plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Synthesis of evidence for policy recommendation in continuous renal replacement therapy benefit package for acute kidney injury in critically ill patients in Thailand 
abstract:Background: Acute kidney injury occurs when the kidneys lose their function over hours or days. If a pharmaceutical intervention is not available, renal replacement therapy can play an essential role in increasing patients’ survival chances. Currently, there are four methods of renal replacement therapy, and the preferred method will depend on patients’ disease indications. One of the methods is known as a continuous renal replacement therapy (CRRT), which is already included in the universal healthcare benefits package under the Universal Coverage Scheme, covered by the National Health Security Office (NHSO). However, from the annual’ s stakeholder meetings held by NHSO, there were comments regarding access and reimbursement for CRRT. Objective: The objective of this study was to analyze the incidence, cost, and budget implications for critically ill patients with acute kidney injury requiring CRRT. Specifically, this study included a survey to examine the feasibility to provide CRRT services among hospitals in Thailand and a costing exercise to investigate the unit costs of such services in selected hospitals. Methods: This study included analyses of NHSO's e-Claim databases to inform the incidence of renal replacement therapy usage, and a budget impact analysis was performed from the perspective of the public health insurance system in a 5-year timeframe. Furthermore, The feasibility and service resources survey was conducted by sending surveys to more than 280 hospitals nationwide. Results: The results showed that there were between 3,540 - 6,049 acute kidney injury patients requiring CRRT annually in Thailand, and the cost of CRRT was between 57,502 and 116,890 baht per person. As for the five-year budget impact analysis, If we are referring to the number of patients who need CRRT services at 3,540 will be between 1,017 and 2,068 million baht. In the other case, if referring to the number of patients at 6,049, the budget impact will be between 1,739 and 3,535 million baht. From the stakeholder consultation meetings, there appears to be inadequate support for hospitals to provide CRRT. Moreover, the survey results showed that 88% of hospitals currently providing CRRT could treat more patients if the reimbursement rate for CRRT were to be adjusted to more appropriate level. Conclusion: Information from this study could support policymakers to update reimbursement rate and associated processes in order to improve accessibility to CRRT among critically ill patients with acute renal injury.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Synthetic analytical research studies of judgments problems related to medical error cases to the appropriate methods of resolving medical disputes in Thailand 
abstract:This research aimed to study the problem of appropriate medical dispute resolution in Thailand. The issue between the social sciences and the medical sciences is a different science that must come together to find a solution when a dispute arises, i.e., a medical conflict. Each party has reasons to claim how fair they should be received in the probation process. Or is there any way to solve the problem? It is, therefore, interesting that What is the proper procedure for resolving medical conflicts in Thailand? Which method is best depends on different situations. What are the ways in Thailand? Further steps should be developed or taken to resolve Thailand's most impacting medical disputes. Therefore, the study of civil liability guidelines Guidelines for criminal and judicial proceedings of various physicians Dispute Resolution Methods Examples of medical treatment cases in Thailand led to the study of dispute resolution methods through group meetings in 5 areas: the North, the Northeastern region of Chiang Mai; Khon Kaen Province central area Phitsanulok Province Southern area, Songkhla province and Bangkok 2 times per area and in-depth interviews with experts in the field of medicine and public health such as doctors, nurses, etc., and people who have practiced the medical profession. Legal professionals such as judges or former judges. A civil servant or an officer of the Court of Justice, a prosecutor or former public prosecutor, Government officials or employees of the Office of the Attorney General or former police government officials or employees of Police professors of law schools of various universities and lawyers, etc., who are affected or may be affected by medical errors. Until guidelines and opinions are presented to guide the resolution of appropriate medical disputes in Thailand. So far, the process of criticizing medical arguments remains a mediation process that must continuously develop according to Dispute mediation act, B.E. 2562 (2019). There should be legal measures to establish a committee. A pre-litigation committee and court to help prove the nature of a medical case that is more acceptable to all parties.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: An Investigation of the Efficacy and Safety of Favipiravir in COVID-19 Patients without Pneumonia−An open-label randomized controlled study 
abstract:Background: Favipiravir is an antiviral agent, mechanism of action is selective inhibition of RNA-dependent RNA polymerase and maybe effective against the SARS-CoV-2 virus. While no established treatment for COVID-19 is available, epidemiological studies conducted to date suggest a risk of further increase in patient exposure in the future. Therefore, to verify that the efficacy of Favipiravir exceeds that of the supportive care (symptomatic therapy) in mild SARS-CoV-2 infected patients (COVID-19 patients) without pneumonia, using the time required to improve clinical symptoms as the primary endpoint and it will contribute immensely to the improvement of public health in the future. Methods: To verify that the efficacy of Favipiravir exceeds that of the supportive care (symptomatic therapy) in mild SARS-CoV-2 infected patients (COVID-19 patients) without pneumonia, using the time required to improve clinical symptoms as the primary endpoint. In the case of chest imaging, no new findings and turning negative in the RT-PCR test with nasopharyngeal swab were set as the primary endpoints. Since this study is an open-label study, 96 patients to be enrolled all of the following inclusion criteria. (2:1, 64 in Favipiravir group with 1,800/800 mg twice daily) for 5-14 days and 32 in control group) The treatment period is 5 -14 days in principle and 10 patients in a clinical pharmacology study of Favipiravir. Results: This study examine the superiority of treatment of Favipiravir adding to the supportive care for mild COVID-19 patients without pneumonia, compared to those treatments without Favipiravir, to efficacy improve clinical symptoms with using NEWS Score, the treatment period is 14 days , in Favipiravir group have improved clinical symptoms rate 79% and in control group rate 32.3%. (p=0.027) Half of those treatments with Favipiravir have improved clinical symptoms on Day 2. As for in control group have improved clinical symptoms on Day 14 (p<0.001) Therefore, efficacy of Favipiravir to improve clinical symptoms than the control group. Conclusions: Coronavirus disease 2019, treatment with Favipiravir 1,800 mg is orally administered twice on Day 1, and then 800 mg is orally administered twice daily on Day 2 when you have mild symptoms.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Health Impact of the COVID-19 Pandemic on Visually Disabled Persons in Bangkok 
abstract:The coronavirus disease 2019 (COVID-19) pandemic has impacted on health and well-being of the population, particularly vulnerable groups. The purposes of this study were to explore health impact of COVID-19 regarding public health measure on people with visual impairment in Bangkok, to analyze factors affecting the impact, and to make recommendations to support visually impaired people in the situation of COVID-19 outbreak. A cross-sectional survey was conducted. Questionnaires were used to collected data between June and July, 2021. A combination of purposive and snowball technique was applied to select 140 visually impaired people to the study. Data were analyzed using descriptive (percentage, mean, standard deviation) and inferential statistics (ANOVA, t-test, chi-square). Findings revealed that the outbreak and public health measures affected visually impaired people’s daily lives, occupation, and economic and emotional stress. Moreover, they faced difficulty in using public services due to social change in the new normal era. However, the government’s measures in response to the impact of COVID-19 on visually impaired group were not inclusive in design. For instance, there was a lack of system to support the constraints of the visually impaired, and health communication was inappropriate in terms of format and channel. The government should show empathy and implement comprehensive policies for visually impaired people with empathy, such as improve access for public services, improve access to health care services, as well as increase access to COVID-19 vaccine.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: A Mid-Term Evaluation of Thailand National Strategic Plan on Antimicrobial Resistance 2017-2021 
abstract:The National Strategic Plan on Antimicrobial Resistance 2017-2021, which is Thailand’s first strategic plan addressing AMR issue, was endorsed by the cabinet in 2016. After halfway through the strategic plan’s implementation in 2019, a mid-term evaluation was conducted to assess the progression and develop recommendations for the next step. In this evaluation qualitative approach, including document review and in-depth interview were conducted during July to October 2019 and September to November 2019, respectively. It is suggested that the strategic plan conformed to the One Health principles and provided clearer guidance for management of AMR problems. The governance structure from the national committee, subcommittees, working groups, and coordinating team for each strategy, had a high contribution to the work progression through strong collaboration between respective organizations. Most of the activities were operated as planned. However, the evaluation showed lacks of participation efforts from some government institutes. The important factors that affected the implementation of the national AMR strategy included budget availability, executives at ministry and organizational level, coordinating personnel for each strategy, sufficient supporting knowledge, and clear framework for operation. It also found that despite well-defined monitoring and evaluation mechanisms, ineffective surveillance systems and databases were identified as crucial limitations. Moreover, many of the activities under the strategic plan needed to be improved especially those responsible by the organizations relatively new to the AMR management measures. For these organizations, persistent supports in terms of budget, capacity building, academic, and executives’ cooperation were recommended.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Application of Price Performance Criteria for Government Procurement of Medicine: A Case Study in Pilot Hospitals 
abstract:The Government Procurement and Supplies Management Act B.E. 2560 (2017) was published in the Royal Thai Government Gazette and has become active with government organizations since August 2017. The act allows the purchase of drugs and medical supplies to consider the price and other attributes of performance in decision-making. There has been a development of other price performance by applying multi-criteria decision analysis (MCDA) or price performance-MCDA criteria. The objective of this study was to assess the practical feasibility, problems and constraints in introducing the price performance-MCDA criteria in the practical work process. This study was a research and development. The sample group was eight pilot hospitals. Purposive sampling was performed by selecting the hospitals under the Ministry of Public Health (Office of the Permanent Secretary and Department of Medical Services), the Ministry of Defense, and the Ministry of Higher Education, Science, Research and Innovation. Researchers then organized a meeting to inform the participants about the price performance-MCDA criteria. The participants selected three sample drugs from the list of study drug groups. The results showed that 1 hospital was excluded because non-readiness to apply the criteria, and 7 hospitals exercised price performance-MCDA to evaluate drugs but not used in the purchasing process. Some hospitals adjusted the price and performance ratio for scoring and some did not adjust. Comparing the evaluation results by the price performance-MCDA criteria to current hospital criteria in 4 hospitals, 66.7% showed consistent results (2 out of 3 items). Furthermore, the comparison between price performance-MCDA criteria and current hospital criteria found that most of the similar issues were as follows: quality of manufacturing and quality of products. However, there were different concerned criteria such as experiences in using the drugs and drug availability on the list in a teaching hospital; drug specification including packaging and labelling for reducing medication errors; research data in supporting quality and efficacy of drugs; and the ethical training on drug promotion. The results found that most pharmacists who participated in the present research using price performance-MCDA were satisfied with these criteria, particularly in terms of driving the improvement of drug quality. Problems and constraints encountered in this study included understanding the details of each criterion. In summary, the results indicated the possibility of applying the price performance-MCDA criteria, but the criteria may need to be adjusted when implemented.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Policy Recommendations on School Food and Nutrition from Global Organizations and the Policy and Practice in Thailand 
abstract:This study aimed to review the school food and nutrition (SFN) policy recommendations from international organizations and the SFN policy and practice in Thailand. Policy documents were collected from the Office of the United Nations High Commissioner for Refugees (UNHCR), the Food and Agriculture Organization (FAO), World Health Organization (WHO), United Nations Children’s Fund (UNICEF), and related organizations in Thailand such as ministries of education, public health, agriculture and cooperatives, and Thai Health Promotion Foundation. Documents were analyzed based on the SFN framework, consisting of four key components; 1) healthy food environment and school food, 2) food and nutrition education, 3) inclusive procurement and value chain, 4) enabling policy, legal and institutional environment. Forty-two policy recommendations have been suggested, such as the development of a national strategy for food and nutrition in school, control of unhealthy food marketing, supporting use of local food produce for school meals, encouraging community engagement, promoting food and nutrition role models among teachers, and management of conflict of interest among involved stakeholders. Thailand has followed 34 out of 42 recommendations, such as, free school lunch, child nutritional standard, Thai School Lunch program for sustainable provision of school food, and other food and nutritional promotion programs in school. However, future SFN policies should be developed on the food/nutritional literacy among school children, teachers, and parents, conflict of interest management among involved stakeholders, and the health promotion in particular food and nutrition for all personnel in schools. Furthermore, existing SFN policies need to be strengthened, for instance, the inclusive school lunch, law and regulation to control unhealthy food marketing in school, and SFN policy monitoring and evaluation. The present study of international recommendations should be further used to guide the future SFN policy and practice in Thailand.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Factors Associated with Contribution Payment among Insured Workers under Social Security Act’s Article 40: the Case of Sickness Benefit 
abstract:This analytical observational study aimed to investigate relationships between factors and contribution payments for the sickness benefit among insured workers under the Social Security Act’s Article 40 who had been registered for 3–5 months on December 31, 2019. The data used for the analysis came from 53,556 insured workers who registered with Article 40 between August – September 2019. Descriptive statistics and binary logistic regression were used to describe the overall data and investigate the relationships among the studied factors. The analysis showed that age, occupation and registration channels were significantly associated with the contribution payments to fulfill the sickness benefit, while sex, income, contribution amount and benefit options were not. Those aged 25–34 years, in service works, working in machinery factories, and registration channel through a community based - social security agent had an increased chance of losing the sickness benefit compared to their counterparts. These results suggest strategic targeting the insured workers under Article 40 to ensure access to continuous sickness benefit of the social security system.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The First Online World Health Assembly in History 
abstract:Due to the global pandemic of coronavirus disease (COVID-19), the World Health Organization (WHO) decided to hold the 73rd World Health Assembly the first online meeting. The objectives of this study were (1) to review the online assembly and Thailand delegation’s online participation, (2) to analyze the advantages and challenges of online meeting and (3) to analyze the factors contributing to the success of the Thai delegates. The methods of this qualitative study included reviews of relevant documents, participant observations of the Thai delegates throughout the assembly meetings and opinions collection from the Thai delegates. The results showed that the 73rd World Health Assembly consisted of 3 sessions: (1) virtual de minimis – the concise virtual meeting, (2) intersessional session and (3) resumed 73rd World Health Assembly; all these sessions were participated by the Thai delegates. The online meeting was convenient as the delegates were able to connect to the meeting from anywhere with a good quality internet network. However, there was a challenge in terms of time zone difference that Thai delegates needed to attend the meeting at night and to continue their normal office hours. The factors contributing to the success of the Thai delegation were teamwork, systematic working process and adaptabilityof Thai delegates.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Situation of Desirable Thailand Health Systems According to the National Health System Constitution: Health Promotion, Disease Prevention and Health Hazards Control 
abstract:Article 27(3) of the National Health Act 2007 mandates the Office of the National Health Commission to conduct surveys, studies, and analyses of various data related to health systems of the nation. To assist the implementation of the National Health Act 2007, this study was conducted to assess the state of desirable Thailand health systems using a set of desirable health system indicators and to identify gaps in health system requirements. This study analyzed secondary data and conducted interviews with key informants and experts in the field to assess the status of each indicator and identify gaps in meeting the targets. This study focused on the articles of health promotion activities represented by the incidence of HIV infection, premature mortality from four major noncommunicable diseases. The articles on disease prevention included road traffic mortality and air pollution-attributable mortality. The articles on health hazards control included health systems capacity and emergency preparedness according to the International Health Regulations. The findings demonstrated the relationship between global commitments and the governance of Thailand health systems. The appropriateness of various indicators was determined by local knowledge as well as the ability to track the performance of local policies. The study findings suggested the creation of indicators should incorporate the Sustainable Development Goals both locally and regionally.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Surveillance, Prevention and Control of Coronavirus Disease 2019 in Communities by Village Health Volunteers in North East Thailand 
abstract:This mixed method research aimed to learn lessons leading to policy suggestions from the implementation of surveillance, prevention and control of Coronavirus Disease 2019 (COVID-19) pandemic in communities by village health volunteers (VHVs) in the north-east, Thailand. The lessons were extracted through a 5 steps process; project preparation or definition, data collection, verification and synthesis of data, storage of data and dissemination of learning. The sample size consisted of 207 VHVs from 8 provinces of health regions 7, 8, 9, and 10. Data were collected by 16 focus group discussions (12-13 members in a group) and a questionnaire survey based on practice guidelines for VHV on surveillance for COVID-19 as defined by the Department of Health Services Support, Ministry of Public Health. The questionnaire validated by 3 experts and achieved a reliability score of 0.94. The quantitative data were analyzed by descriptive statistics and qualitative by content analysis. Quantitative analysis, found 97.6% of VHVs respondents performed searching and screening of high risk groups, 89.4% conducted home visits to follow-up on sign and symptom, 87.0% prepared themselves for protection, 86.0% created performance reports and 84.5% consolidated reports of high-risks groups under observation. The VHVs were under the top-down guidance of the district-level Department of Disease Control’s policies. The qualitative analysis revealed that the VHVs were an integral part of village-level prevention strategy. The VHVs took steps to ensure self-precaution while visiting houses similar to disease control officers. The VHV also communicated with villagers regarding risks, disease knowledge including distributing protective equipment. The VHVs continuously reported to the local health professionals via LINE groups and other applications. The success of the project was attributable to the local VHVs and their dedication including their volunteer compassion, in addition, cooperation between networks and the communities, support, and monitoring. However, limitations were the knowledge, skills, technology including lack of clear operation guidelines, insufficient protective equipment, levels of cooperation between networks and citizens. Therefore, policies suggestions were on development of management infrastructure, capacity building of VHVs potential and knowledge, guideline and operation handbook, management of information technology and the network integration.