plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Development of the Diabetes Mellitus Clinic of Jungharn Hospital, Roi Et Province 
abstract:This study was aimed at assessing the development of the diabetes mellitus clinic of the Jungharn
Hospital’s Outpatient Department. The hospital’s management personnel together with the clinic practitioners
participated in the study in order to analyze and solve service problems, so that the clinic could be
refitted. Seventy-five diabetes patients were included in the study group obtained by systematic random
sampling technique. The data were collected by interviews, questionnaires, group discussions, and observation
in the period from October 2005 to September 2006. The data were subjected to content analysis,
frequency, percentage, means, and paired t-test
In situation analysis, the first step in this kind of study, it was found that the existing service was not
convenient for diabetic patients because too many steps were required, the time consumed was prolonged,
and health education was not at all applicable to the patient’s problems and what was needed to solve them. The following stages were conducted by the groups of managers and care providers who participated
in the planning, implementation, and evaluation of the service. Nurses were prepared for work in
the diabetes mellitus clinic service, and used OPD cards for following up diabetic patients. When such
patients made contact with the diabetes mellitus clinic, their fasting blood sugar level was assessed; they
were treated by a physician, and received drugs. The last step in the service was a group discussion.
Evaluation of each patient’s satisfaction was assessed in terms of whether they had a say and were given
recognition, which were much higher, and the means of fasting blood sugar decreased after the diabetes
mellitus clinic was developed; this was found to be statistically significant at the p-value < 0.01 by paired
t-test.
The study suggested that, clinic development requires staff participation in all processes, team work,
good patient relationships, and the availability of a service center.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Anemia and Thalassemia Trait in Pregnant Women Attending Sanpatong Hospital, Chiang Mai Province 
abstract:This retrospective study involved 470 pregnant women who first attended the antenatal clinic of
Sanpatong Hospital in Chiang Mai Province in the period from October 2005 to March 2007. The objective
was to determine the prevalence and causes of anemia in pregnant women and to study the association
between thalassemia traits and anemic status. All pregnant subjects received screening for hemoglobin concentration, hematocrit level, mean corpuscular volume (MCV), one-tube osmotic fragility test (OF
test), and serology for hepatitis B virus, syphilis and anti-HIV. In anemia cases, a therapeutic trial with
iron supplementation was performed in order to assess iron status. In cases positive for thalassemia
screening tests were taken of hemoglobin electrophoresis, hemoglobin A2 level and PCR for alpha thalassemia-
1 trait. Thalassemia traits and hemoglobinopathies were detected in 97 cases (20.7%). The prevalence
of anemia was 23.2 percent (109/470). Classified by trimester, the prevalence was 19.3, 24.5 and 43.2
percent in the first, second and third trimesters, respectively. In anemic pregnant women, the proportion
of thalassemia traits was 46.3 percent (50/108) and the proportion of iron deficiency anemia was 40.6
percent (28/69). Among the thalassemia traits group, the proportion of anemic status was 51.5 percent,
and anemic status in β-thalassemia trait was 70 percent; in α-thalassemia-1 trait, 68.7 percent; in α-thalassemia-
1 and HbE trait, in 40 percent; and HbE trait 28.2 percent. The overall thalassemia trait was significantly
associated with anemic status (OR 5.7,95%CI 3.5-9.3 ), p<0.00, and the α-thalassemia-1 trait and the
β-thalassemia trait were also statistically and significantly associated with anemic status. In conclusion,
the prevalence of anemia in pregnant women attending Sanpatong Hospital was 23.2 percent. The main
causes of anemia were thalassemia traits and iron deficiency anemia. The prevalence of thalassemia traits
in pregnant women in the present study was high and the subjects with thalassemia traits, α-thalassemia-
1 trait and β-thalassemia trait were associated with anemic status.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Satisfaction with Health-care Services under the Universal Health-care Coverage Scheme at Pranburi Hospital 
abstract:This study was carried out to assess the satisfaction with the health services provided under the
Universal Health-care Coverage Scheme (UC) at Pranburi Hospital. The study sample included 369 patients,
i.e., 268 females (72.6%) and 101 males (27.4%), whose general population characteristics varied by
sex, age, income and experience with the hospital services in the period from June 2007 to September 2007.
Statistical analysis of data was represented by percentage, means and standard deviation, t-test and F-test.
The study revealed overall satisfaction with the health-care services provided under the Universal Healthcare
Coverage Scheme; these were rated as good (3.61 ± 0.36). Satisfaction with officials (3.69 ± 0.46),
satisfaction with information (3.65 ± 0.49), satisfaction with servicing processes (3.55 ± 0.42) and satisfaction
with places and materials (3.54 ± 0.36) were all good. The patients differing in terms of sex, age and
income showed no difference under the Universal Health-care Coverage Scheme, but their experiences on
health-care services were different (p < 0.05).
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Effects of Diabetic Drug Adjustment among Fasting Diabetic Patients during the Ramadan Period in Nongjik District, Pattani Province 
abstract:The objective of this study was to determine the effects of diabetic drug adjustment during the Ramadan
period among fasting diabetic residents of Tuyong subdistrict, Nongjik district, Pattani Province, who had received
treatment in Nongjik Hospital during the period from October 1, 2006 to October 12, 2007. Diabetic
complications and changes in glucose levels before and during the Ramadan period were detected among 41
patients with diabetic drug adjustment, compared with 38 patients without drug adjustment. Data on their
blood glucose levels were obtained from OPD cards and from monitoring chart records during the Ramadan
period. SPSS for Windows was used to analyze the data.
The distributions of sex, age, co-morbidity and diabetic drug use were comparable between both groups.
Diabetic complications were found only in patients without diabetic drug adjustment. There were three cases
with hyperglycemia and two with hypoglycemia. Before the Ramadan period, both groups had comparable
mean glucose levels. During the Ramadan period, the mean glucose level was significantly lower in the patients
with diabetic drug adjustment than those without drug adjustment. Patients with drug adjustment were significantly
more likely to control their blood glucose levels than the other group.
Diabetic drug adjustment is useful during the Ramadan period. Before the Ramadan period, good health
education about food intake, diabetic complications, and the benefits of drug adjustment should be given to
diabetic Muslim patients.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Occupational Therapy - Mahidol Clinic System in Stroke Patients 
abstract:Stroke is increasingly found without regard to sex and age in the Thai population. Thus, it is mandatory
that the Occupational Therapy (OT) service be directed at either improvement or maintenance with
regard to individual skills of occupational performance. This OT service was systematically developed in
further support of an increasing number of patients. In section I, Occupational Therapy – Mahidol Clinic
System (OT-MCS) was created as an operational service for the OT Mahidol Clinic. This study was
conducted in order to compare the number of patients who attended the OT Mahidol Clinic in the 30-day
study period, before and after attending the OT-MCS. In section II, the patients studied comprised a group characterized as maintained performance (comparison of repeated therapeutic activities via descriptive
statistics) and a group characterized by improved performance (comparison of levels of activity
approach via Wilcoxon Test in the period of 30 days before and after the use of OT-MCS). After the use of
OT-MCS, the number of patients increased although the number of supervised occupational therapists
remained the same. The therapists also differentiated 40 activity items according to the levels of satisfaction
and importance. Moreover, the maintained performance group had moderate and high levels of
satisfaction with the importance of occupational performance. The improved performance group managed
different levels of activity regarding international concepts of occupational therapy. The patients
could express their existing potentials through meaningful activities, proper activity analysis and synthesis,
learning the importance of occupational performance, and gaining satisfaction with the choices of
occupational performance. The practice may be implemented in the patients’ realistic environment.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: The Synthesis of Functions, Roles and Structure of the Ministry of Public Health as a Mechanism in the National Health Systems 
abstract:This research was to study and propose functions, roles, and structure of
the Ministry of Public Health in the next decade as a mechanism of the National
Health System. The proposal was done by analysizing related documents and
research papers published in Thailand and other countries. Research methodology
also included individual and focus group interviews among those academicians
and involved partners in health. This study revealed rapid and tremendous
changes of global context re-defining health to cover physical, mental, social
and intellectual dimensions. Moreover a plenty of organizations and mechanism
related to health have emerged. The Ministry of Public Health that has
currently been responsible for health affairs of the country as the key stakeholder
is supposed to emphasize its functions and roles on collaborating and bridging
all the social sectors of the nation; it then systematically and apparently mobilizes
their resources and potential for health development.
Ten functions and roles of the Ministry of Public Health during 2007 -
2012 were proposed. 1) Play major role in formulating national health policy and
strategy. 2) Advocate knowledge generation and management. 3) Determine and
regulate health standard. 4) Build capacity of social sectors and people in health.
5) Enforce health and health-related law. 6) Superintend the control of diseases
and health hazards. 7) Superintend health care financing for people and specific
needy groups. 8) Secure and assure the integrity of health resources. 9) Implement
international health. 10) Mobilize the health-related royal initiation projects.
Therefore organizational structure of the Ministry during 2007 - 2016 would
be basically changed in comply with the aforementioned functions and roles. It
was proposed that all the health service facilities ranging from primary to tertiary
levels within the same services area would be reposed in the same authority
of command. It would also be legislatively adopted to be juristic body as a
state agency other than government agency or state enterprise but under the
supervision of the Ministry of Public Health. The status will also be applicable
to sub-specialty facilities. Meanwhile particular mechanism would be established
at the central level to coordinate those facilities in terms of policy and direction
of services as a whole.
To attain that goal, policy makers, high executives of the Ministry and
involved agencies must share policy commitment for changes. Then the establishment
of “The Bureau of Change Management for the Ministry of Public
Health” as an autonomous body under the supervision of the Ministry would
streamline and accomplish the organizational restructuring. The Bureau is supposed
to propose plan and phases of those undergoing change.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: Evaluation of Health Care System for Diabetic Patients of Contracting Units for Primary Care (CUP  Network under the Universal Care Coverage System 
abstract:This study is part of the study to develop the monitoring system for primary
care at a macro level. This part shows the evaluation result of diabetic care
system of various contracting units for primary care in purposively sampled 18
CUPs, 4 regions. The components of the evaluation were diabetic care system
and process, clinical results, knowledge, practices and quality of life of diabetic
patients. The methodologies used were internal evaluation by questionnaires
and explore evaluation by observation, interview and documentary review. The
result showed that the quality of the systems among CUPs was much varied.
Most were passive, not proactive on risks and complications management. Primary
care showed fewer roles, only screening and follow up. Most of them were
not well supported by hospitals and CUPs. Health outcomes indicated that 38
percent of the total had good control of plasma glucose (HbA1c < 7 mg%); 10-19
percent high cholesterol, 21-43 percent high HDL, 2-12 percent high triglyceride
particularly among women than men; 31-50 percent micro-albuminurea (>30),
high creatinine 2-30 percent. These were different among areas and diabetes over
5 years had more complications than diabetes less than 5 years. The knowledge,
practice and quality of life of diabetes were varied among CUPs. Most had good
knowledge and practice on medication and general management, but has less
on diet, foot care and care for special events. Diabetes had quality of life on mental
aspect less than other aspects. Those with diabetes less than 5 years had
quality of life score on physical and dependency aspect better than those more
than 5 years, but the scores other aspects were not different. The diabetes in
areas that had better knowledge and practice also had higher score of quality of
life.
This study showed that the evaluation of diabetes care system can be one
tracer to monitor quality of primary care and contracting units of primary care.
The process and some outcome indicators in this study can be used to compare
conditions among areas.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: Situation of Information System for Monitoring of Primary Care Units (PCU) 
abstract:This study is one part of the development of primary care monitoring
system at a macro level in 2005. This part shows the conceptual framework to
develop the indicators and the existing database system of primary care units
based on such development. The diabetic care and mother and child health care
were used to represent the unique characteristic of primary care, advocating
holistic approach, continuity of care, and supporting self-reliance. The study
found that data for quality indicators of diabetic care lacking, varied among units,
and needed to be newly developed. The data for indicators of MCH care have
not been so different among units, but the collection form was varied and segmented
by different units. The incompleteness and inconsistency of data of the
same case was high. The outcome indicators were too insensitive to allow differentiation
of the quality of individual primary care networks. It needs the process
indicators that can be collected through hospital database. Moreover the
database will be more reliable and accurate if the provincial monitoring committee,
instead of the central unit check and analyze the data as a package.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: Implications of the Universal Coverage Scheme on Health Service Delivery System in Thailand 
abstract:The Universal Coverage policy has incorporated two major reform elements,
financial management reform and strengthening primary care which inevitably
affects health service delivery system in Thailand. This paper was aimed
to review implications of the Universal Coverage policy on service delivery system
in terms of financial implications and service provision. Review of secondary
data was the method adopted to explore the implications and the study was
conducted during 2004 - 2006.
The result revealed that the Universal Coverage scheme had a great impact
on the service delivery system. Inadequate funding in addition to change
of allocation criteria from supply-based allocation to demand-based allocation,
per capita, had great financial implications on hospitals. Big hospitals, for example,
regional and general hospital, and hospitals with relatively high concentration
of health personnel incurred financial deficit in the first year when salaries
were included in the capitation. However, the problem had been shifted
from regional and general hospitals to community hospitals and those hospitals
in the Northeast when salaries were removed from the capitation in the following
years. Change of criteria of allocation out of inadequate funding was inevitably
shifted the problem from one to another. Providing universal coverage of
health insurance apparently increased demand for care and burden of work.
Strengthening primary care policy drove more service utilization toward community
hospitals and health centers. Mobilizing doctors or professional nurses
to provide care in primary care units and health centers improved overall quality
of care. However, inadequate funding and stagnation of investment budgets
may have negative consequences on quality of care in the long run.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: Evaluation of the Project Development of Gold Card Enrollment System : A Case Study in Phrae 
abstract:Evaluation of the Project “Development of Gold Card Enrollment
System : A Case Study in Phrae” had three objectives : 1) study actual
activities compared with planned activities, 2) study effectiveness of
the project compared with its target, that was Gold Card enrollment completed
within 15 minutes at hospitals and within 7 days at health centers,
3) evaluate satisfaction of staff and clients towards this new enrollment
system. An evaluation taskforce was established. Data for analysis
came from Gold Card application form, records and reports from
Phrae Provincial Health Office, a group discussion with registrars, and a
questionnaire about satisfaction of clients. Results showed that almost
all activities were accomplished as planned. The staff had learned : planning
by using Project Design Matrix (PDM), system analysis and new
system design, preparation for a new system, starting a new system,
and continuing operation and monitoring a new system. Enrollment
results showed that, at hospitals, 85.4 percent of enrollments could be
completed within 15 minutes; at health centers, 61.8 percent of enrollments
could be completed within 7 days. Nearly 100 percent of staff and
clients were satisfied with this new enrollment system. Problems encountered
were: staff could not access to centralized database due to
instability of the network; health center staff failed to follow the guideline
in forwarding enrollment data to registrars at hospitals within 7 days
because numbers of registration in one week were so small that it seemed
economically invalid to follow the guideline. Lessons learned were applied
to the project “Data Center“ of the National Health Security Office
(NHSO).
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Relationship between Fasting Plasma Glucose and Hemoglobin A1c in Type 2 Diabetes Mellitus Patients Attending Ladlumkaew Hospital 
abstract:The objective of this descriptive study was to determine the relationship between
fasting plasma glucose (FPG) levels, as well as a few other factors, with HbA1c in 100 patients with type 2 diabetes who were receving treatment at Ladlumkaew Hospital. The
data were collected during the period May-July 2007. The variables were sex, age, waist
circumference, body mass index, duration of illness, administration of metformin, and
fasting plasma glucose. The relationship between variables and HbA1c was assessed using
percentage, and odds ratio test.
The results of the study showed that patients who received treatment with metformin
had a mean level of FPG for three months equal to or less than 130 mg/dl related significantly
with an HbA1c level of less than 7 percent. When considering the results, 30 percent
of the patients had a mean level of FPG equal to or less than 130 mg/dl and 15
percent of the patients had FPG levels three times in three months that were equal to or
less than 130 mg/dl; these patients had HbA1c levels above 7 percent at 56.7 and 46.7
percent, respectively. Such findings denoted that the FPG level reflected the short period
of the preceding plasma glucose level; making an evaluation of hyperglycemic control by
FPG level would be misleading in the management of diabetes patients. The HbA1c level
was a better indicator for evaluating the achievement of glycemic control over the preceding
2-3 months. The HbA1c level could predict the complications of diabetes patients.
Therefore, for the goal of glycemic control, the HbA1c test shoud be employed in conjunction
with the FPG test.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Role of Family Physicians in Preventing Disabled Stroke Patients from Developing Pressure Sores 
abstract:The purpose of this study was to determine an appropriate way to prevent bedsores in disabled stroke patients while they are still hospitalized. All stroke patients admitted to the Internal Medicine ward in Sichon District Hospital during the period January 2005 - December 2006 were enrolled into this study. Data collection included demographic data, and information on occurrence and details of the bedsores. We invented a new care protocol and equipment to prevent pressure sores. A comparison of the results of care before and after the use of these interventions in the target group was the outcome measured. During 2005, the incidence of bedsores in stroke patients was 18.37 percent. After the new strategies in caring and monitoring had been introduced, the incidence decreased by 5.36 percent in 2006. The knowledge, attitude and practice of caregivers, which included nursing personnel and patients’ relatives, increased; moreover, they tended to participate more in taking care of their patients. The most common pressure ulcer locations were the coccyx and the sacral area. In hospitalized patients, most pressure ulcers were facility-acquired, so we created new equipment from local products, i.e. pillows made from the inner skin of dried coconut in order to support the at-risk surfaces and decrease the pressure on the skin. New strategies in caring and monitoring bedsores included education, empowerment of caregivers and team work. All patients were followed up, and home visits by the family physician and his/her team were made; no new bedsores were found to have occurred in their homes. This study demonstrated that the best way to treat pressure sores in disabled CVA patients is to prevent those conditions in the first place. Given current evidence, using support surfaces, repositioning the patient, optimizing the nutritional status of the patients, and moisturizing the skin were all strategies that prevented pressure ulcers. Caregivers should be empowered to take care of their patients during the entire period of their entire hospital admission. Family physicians should strive to integrate both holistic care and continuity of care for the patients and their families.