plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 1999 source: HSRI 
title: Care-taker behavior and glycemic control of elderly non-insulin dependent diabetic patients, Amphur Khaowong, Kalasin Province 
abstract:Care-taker behavior and Glycemic control of elderly Non-Insulin Dependent diabetic  patients , Amphur Khaowong , Kalasin Province	This Survey Research was a Cross-Sectional study. The purpose was to study the relationship between care-taker behavior and glycemic control of elderly non-insulin dependent diabetic patients, Amphur Khaowong, Kalasin Province. Quantitative data and Qualitative data were collected from 127 elderly diabetic patients and 127 care takers during November 1998-February 1999. Percentage, Mean, Standard deviation, Chi-square test, Odd ratio at 95% and Multiple logistre regression were used to analyse quantitative data and qualitative data were analysed by content analysis.	The results showed that the following five factors of care-taker had significantly related to glycemic control  of  elderly diabetic patients (p ( 0.05) :-Age : care-taker who 60 years old up had better glycemic control of elderly diabetic patient than care-taker who were 30-59 years old  for 18 times (95% CI = 1.4-136.3; p-value = 0.02).Marriage status : the single care-taker had better glycemic control of elderly diabetic patient than the married person for 1.9 times (95% CI = 1.2-94.9; p-value = 0.03).Family annual incomes: the incomes less than 10,000 bath had better glycemic control of elderly diabetic patient than the incomes between 10,000-90,000 bath for 7.4 times (95% CI = 1.6-36.3; p-value = 0.01).Duration of daily care : the duration more than 12 hours had better glycemic control of elderly diabetic patient than the duration less than or equal 12 hours for 9.6 times (95% CI = 1.7-55.1; p-value = 0.01).Attitude scores : the scores equal or higher than Mean had better glycemic control of elderly diabetic patient than the scores lower than Mean for 4.8 times (95% CI = 1.2-19.9; p-value = 0.02).	Deep interview showed that care-taker who take cared well and poorly controlled diabetic patients had inadequate knowledge about glycemic control in diabetic patients. Most of their knowledge were received from their diabetic patients and neighbourhoods. However, care-taker who take cared well controlled diabetic patients had  better care-giving than care-taker who take cared poorly controlled diabetic patients especially dietary control, exercise and appointment with the doctor.
location: nan, 'Thailand 
year: 1999 source: HSRI 
title: Social and cultural dimension of community drug use : development of knowledge based on theory and research 
abstract:Self-medication with modern pharmaceuticals in rural Thailand: Theoretical concepts and empirical findingsThe study aims to:1) make a critical review of theoretical concepts and studies concerning self-medication practices; 2) investigate self-medication behaviors of the rural Thais and’ 3) discuss research and policy implications regarding the promotion of rational drug use by consumers. The study uses two main methods: documentary review and the analysis of empirical materials. The existing data sets collected during a research project conducted by the author- The Implications of Community Health Workers Distributing Drugs- A Case Study of Thailand-.were relied upon in the second method. The study comprises six chapters. Chapter One and Chapter Two provide backgrounds of the study and the accounts of the methodology and data used respectively. Theoretical concepts and studies concerning drug use behaviors are reviewed and discussed in Chapter Three. Highlighted are the theoretical perspectives such as modern pharmaceuticals as cultural artifacts, health commodification, cultural reinterpretation, and role of the informal commercial drug sector on self-treatment. Empirical data are presented in Chapter Four and Chapter Five. Chapter Four describes the quantitative figures and general patterns of how and what drugs are used by the rural villagers to solve their ill-health problems. Beliefs and perception associated with drug choosing and evaluating (i.e., brand, provenance, form, physical attributes etc) are also described. Chapter five moves on to the qualitative accounts of how people’s self-medication practices are shaped. Case studies are presented to demonstrate how the community’s socio-cultural and economic contexts (i.e., the availability of drugs and drug sources, the marketing practice of local drug firms, life-hardships of the rural dwellers that underlie work-related ill-health and, subsequently, determine demand for drugs) condition people’s self-treatment. In Chapter Six, the author concludes and argues that self-medication is, in fact, a cultural phenomenon. Its pattern is shaped by a complex web of causes embedding in both local and structural levels. Any attempt to elevate people’s drug use problems will hardly achieve unless such a complexity is realized and brought into consideration.
location: nan, 'Thailand 
year: 2005 source: HSRI 
title: The research questions on quality and quality improvement in health care Thailand project : Phase 2 
abstract:This research project comprises two parts.  The first part is the review of experiences in researches in quality of health care and setting a preliminary proposal for research question frameworks.   The second part is a survey of situations and questions among stakeholders, namely providers and clients, regarding quality of the health services system and quality improvement and a summary of strategies to approach quality of health care research.  The project report presents the findings of the Phase 2 study, which aims to a survey of situations and questions among stakeholders, namely providers and clients, regarding quality of the health services system and quality improvement and a summary of strategies to approach quality of health care research.  The focus areas, which are drawn from the findings in the Phase 1 study, include problems and obstacles in quality improvement, patient safety, and expectation and perceived services from patient perspective.   Descriptive studies by questionnaires were conducted health care providers and patients in 39 public and private hospitals and 39 primary care units in 12 areas nationwide and Bangkok.  In addition, hospital accreditation surveyors were surveyed.  There were also in-depth interviews among primary-care-unit patients and a telephone survey of people in Bangkok and its vicinity area.  The studies were conducted during January 2004 to December 2004.	Major findings include 33 interesting research topics on quality improvement issues and 40 topics on patient safety issues from the studies on health care providers.  There are four topics on primary care units.   There are 12 topics identified by the surveyor group; some of which are similar to those of the provider group.  In addition, there are another 22 research topics set apart from the patient and consumer studies.   In sum, these findings are details consistent with what have been found in the Phase 1 of this research project.
location: nan, 'Thailand 
year: 2004 source: HSRI 
title: The idea of setting up practical primary care system researcher 
abstract:The idea of setting up practical Primary Care System, under changes of health care policies and concepts in structure, methods, tools and operating systems, involved developing health care providers and related field staffs.  This was accomplished through learning and sharing experiences among academics, health care administrators and staffs, local government office administrators and the public.  Based on socio-cultural context of each area, and health care policy changes and reforms, the transformation itself has shown progress in human resource development, tool development, operating method development, and effects of the development management. Roles and responsibilities of nurses for providing primary care services are proposed including 1) overall health care managers, 2) health service providers, 3) supervision and monitoring nurses, and 4) community nurses, to pursue all care activities including providing care for every dimension of the population, creating a health care network, providing continuous care, providing family care, preventing illness and promoting sanitary awareness.
location: nan, 'Thailand 
year: 1998 source: HSRI 
title: Diagnosis related groups for the low income,development and application 
abstract:Diagnosis related groups for the low income, development and applicationInpatient services are complex and costly. The US Medicare, the elderly health benefit scheme, had faced uncontrollable expenses in the 1970s because the scheme reimbursed hospitals retrospectively. Diagnosis related group (DRG) was invented in  the early 1980s to be used in a prospective payment system to control the rising cost. After it has been proved successful, DRG has migrated and been adopted into health care systems in  many countries. Some use DRG on a case by case payment basis, some use DRG in a resource allocation formula and some use it to compare the hospitals' activities. DRG is considered  non-foreign to the Thai health care context. Classifying cases into DRGs requires information that is readily available  (diagnoses, operating room procedures, age, type of discharge). DRG can be used to predict the lengths of stay and resources  used to treat patients in the hospitals, so we are able to use DRG for resource allocation, for case-based payment and for comparison between hospitals. Assigning patients into DRGs  requires data on ICD-10 and ICD-9-CM (for diagnosis and  procedure respectively)of individual patient. So far, research activities on DRG in Thailand based on the 10th revision of Health Care Financing Administration (HCFA-DRG). Relative weight for each DRG is estimated by using patient-based costing methodology and cost to charge conversion ratio, then compare the cost mean of each DRG to the average cost of all patients. After reviewing the weights from many piec of research results and with inpatient data from Ramathibodi hospitals, the final version of relative weights to be used in the Thai context is endorsed by the Health Insurance Office. The uses of DRGs are many folds. In 1997, allication of non-salary recurrent budget to 92 general and regional hospitals used the average relative weights to better reflect their case complexity and cost. The second example, relative weights for different schemes of the low income were used to estimate budget requirements if the Thai government were to propose a universal converage scheme to the majority of Thais.  The third example, relative weights were used to evaluate hospital achievements. The future use of DRG within the global budget ceiling in the reform of civil servant medical benefit scheme should be cautiously laid out. Finally, if DRG is to be used in the Thai health care context, it needs to set the system that recalibration of DRG weight can be done systematically. The dataset for hospitals to report for each patient to be examined is the important strategy for continuity of the system. Finally, cost accounting studies in a few efficient hospitals need to be done to tell the true cost of providing care to each DRG.
location: nan, 'Thailand 
year: 2002 source: HSRI 
title: The prevalences of vitamin B1 deficiency and vitamin B1 intake in people 15-50 year's old Prathumratchawongsa amphur Amnatcharoen province 
abstract:The purpose of this study are to study prevalence of vitamin B1 deficiency and vitamin B1 intake from diets.  Samples were between 15-50 year’s old, 157 persons from Ban Choochat, Tambon Lue, Prathumratchawongsa District, Amnatcharoen Province.  The samples were selected from the population in Ban Choochat 274 persons by list from the person between 15-50 years old, the sample increased 4 persons so the total samples were 157 persons.  The researcher collected data using questionnaires.  Questionnaires was interview which developed from interview format of the person who had vitamin B1, deficiency by The Nutrition Division, The Ministry of Public Health.  It was divided into 6 parts:- personal data interview; body checklist record; laboratory’s examine record; food eating interview in 24 hour’s interview; and cooking food’s situation interview.  The data were analyzed and interpreted statistical by frequency, percentage, means(x) and standard deviation(S.D.).	The results of the study, it was found that, Ban Choochat, Tambon Lue, Pratoonrachawondgsa district, Amnatcharoen province had vitamin B1 deficiency 73.90%, divided by ETKA found Low risk level 34.40 and deficiency level 3.20, divided by TPPE found Low risk level 21.00%, and deficiency level 52.90%.  From physical examination found that the sample of vitamin B1 deficiency were not show all clinical symptoms in every person.  The amount of vitamin B1 from diets each day, that was under normal requirement (1.2 mg/day), was found in 93.34% of the samples and the nutritional status was found that obesity samples could deficient in vitamin B1 also.  The samples which vitamin B1 deficiency had the risk to be obesity and obesity level 1 about 19.83% and 18.10% and proportion in dietary:- protein : fat : carbohydrate each day=12.03 : 8.02 : 81.10% and proportion in dietary:- protein : fat : carbohydrate each day = 12.03 : 8.02 : 81.00. It was indicated that the habit in eating food is not balance, especially in Carbohydrate which the kind of whiten rice, took in water a night (63.70%) or cooked by water’s change(15.30%), eat raw preserved fish every day (63.70%), eat vegetable which spoiled vitamin B1 and worked hard (agriculture 95.50%).  It should increase using Thiamine to be coenzyme to metabolize carbohydrate for energy and lead to risk from vitamin B1 deficiency.Keywords :  Vitamin B1 Deficiency         Vitamin B1  Volume intake
location: nan, 'Thailand 
year: 1999 source: HSRI 
title: The satisfaction evaluation on the re-structured system of the Food and Drug Administration(FDA) 
abstract:The Satisfaction Evaluation  on the Re-structured System of the Food and Drug Administration(FDA)	In order to effectively guarantee consumers and clients of FDA the utmost satisfaction, the evaluation on the newly-designed operational system has been initiated and applied to officials in charge and clients involved with the service delivery of  FDA. During October to December 1998, a questionnaire and an interviewing on a level of officials and clients’ satisfaction had been distributed to those targeted groups, evaluated and compared with the former operational system in each individual division,  ranging from Drug Control Division, Food Control Division, Cosmetics Control Division, Medical Device Control Division, Toxic Substances Control Division to Narcotics Control Division.	In general, clients of FDA using the new system of service delivery do content with the re-structuring, especially in Cosmetics Control Division and Toxic Substances Control Division ( the range is between 3.50-4.49). More specifically, when compared with the former system, the results are as follows:The re-structuring is better off by far when applied to the Cosmetics Control Division.The re-structuring is somewhat better than the previous system when applied to Drug Control Division, Food Control Division and Toxic Substances Control Division. However, some possible adjustments would increase more efficiency and satisfaction .The re-structuring is acceptable but less satisfied clients than the previous system was when applied to the Medical Device Control Division.	In sum, the evaluation reflected overall satisfaction on the re-structured system when compared to the former one (the range is above 3.0) but was not as outstanding as it has been expected.  With regard to the level of satisfaction among officials involved in the FDA, a production division and a support division are contented with the re-structuring (the range is between 2.5-3.49). When compared with the previous system, the production division is convinced that the new one is less satisfied and is expected to be developed both in terms of the promptness of coordination and cooperation. With respect to the supporting division, the evaluation also turned out to be negative in which it implies that the new one does need a strong determination from FDA to develop in almost every sense, from coordination, efficiency, responsibility to overall effectiveness and quality of service delivery.
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Improvement the continuity of hospital to home-based rehabilitation for stroke patients at Sappasittiprasong Hospital 
abstract:Improvement  the continuity of hospital to home-based rehabilitation for stroke patients at Sappasittiprasong HospitalBackground and PurposeStroke management is aimed at facilitating functional independence and community reintegration. Therefore, It would be logical that the sooner the patient can be returned home following stroke, the sooner the reintegration process can commence. The purpose of this study was to improve the continuity of hospital to home-based rehabilitation for stroke patients.MethodsAction research  devised to 3 phases. This study was Phase 1 what showed situation analysis to identify problem. Prospective study  collected data of patients and patients’ family who referred to Physical Therapy Department at Sappasitthiprasong Hospital. The data was collected by interview, indepth-interview,  observation and focus group.  The main outcome measure was Barthel Index (BI) for assessment activities daily living (ADL).ResultsThe problems were identify to problem of co-ordination in interdisciplinary team,   problem of home visit service from home health care system, problem in lack of authority and  problem of patients and caregiver.  The most of patients were in rural area.  There were 8 subjects who came to follow up from 20 subjects. Barthel Index score showed improvement when comparison of hospitalization period and 3 months followed up period (4.8, 12.2, respectively).Conclusion The continuity of rehabilitation system could improvement by the patient’s family member or other caregiver participated in rehabilitation from beginning and improved the co-ordination in interdisciplinary team.
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Study of group process in diabetic patients at Phapak hospital Nakhonphanom province 
abstract:A study of group process in diabetic This study is an application of action research to improve diabetic outpatient service at Plapak Hospital, Nakhonpanom Province.	The existing service was run through general outpatient service every Wednesday 8 -12 am.  The regular services for diabetic patients included; weighing, blood pressure taking, fasting blood sugar testing, and seeing a physician for medication. While waiting for seeing physician,  group health education was conducted by health personnel. 	In situation analysis, The first step of conducting action research, limitations of the existing service were defined. Firstly, it took times since patients had to do many stops, this might cause them hypoglycemia. Secondly, health education as such was not  applicable for patients’ problems.	The second stage, 17 insulin-independent diabetic patients were purposively selected to join as research  participants. Group discussion technique was introduced to encourage patients’ participation to share their problems as well as ways to solve such problems.	The following stage was evaluation. Results from research participants were the feedback of the new service system developed. The service system was rearranged as following: diebetic clinic was seperatety set up from general outpatient clinic; the service was run in every Wednesday and Friday morning; and patient-driven health education which based on self-help group concept was used.  The scores of fasting blood sugar, body weight as well as self-care practice on dietary control, pesonal hygiene and foot care, exercise, medication and help-seeking behavior before and after new service system intervention were found statistical  significant at 0.05 level by paired-T-test. Patients’ satisfaction in terms of  having a say and being recognition were much higher.	Consequently, patient were aware that it was their responsibility in living with diabetes. This enabled them to arrange their own self-help group at their villages. The outcome of this  research also provided the lessons for health personnel. They changed their way of viewing patients, listened to them more and worked with them as equal partners.
location: nan, 'Thailand 
year: 1995 source: HSRI 
title: Criteria, guidelines and evaluating tools for the promotion and transfer of public health civil servants(administrative personnel level 8-10 and technical personnel level 9-10) 
abstract:Criteria, Guidelines, and evaluating tools for the promotion and transfer of public health civil servants (Administrative personnel level 8-10 and technical personnel level 9-10)The recommendations propose strategies for personnel  assessment based upon the meri system whereby the scope of application will be limeted only to administrative personnel level 8-10 and technical personnel level 9-10. The proposed  merit system encompasses 4 components as follows : 1.criteria, qualifications and career ladder ; 2.procedure of assessment ; 3.responsible agency for evaluation ; and 4.assessment tools. The first three components could be readily put into action  while the last one or the assessment tools suggest experimental  models which could be further developed in detail for future  application. The salient feature of the recommendations could  be summarized as follows : 1.criteria for assessment and career ladder are clearly designated to spell out the basic qualifications of the personnel to be assessed and steps of professional growth 2.open opportunity for concerned personnel to submit their work history and future plan propused to implement in the desired position, including open opportunity to apply for recruitment in the desired position. 	3.existence of an agency to screen essential information and data before submitting to policy makers for consideration through the 3 essential steps : step 1 : the evaluation committee considers the evaluation forms and grades them on a regular basis ; step 2 : the searching committee screen out unqualified  personnel, evaluate the applicants and makes recommendations for futher      consideration ; step 3 : the selection committee proposed the short list of appropriate applicants to be considered by the responsible policy makers. The Permanent Secretary and Director General will take part in the selection process as well as designate policy for the three  foresaid committees. 	The overall recommendation were made under close cooperation of high level administrators, expens and  technicians concerned and they were proposed for open critique and comment by health personnel level 8-10 who will be directly affected by this undertaking in a consultative meeting before final submission. This paper is in short the recommendations for establishing a sound merit system in personnel administration which proposed detailed guiding principles for implementing the system in its early stage. It is noteworthy that the establishment of the merit system requires continuing endeavours in organizational development, interdepartmental cooperation, development of tools and database for personnel assessment which, in the long run, could be evolved into an effective Personnel Assessment Centre.