plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2010 source: HSRI 
title: The Comprehensive Knowledge Management in Diabetes/Hypertension Case 
abstract:The comprehensive knowledge management in Diabetes/Hypertension
case project is organized to integrate the two existing networks- Toward Clinical
Excellence Network-DM (TCEN-DM) and Diabetes Knowledge Management Network.
The main objective of this project is to combine the comprehensive knowledge
management in Diabetes/Hypertension case in Thai content with the specific objectives
of the followings (1) To collect and synthesize the experience, knowledge and
innovation about diabetes/hypertension prevention and health promotion in or to
develop the clinical excellence system (2) To establish the benchmark measurement in
diabetes/hypertension management and (3) To share the knowledge in comprehensive
diabetes/hypertension knowledge management among network for best practice. The
assumption of this project is that the knowledge can be extracted from the best practice
and staff. So, the knowledge management in this project is to transfer the knowledge
from the person to the others and continuous management to create, share and adapt the
knowledge.
The leader from TCEN and Diabetes KM network from 4 regions of the
Thailand was selected to be the core responsible person (Node). They were trained for
the knowledge management, TCEN indicator and outcome mapping for building the
network, planning and operating the project. The Node was then transferred the
knowledge into their area and provided the knowledge management forum “Synergy
between tacit and explicit knowledge for diabetes and hypertension patient” during Aug
03-04, 2009. Based on the output competency from 11 events of knowledge
management market in each region, the working committee had a conclusion of 9
factors and classified into 5 levels that were used to evaluate and improve the potential
of diabetes/hypertension care team in Thailand context.
For TCEN indicator, it was increased from 17 to 20 indicators to accord
with indicator of the National Health Security Office which was revised to an
appropriate template of each the indicator.
Other than the above activity, this project has published 2 books:-
“Diabetes story: learning through practicing volume 2” and “Diabetes TCEN: Pointing,
Setting the target and Developing”. The synergy tacit and explicit knowledge story was
produced in CD and made the weblog: http://gotoknow.org/blog/dmcop to distribute the
data, story and another summary from this project.
Through a year of the project implementation by using the knowledge
management tool, most of activities were conducted under the positive, friendly,
respective atmosphere with appreciation of all participants of this project. This made the
leader and the members of the network a good relationship and collaboration. It is
confident that the network can be operated in a sustainable way.
location: nan, 'Thailand 
year: 2010 source: HSRI 
title: A Development of the Out-Patient Service Quality Satisfaction Indicators of Community Hospital 
abstract:The purpose of this research was to develop the Out-Patient Service Quality
Satisfaction Indicators of Community Hospital . Applying research and development was
approached. Analytical statistics were qualtitative research methodology by Multi-Attribute
Consensus Reaching and quantitative research methodology for reliability by Cronbach’s
Alpha-coefficient and Model Validity finding by Confirmatory Factor Analysis:CFA with
LISREL 8.30. The samples were 759 cases from the Out-Patient of 8 community hospitals
in Phitsanulok Province. Eestablishing the standard for the evaluation by normative and
evaluating the handbook.
The finding of this research were as follow ; the Out-Patient Service Quality
Satisfaction Indicators of Community Hospital composed of the 5 domains TICTI 34
indicators ; 1) the Tangibles : T domain composed of 11 indicators 2) Interaction : I domain
composed of 6 indicators 3) the Convenience : C domain composed of 5 indicators 4)
the Trust : T domain composed of 8 indicators ; and 5) the Information : I domain composed
of 4 indicators. Reliability of the Out-Patient Service Quality Satisfaction Indicators of
Community Hospital was 0.77. Model of the Out-Patient Service Quality Satisfaction
Indicators of Community Hospital fit very well with the empirical data (2 =431.55 , df =
522 , p = 0.001 , GFI =0.94 and AGFI = 0.91 and root mean squared residual : RMR =
0.02). The standard for the evaluation employed in three level. The norm statistics were as <
102 scores at poor, 102 to 153 scores at fair and > 153 scores at very good. Evaluating the
appropriate of the Out-Patient Service Quality Satisfaction Indicators of Community Hospital
handbook was at good level .
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Policy Analysis for Response to and Preparedness for an Avian Influenza Pandemic and/or Influenza in Thailand 
abstract:Since 2005, a national strategic plan aimed at controling and preventing a future avian influenza (AI)
pandemic and/or outbreak of influenza in Thailand was established as a policy measure to tackle these
public health threats. The objective of this paper is to study the formulation process of two policy measures
for AI: vaccination of poultry and stockpiling of antiviral drugs for humans.
We used a qualitative approach with in-depth interviews of 38 key stakeholders from many organizations.
In addition, a literature review was carried out along with the interviews. After collecting data
from the literature and the in-depth interviews, we analyzed the emerging themes relevant to the policy
formulation process in Thailand.
We found that policy formulation concerning poultry vaccination is a very complex and politically
driven process since many stakeholders are involved with different special interests and powerful influences.
Small-scale poultry producers representing rural people are the ones who would rather use vaccine,
because non-vaccine measures, such as culling or using bio-security buildins and measures, are against
their rural culture. However, the majority of key stakeholders were against the use of poultry vaccine.
There are four major reasons: (a) evidence of vaccine effectiveness is not convincing and thus a public
health threat remains possible; (b) the government has confidence in the infrastructure needed to fight AI
outbreaks with non-vaccine measures; (c) the management system of vaccination (acquisition of goodquality
vaccine, finance, logistics, monitoring and exit program) is not fully effective; and (d) the government
implicitly wants to protect the poultry export industry. Thus, the government decided not to use
poultry vaccine.
Contrary to the poultry vaccine policy, building stockpiles of antiviral drugs for use in humans is
determined primarily by experts at the Ministry of Public Health, following World Health Organization
guidelines, but under budget constraints. Other factors relevant to policy analysis are: government leadership,
budget constraints, animal and human health co-ordination, scientific evidence and risk communication
for the public.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Impact of Overweight and Obesity on Health-care Costs in Thailand 
abstract:Overweight and obesity are associated with several chronic diseases. Economic costs attributable
to overweight and obesity are substantial. In Thailand, the prevalence of overweight and obesity is increasing
rapidly. It was also found that overweight and obesity were the 6th leading risk factor attributable
to Disability-Adjusted Life Year (DALY) loss in Thailand in 2004. However, there had never before
been a study which examined health-care costs due to overweight and obesity in Thailand.
This study is aimed at estimating the health-care costs attributable to overweight and obesity in
Thailand in the year 2009, employing the overweight and obesity-attributable fractions (OAFs), which are
generally defined as the proportion of a disease in a population that is attributable to overweight and
obesity. OAFs were calculated for each disease associated with overweight and obesity. OAFs can be
calculated from the prevalence of overweight and obesity and relative risk of each disease. The number of
patients in each disease category attributable to overweight and obesity was then calculated as the product
of OAFs and the total number of patients with that disease in 2009. The health-care costs of overweight
and obesity were further estimated by multiplying the number of patients in each disease category
attributable to overweight and obesity by the unit cost of treatment.
Health-care costs attributable to overweight and obesity in this study were estimated at 5,580.8 million
baht (i.e. out-patient department = 847.4 million baht and in-patient department = 4,733.4 million
baht). The top three leading causes of health-care costs were diabetes mellitus (3,386.6 million baht),
ischemic heart disease (1,070.5 million baht) and colon and rectal cancer (377.2 million baht), respectively.
The findings clearly confirmed that the economic impacts of overweight and obesity on health-care
costs in Thailand were substantial. More effective policies/interventions aimed at reducing the prevalence
of obesity should be implemented.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Factors Affecting Obesity among Undergraduate Students in Chiang Mai Province 
abstract:The aims of this study were to explore the situation of obesity among undergraduate students and to
determine the socio-economic and economic factors associated with obesity. A cross-sectional survey using
questionnaires was conducted among 398 students in 7 universities in Chiang Mai Province, Thailand. The
data were then analyzed by using a logit regression model. We found the situation of obesity in undergraduate
students as follows: 29 percent of the study sample was either overweight or obese. Of those, 64 percent
were male, 54 percent stayed in the dormitory, 35 percent failed to exercise, 27 percent were not willing to
pay for obesity treatment, 91 percent did not acknowledge themselves as obese and 38 percent had health
insurance. The socio-economic factors significantly associated with obesity among undergraduate students
were family incomes, fast food consumption, place of living, willingness to pay for obesity treatment and
sex at the 0.10 significance level. However, economic factors, such as myopic view underlying eating habits,
asymmetric information and incomplete information on nutrition and causes of obesity, did not show a
significant impact on obesity among the undergraduates. It was concluded that undergraduate students
possibly had no myopic view behavior or they knew very well concerning the information on nutrition and
causes of obesity.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Why Tobacco Should be Excluded from Free Trade Agreements 
abstract:Free trade agreements are intended to spread high-quality goods to all member countries without
any barriers so that the standard of living and the wealth of the member countries would be heightened.
Tobacco, however, is not a typical good. On the contrary, it is detrimental to human life. The more cigarettes
are smoked, the more harmis incurred by both the consumer and the people in the same environment.
Hence, the dissemination of tobacco products should be controlled. This paper considers statistical
data and relevant articles, and then presents the negative impacts of free trade agreements. After a tariff
reduction of 5 percentage points resulting from the ASEAN Free Trade Agreement (AFTA), the production
of domestic and foreign cigarettes rose. Likewise, the tobacco consumption rate among adolescences
expanded. Despite a wide-ranging campaign to reduce smoking, the decline in the tobacco consumption
rate in other age groups was not as remarkable as it should have been. Moreover, AFTA hindered the
development of tobacco-control regulations. The government was likely to soften the new regulations to
avoid infringing on the free trade agreement, whereas the tobacco industry worked to prevent such regulations
in the first place by threatening the government with the terms of the free trade agreement. This
paper, therefore, suggests that, in order to strengthen tobacco-control schemes, tobacco products should
be put on the exclusion list of free trade agreements.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Diabetic Disease Management Comparison among Community Hospitals in Ubonratchathani 
abstract:Background: Evaluation of the diabetic management programs among community hospitals is not
comparable. Therefore, it is recommended to use data analysis from EMRs in evaluating diabetic care in order to drive the quality of diabetic care at the community hospital level. Objective: To compare and evaluate the process and clinical outcomes of diabetic care. Method: EMRs from the period 2006-2009 were
retrieved from 18 community hospital database systems to evaluate the process and clinical outcomes of
diabetic care. The process of care was measured as having received at least one clinical lab test each year.
Data were encoded for patient confidentiality. Results: Process of Care Quality of the diabetic care process
increased from 2006 to 2009. The proportion of patients who received at least one HbA1c lab test, CHO,
TG, HDL, LDL, UA and Scr were determined in 3.95%, 37.85%, 39.80%, 29.40%, 34.14%, 17.61%, and 65.98%
of patients in 2006, respectively. These numbers increased to 26.55%, 56.09%, 59.30%, 52.07%, 57.52%,
32.15%, and 66.52% in 2009, correspondingly. Outcomes of care: Compared with 2006, the proportion of
patients who had LDL<100 mg%, TG <150 mg%, HDL ≥40 mg% were 39.53%, 32.88%, and 19.30% in 2009
respectively. In 2009, however, the proportion of patients whose HbA1c<7%, FBS 90-130 mg%, BP ≤130/
80 mmHg decreased to 25.63%, 11.55% and 12.01%, compared with 31.40%, 11.86% and 20.47% in 2006,
correspondingly. Conclusion: Although the process and some clinical outcomes of diabetic care improved
from 2006 to 2009, other clinical outcomes decreased. Proactive diabetic management programs should be implemented to enhance diabetic control.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Effectiveness of Health Screening and Health Program for Prediabetes and Prehypertension Individuals at the Municipal Branch of a University Pharmacy 
abstract:The objectives of this study were to evaluate the effectiveness of health screening and education for
prediabetes and prehypertension individuals by randomized controlled trial. The samples were randomized
into an experimental group that received health education and a control group that had not received
follow-up for two months. Outcomes were the modifying of health behaviors, blood pressure, fasting blood sugar (FBS) and knowledge. There were 367 participants who attended the health-screening process;
6.56 percent were prediabetes, 33.75 percent prehypertension and 13.75 percent prediabetes and
prehypertension. Thirty-one of the prediabetes (15 in the experimental group and 16 in the control group)
and 49 of prehypertension (24 in the experimental group and 25 in the control group) were followed up.
The result showed that eating, alcohol drinking and exercise behavior of those who were prehypertensive
individuals in the experimental group were significantly changed (P-value <0.05) and that eating salt and
drinking alcohol among those who were prediabetic significantly decreased (P-value <0.05). Blood pressure
levels and FBS were significantly decreased from the baseline (P-value <0.05) in both experimental
groups but there was no difference in the control group. The knowledge scores were significantly higher
in the experimental group than in the control group (p-value <0.05). The results indicated that effectiveness
of health screening and education for prediabetes and prehypertension individuals could help subjects
realize the need to modify their health behaviors and reduce blood pressure and blood sugar levels.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Hardship Area : Criteria and Classification 
abstract:This study was aimed at developing criteria and guidelines for identification and classification of
hardship areas. This was part of a study on “Reform of Financial Incentives for Public Health Personnel”
submitted to the Ministry of Public Health, Thailand. Criteria to identify hardship areas included transportation,
city-life effect and economic development. It was found that, in classification of hardship areas
using developed criteria, 69.8 percent corresponded with the opinions of the provincial chief medical
officers. A guideline to classify hardship areas using hardship scores and confirmation by using opinions
of the provincial chief medical officers and health inspectors involved some difficulties and limitations
during implementation. There is a need to improve this methodological approach.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Was There Anything New in the Health Policies of Political Parties in the 2011 General Election? 
abstract:This study is aimed at analyzing the health policies proposed by political parties during the campaign
for the general election on July 3, 2011. A review of official documents as well as information
disseminated through websites and mass media were used for analyzing their policy contents. It was
found that many health policies were proposed by the political parties, although they were not the main
policies used for the campaign. Policies on universal health-care coverage and development of healthcare
systems were given almost equal importance while there were fewer policies on health promotion.
Civic movements and mass media could introduce new policy agendas for the consideration of politicians.
There is a need to follow up these political parties to determine whether or not they will do as
promised once elected as the leading parties to form a government.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Cost Savings, Cost Addition, and Cost Avoidance from Medication Error Interventions in Sawangdandin Crown Prince Hospital, Sakon Nakhon Province 
abstract:This study was aimed at analyzing cost savings, cost addition, and cost avoidance from medication
error interventions at Sawangdandin Crown Prince Hospital, Sakon Nakhon Province. A prospective
descriptive study was conducted from a provider’s perspective during the period February-July 2010.
Cost analysis data were direct medical care costs, probability of harm if the patient did not receive
pharmacist’s interventions, relative weight of the related drugs, and average cost of drugs.Results showed that the incidence of medication error involving out-patients was 7.56 per 1,000
prescriptions and inpatients was 5.01 per 1,000 patient-days. The cost saving was 6,309.21 baht. The cost
addition of interventions to dispense the right medicines was 5,676.52 baht. The cost avoidance of outpatient
treatment was 50.60 baht. The cost avoidance of inpatient treatment was 199,280.66 baht. Cost addition
for treatment of medication error category E-I was 7,361.90 baht. The net cost saving was 192,602.05
baht in 6 months.
In conclusion, medication error interventions can save the hospital budget and promote patient safety.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Development of Friendship Networks and Potential of Self-help Groups to Promote Healthy Aging among Community-dwelling Older Adults 
abstract:Older persons are an important resource of the nation; however, they previously had been viewed as
persons only receiving support from family and society. This research project was aimed at developing
friendship networks and increasing the potential of self-help groups to promote healthy aging among
community-dwelling older adults. Participatory action research was applied to older adults in
Woranakhorn subdistrict, Pua district, Nan Province. Data were collected using focus group discussion
and questionnaires. Content analysis was performed for qualitative data. For quantitative data analysis,
the mean, standard deviation, and paired t-test were used. The development of friendship networks and potential self-help groups resulted in several self-care
activities, including performing basic physical examinations and health evaluations, reciprocal caring
and taking care of each other within the community, and creating health-promoting activities applying
folk art and local wisdom. Compared with changes in older adults after developing friendship networks
and self-help groups, it was found that, after project intervention, the older adults who regularly participated
in the friendship group activities had friendship networks, friendship support, self-efficacy, healthpromoting
behaviors, and healthy aging greater than before the intervention, with statistical significance
at the 0.05 level. Therefore, promoting the potential of elderly individuals, empowering and using social
capital within the community can promote friendship group activities and self-help groups among community-
dwelling elders, thus facilitating the achievement of healthy aging.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Hospital Production Function : Technical Efficiency and Its Determinants of University, Regional, and General Hospitals in Thailand 
abstract:Input-orientated Data Envelopment Analysis was used to measure the technical efficiency of 7
university hospitals, 24 regional hospitals and 43 general hospitals in Thailand in year 2009. The results
revealed there were 53 efficient hospitals (71.62%) from 74 total hospitals; in addition, the percentages of
efficient hospitalsin order of highest to least percentage were university, regional, and general hospital
(85.7%, 83.3%, and 62.8%).While the percentages of scale efficiency (SE = 1) in order of highest to least
percentage were regional, university, and general hospitals (75.0%, 71.4%, and 44.2%).
The next step was to identify the determinants of hospital efficiency with regression analysis using
ordinary least squares (OLS). The results revealed three significant explanatory variables for TEVRSi scores
such as bed-physician ratio, numbers of physicians, and nurses-physician ratio. The most positive influential
determinant of TEVRS scores was bed-physician ratio; however, the negative influential determinant of
TEVRS scores was nurse-physician ratio. While the significant explanatory variable for scale efficiency (SEi)
scores was the in-patient visits adjusted with median relative weight of DRG
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: การวิจัยศึกษาต้นทุนบริการของโรงเรียนแพทย์ : เรื่องการวิเคราะห์ปัจจัยผลักดันต้นทุน ภายใต้ชุดโครงการพัฒนารูปแบบและอัตราการจ่ายสถานพยาบาลในระบบหลักประกันสุขภาพถ้วนหน้า 
abstract:This study aims to find factors that affect total hospital costs significantly. These
factors may be considered for adjusting the payment of contacted healthcare providers in the
Gold Card scheme. Therefore, contacted healthcare providers may obtain more appropriated
budgets from the NHSO. This study uses translog cost function to find the factors that affect
total cost hospital. Fifty-two contacted healthcare providers where have a good efficient score
are used as the sample of this study.
This study found that Case MIX Index (CMI) and Referral (In) rate affect total hospital
costs significantly. The new budget for the contracted healthcare providers may need to
consider on these two factors. Also, this study notes that doctors and nurses’ work load at IPD
are other two factors that are important in the management of hospital costs.