plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: The Development of Health Literacy for Health Management of Older Persons with Diabetes and Hypertension in Primary Care Cluster Context: Case Study in Phetchaburi Province 
abstract:This research and development aimed: 1) to examine health literacy and health management situation
of older people with diabetic and hypertension; 2) to develop health literacy and health management
program for older people with diabetic and hypertension; 3) to assess the effectiveness of
health literacy and health management program for older people with diabetic and hypertension; and
4) to develop policy recommendations on health literacy and health management of older people with
diabetic and hypertension. The samples were 140 early older people for quantitative study, and 18
healthcare providers such as family medicine doctors, nurses in primary care cluster (PCC), province and
district public health offices. The 140 early older people were divided into 70 for experimental group
and 70 for control group to assess effectiveness of the program. Data on health literacy, health management, A1c, and blood pressure were analyzed by using descriptive statistic. Paired t-test was used to compare between pre and post intervention. Independent t-test was used to compare mean between
experimental and control group. Results: 1) The overall health literacy of the older people with diabetes
and hypertension at the PCC was found to be insufficient at 52.7% (n = 78) and sufficient at 44.3%
(n = 62), respectively. The health management scores were at moderate level (x ̅ = 2.15). The highest
score was the ‘continuing care’ (x ̅ = 2.53), followed by a moderate level of ‘stress management’ (x ̅ =
2.22), ‘drug use pattern’ (x ̅ = 2.13) and ‘food consumption behavior’ (x ̅ = 2.12). The ‘exercise’ had the
lowest mean score (x ̅ = 2.01). Regarding the effectiveness of health literacy program, the average A1c
in the experimental group was lower than the control group (p < 0.01). The average systolic blood pressure (SBP) of the experimental group was lower than the control group (p < 0.001). Likewise, the health management scores of the experimental group were higher than the control group (p < 0.001), as well as the health literacy score (p < 0.001). The PCC should consider applying this program in order to help older people and family to better control A1c and blood pressure to reduce the risk of complications.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Cost Analysis and Factors Affecting Treatment Cost of HIV/AIDS at Phra Thong Kham Chaleom Phrakiat Hospital 
abstract:This study was a retrospective descriptive study. The objectives were to determine the costs and formulate the cost function due to HIV and AIDS treatment from a provider perspective for the fiscal year 2018 at Phra Thong Kham Chaloem Phrakiat Hospital, Nakhon Ratchasima province. Descriptive statistics were used to summarize demographic characteristics and costs. Stepwise multiple regression was employed to construct the cost function. Ninety-six patients with complete cost data were analyzed. Male and female was equal. More than sixty-nine percent aged higher than 40 years old (mean age 42 years). The total treatment cost was 1,652,314 baht, or an annual average of 17,212 baht per person. Based on the fitted regression model, the significant explanatory variables included drug resistance, the number of out-patient visits, age, and adherence to treatment. The model could explain fifty-seven percent of the cost (Sig. F<0.001). In conclusion, the present study provided a description of costs of HIV and AIDS treatment. It also explored factors affecting institutional costs. These data can assist financial and efficiency management.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: An Assessment on the Ministry of Public Health’s Intermediate Care Policy: A Quantitative Analysis 
abstract:The present study aimed to 1) illustrate the situations of intermediate care according to the Ministry
of Public Health’s policy. Seventeen healthcare facilities providing acceptable intermediate care to
patients with stroke, traumatic brain injury (TBI), and spinal cord injury (SCI) were multi-stage sampled
from the Ministry of Public Health provider sampling frame of 897 hospitals. Questionnaire with item-objective
congruence index (IOC) of 0.6–1.00 was the tool used for data collection during September 2019
to March 2020. Electronic data related to inpatient intermediate care were alternative study data source.
The data were analyzed with descriptive (frequency, percentage, mean, standard deviation) and inferential
statistics (median test, paired t-test, t-test, Pearson correlation). The findings showed that the selected
hospitals were divided based on service data into 3 groups: 1) intensive intermediate care services,
2) moderate intermediate care services, and 3) moderate intermediate care services with limited evidence
from questionnaire and individual inpatient data. The majority of patients were stroke. Group 1 community
hospitals had longer length of stay (LOS) than other groups in all 3 conditions; stroke 9.2 days, TBI
13.6 days and SCI 26.8 days. The average medical expense per visit for out-patients with SCI in the provincial
hospitals from group 1 was the highest; 30,458 baht. The average medical expense per visit for
in-patients with SCI in the hospitals from group 1 was the highest; 57,254 baht. The patients with SCI
from community hospitals in group 1 had the highest re-admission rate of 38.1 per cent. The Barthel
index (BI) at discharge was higher than on admission date for stroke (paired t- test(3,423) = 30.82, p < 0.01),
TBI (paired t-test(88) = 3.64, p < 0.01), and SCI (paired t-test(104) = 3.05, p < 0.01). The stroke patients in
group 1 hospitals showed better patient functional improvement by higher improvement in Barthel index
(IBI) than in group 2 hospitals (4.0 vs 1.8, independent t-test 3,381 = 12.51, p < 0.01). The medical expense
had positive correlation with LOS of 3 conditions (CSI r = 0.98, p < 0.01; TBI r = 0.53, p < 0.01 and stroke
r = 0.17, p < 0.01). The IBI of stroke had negative correlation with LOS (r = -0.044, p < 0.05) and with age
(r = -0.035, p < 0.05). In conclusion, the intermediate care with intensive rehabilitation to enhance
clinical effectiveness should be continuously supported.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Health Workforce Requirements for the Dependent Older People in the Future 
abstract:The study aimed to project the health workforce requirements to provide long term care for the
dependent older people in Thailand. The descriptive study comprised 2 steps, primary and secondary
data collection and forecasting for health workforce requirements for the long term care services. Survey
conducted at 66 public and private long term care institutions and 130 care managers (CMs) looking
after home health care services. Self-administered questionnaires comprised questions in relation to
service provision, health workforce, quantity of services and time used were applied. The health need
method was used to project the health workforce requirements for home health care services and the
population ratio method was then employed to project the health workforce requirements for institutional
care. Health workforces included in the projection were: CM, nurses, doctors, physiotherapists,
social workers, nurse assistants and care givers (CGs). The results showed that when service utilization at
institutional care increased at 10-20% each year, the requirements for CM, nurses, physiotherapists,
doctors, social workers, nurse assistants and CG in 2030 would be 37,235-37,636; 29,520-30,499; 4,858-
5,260; 3,555-4,000; 338-740; 1,613-3,529; and 126,542 -134,312 respectively. Comparing to health workforce
supply of the whole country, it is likely that there would be a critical shortage of nurse and CM.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Proportion, Patterns and Associated Factors of Inappropriate Antibiotic Prescriptions in Acute Upper Respiratory Tract Infection 
abstract:Objectives: To study the proportion, patterns, and factors associated with inappropriate antibiotic prescription (IAP) in acute upper respiratory tract infection (ARTI) at the Student Health Center (SHC), Prince of Songkla University (PSU). Methodology: A descriptive retrospective study was conducted by reviewing medical records from the hospital information system (HIS) of Songklanagarind Hospital. Seven hundred and thirty ARTI patients, who met inclusion criteria at the SHC, PSU from 1 January to 30 September 2018 and diagnosed with common cold, acute pharyngitis, and acute tonsillitis under the ICD10 code. Four hundred and thirty-four patients were excluded after medical record review. Descriptive and inferential statistics were employed in the data analysis using the R® 4.0.0. software program. Associations were evaluated via odds ratios with 95% confidence intervals. The level of statistical significance was set at p<0.05 using multivariate analysis. Results: Two hundred and ninety-six participants were enrolled in the study. The proportion of antibiotic use in ARTI was 17.2% (51 of 296). Among antibiotic prescriptions, the proportion of IAP was 80.4 % (41 of 51). The patterns of IAP were as follows: no antibiotics indication 90.2% (37 of 41), wrong duration 26.2% (11 of 41,—a 5 day amoxicillin therapy was the most common 27.2%), and wrong dose 12.2% (5 of 41,—all received amoxicillin in the dose of 2,000 mg/day). The multivariate analysis demonstrated that factors significantly associated with IAP were being a patient with an underlying disease (adjusted OR=4.22, p=<0.001) and a nurse practitioner as prescriber (adjusted OR=10.93, p=<0.001). Conclusion: Antibiotic prescriptions in ARTI at the SHC, PSU did not exceed the 20% rate set in the rational drug use hospital policy for antibiotic prescription criteria. Nevertheless, the proportion of IAP among ARTI patients was high, and the most common pattern was prescribing antibiotics without an indication. Therefore, future research should focus on how to enhance the adherence to antibiotic prescription guidelines to promote appropriate antibiotic prescription, especially among nurse practitioners.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Physical Activity in Thai Children and Youth Aged 0-22 Years: A Systematic Review 
abstract:Background and rationale: Having sufficient physical activity (PA), as recommended by the World
Health Organization, is necessary for developing motor skills and physical fitness of children and youth
and reducing risks of non-communicable diseases when entering adulthood. Over the past years, there
has been a large amount of research and development of PA knowledge in Thailand, but the research
gaps and clear directions for future research have not been analyzed and identified. Objective: To
investigate research topics conducted in the past and identify research gaps in PA among Thai children
and youth aged 0-22 years and provide future research suggestions. Methodology: This study applied a
systematic review by searching research articles from Thai and international databases. The review
included studies on PA in Thai healthy children and youth aged 0-22 years written in Thai or English and
published during 2009-2019. The quality of the studies was assessed using a standard checklist. Descriptive
statistics and content analysis were used for data analysis. Result: A total of 79 studies were qualified
and included in the review. The least age groups represented in the review were children aged 0-5
years (1.3%). There was a low number of studies in the areas concerning the association between PA and
cognitive functioning, physical environment, and sociological-cultural factors. Areas that had not been
investigated were the associations between PA and mental health, socio-economic status, and technology
for promoting PA. Recommendation: Researchers should consider conducting studies that have
been identified as gaps of the research in this field to provide comprehensive information for the development
of policies and programs to encourage Thai children and youth to have sufficient PA and adopt
PA as part of their lifestyle.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Conceptual Framework of Empirical Factors Related to Voluntary Health and Social Insurance Enrolment: An Implication for Thai Social Security Act, Article 40 
abstract:Background: Extending social insurance to informal employment has become a goal among international and national authorities. For Thailand, the voluntary social security scheme under Article 40 (A40) of the Social Security Act covers only seventeen percent of the total informal workers of 20.4 million. Many studies had identified factors relevant to the enrolment and renewal of voluntary social health insurance scheme. Thailand can learn and use the existing research findings from international perspectives to improve the coverage of voluntary social security scheme continuously and efficiently. Methodology: Searches of electronic databases from Google Scholar, PubMed, ThaiJo and ThaiLis were conducted. Studies that aimed to identify factors associated to the enrolment and renewal of health or social insurance, A40, and the National Saving Fund (NSF), written in English and Thai were included for the analysis. Key results: Ten studies were included in this review. The included studies reported demographic factors, education, occupation, income, knowledge and understanding of the scheme, quality of services, health issues, benefit package adequacy, and socio-cultural factors as significant determinants of the enrolment in a voluntary health insurance scheme, the A40, and the NSF. Conclusion: The present study provides evidence on determinants of the enrolment in a voluntary health or social insurance scheme that applicable to the Article 40 of Thai Social Security Act. Strategies should be developed with consideration of those significant determinants to increase the coverage and sustainability of the scheme.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Developing analysis and evaluation system for MDR-TB epidemic in community by studying MDR-TB genetic factor, host-related infection rate of MDR-TB patients and their contacts, spreading and treatment in outbreak area of Thailand 
abstract:This study aims to explore the MDR-TB spreading in an outbreak area of Thailand. A crossectional study is carried out to determine bacteria and host genetic factors relate to MDR-TB infection in patients and their contacts, epidemic process, and treatment outcomes. The sample population including MDR-TB patients who were registered at Makarak hospital between 2014 to 2019. A total of 205 MDR-TB isolates were sequenced and a total of 352 MDR-TB contacts from 152 MDR-TB patients were enrolled in this study. A total of 205 MDR-TB isolates were sequenced, 88.8 % of these were MDR-TB cases, while the other 4.4 % and 6.8% were pre-XDR-TB and XDR-TB respectively. The result of whole genome sequencing and SNPs analysis showed 4 lineages(L) of the MDR-TB genotype in this study, including L1, L2, L3, and L4. L2 of Beijing strains (L2-Beijing) was the most common genotype and 77% of the L2-Beijing genotype belonged to the sub-lineage of Asia African3 (AAF3). When we considered the number of SNPs different among AAF3 genotype, found that 34.1 % of those were clonal. And found that, patient with DM is more likely to be in a group of clonal MDR-TB than without DM. Of 352 MDR-TB contacts, 71.3% were household contacts, 64.1% were working for the age group. There were 31.5% of contact had the comorbid disease, included DM, HT, and other disease were 8.8, 16.2, and 10.5% respectively. A latent tuberculosis infection (LTBI) among contacts of clonal and non-clonal MDR-TB were 27.8% and 30.2% respectively. However, there was no statistically significant difference between these 2 groups (p-value = 0.697). To identify host genetic factors associated with MDR-TB infection, GWAS was used to an identified specific genes associated with MDR-TB infection. We considered contact with IGRA positive as a case and contact with IGRA negative was control. The most common significant SNPs and genes were located on chromosome 6 and HLA gene, including HLA-DRA and HLA-DRB1 which had been reported in previous studies. Other significant SNPs were also found to be associated with TB infection, the SLC1A2 gene on chromosome 11. In summary, a high proportion and homogeneous gentic of AAF3 strain among MDR-TB patients may reflect the adaptation of the strain to spread more readily in thai population, and the increasing of this pathogenic strain may impact the tuberculosis control program. Early diagnosis and contact tracing will be essential to inhibit the spread of these strains. Furthermore, it will be important to ensure that future vaccines protect against these strains.
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Situation analysis and requirement of health manpower at primary care level during the situation of COVID-19 pandemics 
abstract:For disease control such as COVID-19, limiting the spread of epidemics is an important activity. Parts of activities are the roles of primary care or health centers in the area including contact tracing and active care finding. The objective of this study is to develop the methodology to assess the workload of health personnel at primary care in the normal situation and in the COVID-19 pandemics situation in order to identify human resource capacity and gap at primary care level for defending COVID-19 at different levels of epidemics. This study assessed the workload for 6 types of health services by analyzing the related databases and estimating average time of service using previous study and discussion with 9 health centers in 3 provinces. Subtraction of total working hours for 4 types of health personnel including doctor, nurse, public health technical officer, public health officer by service workload (6 types of services) and workload for community services and others (2 hours per person per day in average) was done. The remaining working hours were used for estimating capacity of COVID-19 control activities, in this case, the highest number of contact tracing and active case finding that can be performed in one day at health center level, district level and provincial level for the whole country (except Bangkok). The result of the study showed that in case of using 50% of remaining working hours after subtraction by the existing workload (6 services workload and community workload), there are about 85% of provinces that can perform 2,000 – 8,000 cases per day of contact tracing or active case finding. At district level, there are about 75% of districts that can perform 200 – 800 cases per day. At health center level, there are about 75% of health centers that can perform 20 – 80 cases per day. These figures are based on service data between January and June 2020 which was the first round of COVID-19 epidemics. The result reflects that health centers have different capacity (flexible working hours) for defending epidemics. District level seems to be more flexible and manageable to mobilize human resources within district for not severe epidemics situation and provinces can cover higher volume of active case finding per day. Therefore, the surge capacity plan should be developed at district and provincial level for mobilizing human resources within area in the situation of epidemics.
location: nan, 'Thailand 
year: 0 source: HSRI 
title: Development of the Health Literacy Model to Enhance Self-Management Behaviors and Health Outcomes among Older Adults with Type 2 Diabetes Mellitus and Hypertension in Primary Care Cluster, Saraburi Province 
abstract:Development of a health literacy model to enhance self-management behaviors and health outcomes among older adults with coexisting type 2 diabetes mellitus and hypertension in primary care cluster Saraburi province was a research and development. The main purposes of this study were to develop health literacy model of older adults with coexisting type 2 diabetes mellitus and hypertension and to determine the effects of this model. A sample of 150 older adults with coexisting type 2 diabetes mellitus and hypertension visiting in primary care cluster Saraburi province was randomly entered into the experimental and control group, 75 participants for each group. The experimental group participated in the health literacy developmental activities for a period of 12 weeks, whereas the control group obtained regular care. The instruments employed in this research included 1) the health literacy developmental model and supporting documents and 2) the self-management behavior questionnaire. The percentage, mean, standard deviation, t-test, and content analysis were used to analyzed the data. The results showed that: 1. The health literacy developmental model to promote self-management behavior and health outcomes among older adults with coexisting type 2 diabetes mellitus and hypertension consisted of 5 stages as followed: 1) confidence to change, 2) access and understand our disease, 3) communicate and make decisions for health, 4) set the direction for self-change, and 5) continuously perform towards good health outcomes. 2. The effects of the health literacy developmental model to promote self-management behavior and health outcomes were found: 2.1 Post-test mean score of self-management behavior of the experimental group was significantly higher than the control group (p < 0.001). Post-test mean of HbA1c and systolic blood pressure of the experimental group were significantly lower than the control group (p <0.01 and p <0.001, respectively), whereas mean of diastolic blood pressure of the experimental groups were lower than the control group, but there was no statistical significance. 2.2 Post-test mean score of self-management behavior of the experimental group was significantly higher than pre-test (p <0.001), whereas mean HbA1c, systolic blood pressure, and diastolic blood pressure of post-test was significantly lower than pre-test (p <0.001). The results of this study can be employed to develop health literacy to promote self-management behaviors and control HbA1c, and blood pressure among older adults with coexisting type 2 diabetes mellitus and hypertension.