among providers and patients in Rasisalai 
abstract:This  study  is  an  action  research  phase I :  situational  analysis.  The  objective   is to    study   about   the   inappropriate   behavior  to  injection   between   a   provider  and patients at  out  patient  department  of  Rasrisalai  District   Hospital.  The  study   units are  composed   of  6   doctors,   5  ER  nurses ,  and   403   patients  who  got    the  1  out  of  12  common  injection    drugs and 517 oatrenh who did not get injected dngs.  Data  collection   had  been   corrected    since   1 st    April    1998  until  30th     November  1998. The  instruments  are  the standard  criteria  for   12  injectable  drugs ,  questionnaire, medical  record  and  the  treatment  assessment  format.  Data  analysis tool are  percentage ,   mean  and  Odd  Ratio.         The  study  shows  that  48.9 %  of   the  providers  (doctors  and  nurses) have the  inappropriate  injectable   behaviors.  Gentamycin   and  Vitamin  B  complex  are  the  most  common   drug   to  be  use  (92.3%).  Over   use    is   the  most  common   pattern.  Patients  have   the  good  attitude  for  injection ;  for  instance  rapid  action  and   recovery,   comfort  and  clean.          The   study  indicate   that  there  is  the  overuse  of  injection  drug in  Rasisalai Hospital .    So  we  should  have  the  standard  process  to  treatment assessment ,  in order to   get  the   basic   data  to   change  for  good behavior.   In  the  same  time ,  we   should  create   same guidelines  to  change  the  patient, s  belief  and  value.
location: nan, 'Thailand 
year: 2005 source: HSRI 
title: Impacts of the Universal Health Coverage and the 30 Baht Health Care Scheme on Household Expenditures and Poverty Reduction in Thailand 
abstract:This study provides preliminary estimates on effects of the 30 Baht Scheme and the universal health coverage program on households cost savings and on poverty reduction. The estimates employ data mainly from two nationwide surveys-the socioeconomic survey (SES) and the health and welfare survey (HWS).	In terms of poverty reduction the study compares over time the percentage of those who were impoverished because of health care expenses using data from SES. The figures are drawn from the households that had per-capita income more than that of the poverty line, but had after-health-care income (gross income after subtracting households health expenditure) that fell below the poverty line. We find that percentage of these impoverished group had been declining from 2.15% of total households in 1992 to 1.84% and 1.53% in 1994 and 1996, 1.1% and 1.3% in 1998 and 2000, and 0.7% in 2002. The early declines could be attributed to the expansion of Health Welfare Program for the Low Income Group to cover the elderly and children in 1994 and its subsequent financing reform toward per-capita budgeting that took place between 1998-2000. The recent decrease in 2002 is most likely results of the 30 baht scheme (plus a small effect of the coverage expansion of the Social Security in mid 2002). Based on these figures, the impoverished households that were caused by health care burden decreased by two-thirds as a result of the coverage expansion toward universal coverage. The above finding is similar in all regions but are more pronounced in the rural areas.	We also measure number of households that become impoverished because some member were hospitalized. We find, however, that number of this types of households are rather small—ranging from 1/7 to one fourths of those were impoverished because of health expense. This finding suggests that a comprehensive universal coverage scheme that also covers major outpatient expense would still be crucial if poverty reduction is considered a main objective of the universal health coverage program in Thailand.
location: nan, 'Thailand 
year: 2004 source: HSRI 
title: The Model of dental health care under universal health care coverage policy in Maung district, Buriram province 
abstract:Nowadays, The government has concerned about the health system by using the policy of universal health care coverage as “ 30 Baht health care”, which emphasize on advance-service system and management of particular area. The problem seen in Amphur Muang Buriram is there are a lot of  workload in dental clinic,  Buriram Hospital. So dental staffs have to take time and partial budget for management, and dental services in community health center, especially the dental public health in school. Thus the management of dental public health in Amphoe Muang  Buriram, has to have an effective  management in human resources, time, and budget, through the co-operation of associated organizations for the appropriate service pattern in that area  and the most benefit for people.The purpose of this study is to develop the proper pattern of dental service in Amphur Muang Buriram, according to the health policy under the condition of resources limitation in this area. The methods are 1. Collecting the historical data of dental public heath projects in Amphur Muang Buriram, 2. Reviewing project patterns of other provinces, 3. Brainstorming for determining the proper model of process in clinic and community, and 4. Evaluating the indicators (i.e., dental services in clinic, waiting time for special treatment, the coverage of dental health in school, and the satisfaction of dental patient and staff) after implement  the developed  model  for 6 months.The results from brainstorming showing that there are the development of services:1.Expand the network of dental service subcontractor for people with UC card at  Buriram Provincial Public Health Office.2. Development of dental service system in Community Public Health Centers that have  dental nurse3.Begin  the mobile car of Buriram Hospital for dental services in school.4.Initiate system and format of oral health  report  in school, which developed by staff. 5. The results from change evaluation show that quantity of overall dental services is raised in every dental clinic, increased waiting time of some special treatments  (since there are movement and/or resign of dentists), and the satisfaction of patients  and staff is increased.In conclusion, the development of dental services by participating of staff can create the pattern of process accordance with the situation area. Moreover, the evaluation should be taken and continuously modified for suitable dental service according to variations of situation.
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Epidemiology and health behavior on malaria of foreign labour in hign risk area, Ranong province 
abstract:Epidemiology and Health Behavior on Malaria of  Foreign Labour in High risk Area,  Ranong Province	At the borderland ,a  lot of   foreigner  migrated   to work in illegal in  frontier country.    and they have a poor health.. The most common  of the endemic problem in the boarder of Thailand is Malaria and  it make a problem to Thais people who live  at the boarder of Thailand. 	This study  aimed to  compare  1)  malaria sick  rate  2) rate of malaria carrier 3) health behavior in prevention and curative . The  multiple stage  stratified method was used to select a  representative sample and divided in 3  groups and 200 subjects in each group.: Thais , Thais who habit closed to the foreign  labor and   pure foreign labor in Kra buri and la-oon district , Ranong Province . Data was collected by interview and focus group discussion.  	The results were:  60.3 % were male ,  40 %  worked in  a  rubber farm, 36.2  %  in  coffee  farm and also 13.7 % in the fruit farm and average age was 3730 years (sd.12.84), 15% of  subject got Malaria ,who 2 of 15 were Thais and 5 from 15 were Thais who habit closed to the foreign  labor and also 8 of 15 were foreign labor. Comparison of sick rate in  3 groups is not significantly different . Rate of carrier in the  foreign  labor  was 3.5 .Health behavior in  prevention and curative  were  significant different. In addition  ,the person who were not good in preventive behavior  more risky ( OR = 3.97 C.I. 0.12 – 12540) .the foreign labor  were more risky than Thais ( OR = 4.18 , C.I. 0.08-197.43) , age group upper than 45 were more risky than the lower ( OR 2.24 ,C.I. 0.08 –197.43) and  area of worked in  fruit farm was more risky (OR 2.04 C.I. 0.11 – 39.44)
location: nan, 'Thailand 
year: 1999 source: HSRI 
title: Perception and Behaviors Thai People Toward Smoking in the Public Place 
abstract:Perception and behaviors Thai people toward smoking in public place	This study researched the perceptions that Thai people have of smoking in public places and their behavior in relation to it, including smokers willingness to abide by laws      restricting smoking and non-smokers in voicing their objections to smokers breaching these laws. The results were analyzed using SPSS to find percentages, means, the standard deviation, and Pearson's product moment correlation co-efficient was significant at 0.01. A sample group of 600 adults, 300 of which were smokers and 300 of which were non-smokers, were used in this study. Both smokers and non-smokers had a high level of  knowledge about the dangers of smoking to one's health. The study found a high level of compliance to the ban on smoking in public places, noting that smokers look for non-smoking signs prior to smoking to ensure that they do not annoy people. Non-smokers displayed a low level of action in advocating their frustrations with smokers. The study found that the level of knowledge of both smokers and non-smokers directly correlated smokers: compliance with smoking bans and non-smokers avoidance of smoking or smokey areas.
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Comparative study the effect of medication related problem resolving by community hospital pharmacists in hypertensive patients before and after the patients attending physicians 
abstract:The purpose of this research was to compare the effects of medication related problems by community hospital pharmacists in hypertensive patients before and after the patients attending physicians by control-group time series design. The patients who attended pharmacist before physicians will be call "group 1" and the patients who attended physician before pharmacists will be call "group 2". The study was carried out at 7 community hospital in Songkla Province; Satingpra Hospital, Krasasin Hospital, Rattapoom Hospital, Jana Hospital, Tepa Hospital, Kuanniang Hospital and Padangbesar Hospital. The number of patients who could be followed-up for 3 visits were 123 in control group, 108 in group 1 and 113 in group 2. The results showed that medication related problems be found in 74.8, 63.9 and 69.0 in control group, group 1 and group 2 respectively. The medication related problems were found as 1 – 7 problems per patient and the number of medication related problems in experimental groups were less than in control group significantly (p = 0.004) but there was no different between the both experimental groups. Additionally, number of medication related problems and diastolic blood pressure were reduced in both experimental groups (p <0.05) when the patients attended pharmacist at 2nd and 3rd visits but it was not different between group 1 and group 2. Patients satisfied to pharmacy practice at high level (median = 4 points from 5 point full scale) but no difference was found between group 1 and group 2. Physicians and nurses also satisfied to pharmacy practice at high level and no difference was found between the pattern which patients attend pharmacists before and after physicians. However, pharmacists spend more time in group 2 patients (median = 10 minutes) than group 1 patients (median = 10 minutes), especially in the patient’s first visit but it was not different in the later visits (median = 5 minutes in both groups) We can concluded that medication related problem resolving by pharmacists could reduce medication related problems in hypertensive patients but it was not different between the two experiment groups. Patients, physicians and nurses satisfied to pharmacist practice but there was no different between the two experimental groups. The community hospital pharmacists can choose the suitable patterns of medication related problem resolving as this study for doing the pharmaceutical care in their hospital.
location: nan, 'Thailand 
year: 2005 source: HSRI 
title: Measuring the impact of the autonomization of a public hospital on health services : A case of Banpaew hospital (Section 3) 
abstract:The study of impact of the autonomization of a public hospital on health services (The third section) Year 2 – 3 is a section of the study series of the Health Systems Research Institute to evaluate the impact of the autonomization of Banpaew Hospital (Public organization).  The first-part objective is to assess the impact of the autonomization of Banpaew Hospital on quality of health services by medical record review, comparing processes and outcomes of care during the one-year period before the autonomization—the “before” period—and the year after the autonomization—the “after” period—in five disease groups.  The outpatient setting includes diabetes mellitus (DM), hypertension (HT) and tuberculosis (TB).  The inpatient setting includes appendicitis (AP) and acute myocardial infarction (AMI).  The second-part objective is to develop a set of system performance indicators of an autonomous hospital, and to try to evaluate the performance of Banpaew Hospital using the indicator set, by studying in Banpaew and two other community hospitals.	The findings in the first part of the study are mixed.  There are certain differences in processes and outcomes of care in the five diseases between the before and the after period in both directions—better and worse results.   In the DM group, there is a tendency for better process of care, whereas patients during the after period show a slight increase in short-term complication.  However, the changes are not statistically significant (p’s >0.05).   In the HT group, there is significant reduction in completeness of physical examination records while there are more information on recommended laboratory investigations (p’s <0.01).  In the TB group, there are evidences of deterioration in recording processes of care and outcome of treatment (p’s <0.05).   In the appendicitis group, there is a slight reduction in completeness of progress notes, but there is no change in outcomes. In the AMI group, there is no overall difference in processes and outcome of care.	In the second part of the study, we identify the indicator set for monitoring the autonomous hospital with respect to the conceptual framework of health care reform to have two levels—the organizational and the district levels—and consists of 67 indicators in seven dimensions