plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Addressing the Research Gap for Improving the Thai Health Systems: Choosing Health Research Topics for the Future 
abstract:The desirable goals and directions of the Thai health system are to promote health prevention and
promotion for healthy Thai people. To achieve those goals, a number of innovations and new knowledge,
mainly derived from quality research, need to be generated in order to fill the current gap of knowledge.
Thus, a clear framework of potential research should be developed. This can help research funding agen-cies work transparently and effectively in granting research projects. This study presents a framework of
potential research that should be supported in order to achieve the desirable goals of healthy Thais. With
regard to each aspect of the goals, document and literature reviews were accumulated to collect background
information on the current situation and gap in knowledge. Interviews and meetings with seven
groups of experts were arranged to discuss and deliberate the potential research issues that should be
supported in the future. The results were then analyzed and categorized into three categories: (1) health
research issues by age groups - children, adolescent, adults, and elderly; (2) research issues in the health
systems - health service delivery, health workforce, health information, health technologies, health financing,
and health governance; and (3) research issues for promoting heath and health literacy. These issues
and sub-issues are also related to the policies of many granting agencies in Thailand. It is important to
raise the concerns of relevant agencies to determine the gap of knowledge that should be funded, then,
there would be enough research generated to move toward the desirable goals.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: A Review of Health Research Priority Setting in Thailand 
abstract:Health research is an essential tool to improve health system and quality of life but it is costly. Therefore,
in a resource-limited country, it is necessary to better understand health research priority setting
processes in order to assist decision-makers in allocating funding and resources more effectively and
efficiently. This study aims to learn from the world’s experiences regarding health research prioritization for a better understanding in prioritization approaches and how to apply them for health research priority
setting in Thailand. The results of literature and document reviews from national and international databases
showed that there were 23 studies categorized into two Thai and 21 international studies. The major
criteria found in research priority setting were the specific areas of health research and those of the patient
groups. The lesson learned from this study provides evidence on what needs to be considered in order to
design for effective health research prioritization processes in Thailand. This study suggests that multiple
relevant stakeholders should be involved throughout the processes, prioritization criteria have to be clearly
set and identified, and the deliberative process is recommended.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Hospital management models for social security beneficiaries 
abstract:This research aimed to propose a model for Social Security Hospital and its financial feasibility. Mixed method was used, which comprised review literatures, hospital management of the Mexican Social Security and the Kaiser Permanente of U.S.A, legal framework, in-depth interview, focus group, questionnaires survey from 519 members under Social Security Act on the new Social Security Hospital and financial feasibility study. The study found as follow : 1) Social security hospital is theoretically possible and well practice in the Mexico and the United State. Integrated care model should be used, which will provide patient centre care for all health services. 2) The Social Security Hospital should be 150 beds hospitals, which provide high quality of medical services include 12 specialty medical services. Quality of its hospitality service should be the same as private standard. Its revenue can cover expenditure since the first year of its operation. It needs ten years for break-event with low rate of return if there are 200,000 employees register with the hospital. 3) Focus group discussion with represent from employers and employees on the design of Social security hospital found that they agreed with the design and support the Social Security Office to invest for Social security hospital in the needed area, which has problems of overcrowded patients together with measures to improve standard and quality of care for current main contractors. 4) For short term intervention, the Social Security Office could be set up new Social Security Hospitals by contracting with Ministry of Public Health or Local Government, which have mission to provide health services However, amendment of the Social Security Act is needed in long term plan.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: การพัฒนาเก้าอี้หุ่นยนต์เคลื่อนที่ขึ้นลงพื้นต่างระดับอัตโนมัติสำหรับผู้พิการและผู้สูงอายุ 
abstract:Wheelchairs have been widely used for walking disabled people.  In order to operate a wheelchair to move straight or turn left/right, the user has to use his hands in order to control the motion of left and right wheels of the wheelchair.  If the user cannot provide force to move the wheelchair, a helper is required to push/pull the wheelchair from the back. Electrical wheelchairs were developed in order that the users could operate the wheelchairs through control panel/joy stick.  The wheelchairs can be used only on flat surfaces. Mobility between different levels are possible only through slope surfaces.  The existing wheelchairs cannot move through steps; for example stairs, etc.  Furthermore, the existing wheelchairs cannot plan the paths and cannot move to destination locations by themselves. They still require every
single commands from the users.  Based on the above reasons, this research has been conducted in order to research and develop an autonomous mobile wheelchair which has an ability to move through steps for walking disabled people; for example, elderly people. The user is required only to provide the destination location, the mobile wheelchair will plan the paths and navigate itself to go to the destination. On the way to the destination, if there exist steps, the mobile wheelchair will climb the steps automatically. The developed mobile wheelchair consists of 16 degrees of freedom for all 4 legs. Each leg has a motor to drive 2 wheels in forward/backward direction, a motor to adjust the length of each leg, a motor to swing a link connecting the 2 driving wheels to climb up/down steps, and a motor to turn direction of each leg to have only a point of center of motion during turning.  The results from experiments confirm that the developed mobile wheelchair can move in manual mode to follow commands from control panel/joystick and in automatic mode to follow commands from computer correctly with some small error of distance/angle.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: ภาระและระบบการดูแลโรคหลอดเลือดส่วนปลาย (ต่อเนื่องปีที่ 2) 
abstract:Objectives: Peripheral arterial disease (PAD) in diabetic patients is associated with high morbidity and mortality. The mortality rate in such patients is 56.5% in 3 years follow up period in Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University. Therefore the incidence and predictive factors to determine the mortality, myocardial infarction, stroke and worsening PAD is of paramount important. Researchers aimed to explore these outcomes in our population. 

Method:  500 diabetic patients with being diagnosed as PAD between June 2014 to July 2016, were followed up in 18 months follow up period. Primary end point was major adverse cardiovascular event (MACE), which composed of non fatal myocardial infarction, non fatal stroke, worsening PAD and death. The potential clinical predictors were entered into a Cox proportional hazard model with backward stepwise regression was performed.  Researchers also evaluated the adequacy of treatment by assessing the risk factor control for atherosclerosis. The target of the risk factor control for atherosclerosis has been using the criteria of American Heart Association (AHA) and the Royal College of Physicians of Thailand.  

Result: During a mean follow-up of 18 months period, 95 MACE events occurred, corresponding to the incidence of 19.0%. The number of death was 43 patients. The predictive factors, that were significantly associated with MACE, were history of chronic kidney disease (hazard ratio (HR) 2.32, 95% confidence interval (95% CI) 1.41-3.80), gangrene or chronic ulcer (HR 3.03, 95%CI 1.82-5.06), history of aortic surgery (HR 24.07, 95%CI 5.28-109.71), patients with history of taking clopidogrel (HR 2.16, 95%CI 1.13-4.12), patients with history of taking warfarin (HR 3.24, 95%CI 1.50-7.02), patients with history of taking sulfonylureas (HR 0.44, 95%CI 0.24-0.83). In terms of risk factor for atherosclerosis management, patients had reach the target in majority (>50%) in the control of diastolic blood pressure (73.10%) and stop smoking (91.83%).

Conclusion: The incidence of MACE was 19%. The predictive factors for high MACE in the first 18 months in diabetic patients with PAD was chronic kidney disease, gangrene or chronic ulcer, history of having aortic surgery, patients with history of taking clopidogrel, patients with history of taking warfarin. This may be used to identify high-risk patients for MACE to assist optimize medical treatment and intensive risk factor control for atherosclerosis to increase life expectancy and to decrease vascular event.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: The Locomotor Skills in Prosthetic Use and Quality of Life of Lower Limb Amputation Persons in Lamphun Province 
abstract:This research aims 1) to know the difference in locomotor skills classified by causes and levels of
amputation in persons with lower limb amputation, 2) to know the difference in quality of life classified
by causes and levels of amputation. The research population was people with lower limb amputation
who are older than 18 years living in Lamphun. The samples were selected by stratified random sampling from 82 people by using questionnaire developed by Locomotor Capabilities Index-5 and the World Health
Organization’s WHOQOL-Bref-Thai quality of life version. Validity was examined by experts and a reliability
test was obtained from 30 cases excluded from the study samples. Data were analyzed by frequency,
percentage, mean, and t-test.
Results of this research showed that 1) overall locomotor skills classified by amputation causes were
different at the significant level (0.05) but there was no difference in overall locomotor skills classified by
amputation levels; 2) overall quality of life scores classified by amputation causes and levels were not
different but physical domains classified by amputation causes were different at the significant level (0.05).
Research results indicated the differences in locomotor skills and physical domains were by causes rather
than levels of amputation. Thus, rehabilitation teams should design interventions carefully for different
groups of amputation causes, to encourage amputees to have better locomotor skills in prosthetic use and
to have better quality of life.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Factors Affecting Thai Elderly Families Hardship 
abstract:This paper aimed to study the elderly families situations and factors contributing to the elderly
families hardship in 10 provinces of Thailand. The study applied quantitative and qualitative methods to
collect data; from selected 4,561 elderly families using quantitative method and another 214 using focus groups interview with community officers and families with home dwelling elderly. The collected data
was analyzed using descriptive statistics and content analysis.
Overall, the study found that half of the surveyed families were families with the elderly who looked
after children in the families, following elderly living alone and living with their spouse respectively.
There were more than half of the elderly who had ability for self-caring and moderate caring for other
members. Level of relationship among other families members were no significant different at all levels;
good/moderate/bad. There was 1 in 3 of the elderly who responded that they had poor economic selfreliance.
For the type of support, the elderly dwelling with disabled person reported the highest hardship
and the need of dietary/feeding was the most expected support; whilst the elderly dwelling with children
reported highest need on financial support. Factors having high impact on hardship of the elderly families
were residential area, family profile, income, asset, saving, debt, and burden of caring on any family
member of elderly/child/disabled (p-value <0.001), including mental state, 4 basic needs of life, family/
community relationship, ability to access rights and social welfare.
The study recommended that social welfare should be fair, systematic including enhancing community
participation in promoting health and well-being among aging people. Lastly, further in-depth study
on factors influencing family health and caring for the elderly ought to be accelerated to promote better
quality of life for the elderly.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Concepts and Practices of Community-Based Health Interventions for Vulnerable Populations in Thailand: a Qualitative Study 
abstract:Objective: To synthesize lessons learned from the existing community-based health interventions
for vulnerable populations in Thai contexts in order to create policy recommendations for further health
systems development and response to health needs of vulnerable populations. Methods: This study utilized
qualitative study design to investigate and compare community-based health interventions for vulnerable
populations in eight district health systems (DHS) of Thailand, including Umphang, Ubolratana,
Dan Sai, Khon Buri, Kuchinarai, Lam Sonthi, Kong Rha, and Khlong Khlung. Qualitative data were collected
from the local practitioners by semi-structured interviews, focus-group interviews, and non-participant
observations, and were synthesized by thematic content analysis. Results: Content analysis reveals
four emerging themes. First, sense-making of the vulnerable population concept was challenging
for practitioners in Thai contexts. Second, effective community interventions for vulnerable populations
were initiated by local practitioners, not from policy and planning at the national level. Third, effectiveness
of community interventions for vulnerable populations depends on services design being customized
to the nature of vulnerability. Lastly, traits of local leadership, not authority, are necessary for creating
and implementing sustainable community-based health interventions for vulnerable populations.
Discussions: Despite no mutual understanding of the vulnerable population concept in Thai contexts,
we found strong evidence of innovative community-based health interventions in Thailand. To
scale up such programs, policymakers should create criteria to help practitioners identify vulnerable populations
in their contexts, allow for contextualizing health needs of different vulnerable populations, and
put more emphasis on developing information systems at both the national and the local level, so there
will be more systematic monitoring and evaluation of community-based health interventions for vulnerable
populations in Thailand.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Spatial Distribution and Risk Behaviors of Parasitic Helminth Infection among Students in the Schools under the Border Patrol Police Sub-division 21 
abstract:Parasitic helminth infection remains to be a public health problem of the students and children in
remote rural areas, especially in the Northeastern part of Thailand. This survey was aimed to find out the
parasitic helminth infection rate, to analyze the spatial distribution with the application of geographic
information system (GIS), and to study the risk behaviors of parasitic helminth infection amongst students
in eight schools under the responsibility of the Border Patrol Police (BPP) Sub-division 21. The
survey was conducted during October 2014 to July 2015. The instrument for the survey was modified Kato-Katz technique for examining stool samples, and in-depth interview. The results showed that the
infection rate of helminth parasites was 8.27% (72 cases from overall 871 cases). The most common species
of helminth parasites found was hookworm at 51.39%. Others were Opisthorchris viverini 25.00%, Echinostoma spp. 12.50%, Enterobius vermicularis 5.56%, Trichuris trichiura 2.78%, Ascaris lumbricoides 1.39%, and co-infections of O. viverrini and hookworm 1.39%. When applying the GIS to analyze the parasitic helminth infection’s spatial distribution of the 8 BPP schools, the results showed that the parasitic helminth infection was higher than target limit of less than 5% in every school (14.71%, 12.30%, 10.00%, 8.96%, 6.43%, 6.14%, 6.00% and 5.41%). The distribution and the concentration of helminth parasite species were different in each habitat of the students. Most of the infections were caused by soil-transmitted helminths (STHs). Bad sanitation and inappropriate food consumption habits increased risk of infections. The findings of this research can be used to estimate helminth infection situation of the community and also can be applied to create strategic plans which focus on changing behaviors of students, their parents and their teachers to solve this problem.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Social Stratification Social Inequality and the Explanation for being Vulnerable People in Society 
abstract:This article aims to apply the concept of social stratification to explain social inequality. This will
help understand who is vulnerable population in the society. The authors have reviewed the literature of
concepts and theories in social sciences that can explain and rank the social stratification. Moreover, this
first phase of the big research project “Social Stratification in the Context of Thai Society and Health Status”
applied in-depth interviews and meetings with experts from March 2015 to March 2016 to select indicators of social stratification measurement appropriate to the context of Thai society. The research finding explains that social stratification and social inequality are conceived from the life chances concept as the beginning point of differences of human being. Life chance either by nature, by culture, or by social situation, leads to social differentiation, social stratification and eventually social inequality. Social stratification measures can be used to rank people by two approaches: 1. Objective measures of social stratification cover five indicators; 1) Birth origins 2) Standard of living in household 3) Economy 4) Education and 5) Health, and 2. Subjective measures of social stratification also cover five indicators; 1) Social status 2) Freedom and liberty 3) Fraternity 4) Consumption and lifestyle and 5) Class awareness. All of the above indicators of social stratification will be utilized to find populations who are the most disadvantaged, or the “vulnerable populations.” This finding has contributed to help build life chance guarantees, social equality and social equity for the vulnerable in Thai society in the future.
location: nan, 'Thailand 
year: 2016 source: HSRI 
title: Food and Beverages Advertising on Children’s Television Programs: a Loophole and Control Crisis 
abstract:Television advertising is an effective medium for reaching young children and influencing their
food purchasing and intake. The objective of this study is to explore food and beverages advertising during children’s television programs.Methods: Records of children’s free television programs on channels 3, 5, 7 and 9 was the main data
collection method. Data was collected during March 24-April 7, 2014 on Monday-Friday at 03:00 p.m. to
08:00 p.m. and on Saturday-Sunday at 06:00 a.m. to 10:00 a.m. and 03:00 p.m. to 08:00 p.m. A total of 42
programs from top three programs that had the most food and drinks advertisement were selected into
this study. Unhealthy food and beverages advertisement was included in the analysis. Food advertisement was organized according to the food group classification from the Nutrient Profile. The study found that the majority of the advertising of food and drink is unhealthy food and drinks
advertisement. The most popular form of advertisement used by the food industry was using presenters
such as celebrity children and adults, athletes, and cartoon characters. Moreover, food and beverages industries used a loophole of regulations for advertising and did not comply with the law. Inappropriate forms and contents of the advertisement for children were observed. Considering the law enforcement, there is currently no comprehensive control of forms and contents of advertisement targeting on children. Therefore, government should seriously develop the law enforcement and should prepare including update regulations and guidelines to control forms and contents of unhealthy food and beverages advertising in order to protect the health of children and youth.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: การศึกษาและวิเคราะห์ปัจจัยที่มีผลต่อการบริหารงานของโรงพยาบาลบ้านแพ้ว (องค์การมหาชน) 
abstract:The objectives of this study are to identify, evaluate and prioritize risks of Ban Paew hospital and to evaluate financial risks and their impacts to the hospital in the future. We used both qualitative and quantitative techniques to help identifying the risks of the Ban Paew hospital. We classified hospital’s risks into 4 categories: strategic, operational, financial and external factors. Each risk was evaluated and prioritized by staff members of the Ban Paew hospital. This study employed the usage of financial ratio analysis to evaluate the future financial risks. The statistics used in this study were descriptive statistics. We found that the important risks are the ability to expand new branches of Ban Paew hospital, insufficient marketing plans, insufficient welfare providing to its staff members, unclear strategic goal on medical revenue management, unbalanced growth of incomes and expenses, the revenue without donation was not adequate to compensate for the depreciation of the hospital assets, lack of funding channels can create liquidity issues for future investment and its operations, the policy of keeping reputation might not impact on hospital’s revenue, and the external risk such as a change in disburse rules of National Health Security Office.
In addition, the financial risks might consist of the followings. Ban Paew hospital should aware that future revenue might not be adequate to replace the current fixed assets and their depreciations. The money donated to the Ban Paew hospital might create money illusion. The growth of salary was higher than the growth of the hospital‘s revenue. The inadequacy of funds to open new branches in the future. It also might face customer risks due to hospital’s targeting niche customers. To prevent and deal with the risks mentioned above, the cooperation between the Ban Paew hospital, the Ministry of Public Health and the National Health Security Office and the Bureau of the Budget are very encouraged.