- Healthcare Quality and Management
- Healthcare Systems and Reforms
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Patient Satisfaction in Healthcare
- Quality and Safety in Healthcare
- Diabetes Management and Education
- Blood Pressure and Hypertension Studies
- Quality and Supply Management
- Chronic Disease Management Strategies
- Chronic Kidney Disease and Diabetes
- Healthcare Policy and Management
- Diabetes Management and Research
- Primary Care and Health Outcomes
- Disaster Response and Management
- Innovations in Medical Education
- Health Promotion and Cardiovascular Prevention
- Medical Education and Admissions
- Patient-Provider Communication in Healthcare
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Health Education and Validation
- Global Public Health Policies and Epidemiology
- Cancer survivorship and care
- Liver Disease and Transplantation
- Intramuscular injections and effects
Chulalongkorn University
2000-2024
Objectives. To explore problems and obstacles of hospitals in Thailand implementing quality management systems according to the hospital accreditation (HA) standards. Design. Questionnaire survey. Setting. Thirty-nine all 13 regions Thailand. Participants. A total 728 health care professionals 41 surveyors national program. Main outcome measures. Health professionals’ surveyors’ opinions on 24 items representing HA Results. The response rates were 94.9 73.2% surveyors, respectively. More...
Hypertension (HT) is a major risk factor, and accessible effective HT screening services are necessary. The coverage framework an assessment tool that can be used to assess health service performance by considering target population who need receive quality service. aim of this study measure hypertension at the provincial level in Thailand. Over 40 million individual records 2013 were acquired. Data on blood pressure measurement, assessment, diagnosis follow up analyzed. effectiveness was...
Background: Hospital incidence reporting system has limitation on sensitivity and underreport in detecting the adverse events thus under report them. Trigger tool may provide a more simplified review process for developing country setting. Objectives: To evaluate effectiveness of trigger identifying Thai hospitalized patients, to classify by patient safety goals. Materials methods: A cross-sectional medical record was conducted identify patients at King Chulalongkorn Memorial during January...
No abstract available. (Published: 25 March 2015) Citation : Glob Health Action 2015, 8 27199 - http://dx.doi.org/10.3402/gha.v8.27199
Abstract Background: Diabetes is a leading cause of end stage renal disease (ESRD), which impacts on treatment costs and patients’ quality life. Microalbuminuria screening in patients with diabetes as an early intervention beneficial slowing the progression diabetic nephropathy. Objectives: We aimed to assess cost-effectiveness annual microalbuminuria type 2 patients. Methods: compared by urine dipsticks “do nothing” scenario. To replicate natural history nephropathy, Markov model based...
To compare Thais' health-related quality of life (HRQOL) and severity grading, efficacy safety in daily-life-affected benign essential blepharospasm (BEB) patients at baseline after Botulinum toxin type A (BTX-A) treatment.Prospective-observational study.BEB with Jankovic rating scale (JRS) least 3 both frequency graded from 14 institutes nationwide were included August 2020 to June 2021.Demographic data, HRQOL evaluated by the Thai version EQ-5D-5L NEI-VFQ-25 questionnaires, grading score...
To assess the relationship between patients' self-efficacy and occurrence of adverse events in patients with insulin-using, type-2 diabetes mellitus an ambulatory setting. A prospective cohort study. Patients’ risks were estimated by relative risk (RR) analyzed Poisson regression using generalized estimating equation (GEE). Diabetic clinic at a university-affiliated, tertiary-care hospital Bangkok, Thailand. One hundred fifty-seven low group 153 high based on their pre-test scores, including...
Abstract Background Effectiveness of self-care and treatment diabetes mellitus depends upon patient awareness their own health disease outcomes. Physician decisions are improved by insight into perspectives. Objective To develop an instrument for patient-reported outcomes in Thai patients with type 2 (PRO-DM-Thai). Methods The study consisted of: (1) content development using a literature review in-depth interviews providers patients, validity testing index (CVI); (2) construct reliability...
Background: Diabetes is a leading cause of end stage renal disease (ESRD), which impacts on treatment costs and patients' quality life. Microalbuminuria screening in patients with diabetes as an early intervention beneficial slowing the progression diabetic nephropathy. Objectives: We aimed to assess cost-effectiveness annual microalbuminuria type 2 patients. Methods: compared by urine dipsticks do nothing scenario. To replicate natural history nephropathy, Markov model based simulated...
The structural factors of primary care potentially influence its performance and quality. This study investigated the association between factors, including available resources health outcomes, by using diabetes-related ambulatory sensitive conditions hospitalizations under Universal Coverage Scheme in Thailand.A 2-year panel used secondary data compiled at district level. Administrative claim from 838 districts during 2014-2015 fiscal years National Health Security Office were to analyze...
Abstract Background: Thailand has been facing a gradual increase in use of cross-border health care. Nevertheless, no evidence regarding factors influencing care by Laotian patients public Thai hospitals among this group established. Objectives: To assess the patients, and that may influence services along border. Methods: This study consisted two parts. (1) Site-visits to 53 Thai-Laos border during May July 2011 collection data patients. (2) A structured questionnaire survey was conducted...
In Thailand, hospital accreditation (HA) is widely recognized as one of the system tools to promote effective operation universal health coverage. This nationwide study aims examine relationship between accredited statuses provincial hospitals and their mortality outcomes.A 5-year retrospective analysis Universal Coverage Scheme's claim dataset was conducted, using 1 297 869 inpatient discharges from 76 networks under Ministry Public Health. Mortality outcomes 3 major acute care conditions,...
Objective: To develop a patient-reported outcome measurement for terminally ill cancer patients (PROMs-TCP) receiving home-based palliative care, which is valid, reliable and easy to use by or caregivers indicate urgent needs assistance from the care team. Materials Methods: Three-step approach consisting of literature review, focus groups questionnaire testing. 169 who received at Cancer hospital, tertiary-care hospital university school medicine in Thailand. The PROMs-TCP comprised five...
COVID-19, with a case fatality rate of 0.98%, requires treatment based on severity illness. Vaccination is crucial for preventing virus spread and decreasing illness, yet it may lead to side effects. This study explored the 30-minute adverse events following immunization (AEFI) after receiving COVID-19 vaccination at Bang Sue Central Center (BSCVC). Data (demographic profile vaccines, type vaccines administered first second doses occurrence AEFI within 30 minutes) from 871,446 vaccine...
Background: The impact of adverse events on costs medical care in developing countries is more limited than developed countries. Objectives: To estimate uncompensated as a result hospitalized patients. Methods: Retrospective study based panel reviews the records and hospital charges relating to 574 inpatients electronic database tertiary-care university Bangkok, Thailand, which 138 were identified have 2009. main outcome measure was for standardized by Thai diagnosis-related groups...
COVID-19 has had adverse impacts on the health sector in Thailand and information hospital costs is required for planning budgeting. The aim of this study was to estimate that pandemic imposed a teaching country, focusing first wave which took place March-May 2020. A retrospective cost analysis performed. Data COVID-related activities, including when where they were undertaken, retrieved from existing sources supplemented by in-depth interviews with hospital’s staff. data collection period...
The study aims to assess the patient’ satisfaction by using a new method called SERVQUAL technique which conducted in Ho Chi Minh City (HCMC)’ hospitals. This will measure gap between patients’ expectation and their perception followed 6 dimensions of inpatient healthcare service public hospital private hospital. higher score is, greater patients satisfy. On other hand, this also importance weight each dimension combine with rank quality dimension. final results showed that at moment, two...
Background: Evidence for the impact of health care spending in area maternal, newborn and child (MCH) developing countries is limited. Objectives: To examine investment medical expenses MCH under Universal Health Coverage (UHC) Thailand. Methods: A prevention–appraisal–failure (PAF) cost element method was applied. Using a payer perspective, data related to PAF elements were collected from Scheme (UCS) inpatient claim database, UCS liability claims, health-budget administration resource...
Abstract Objectives To evaluate the cost‐effectiveness and estimated net monetary benefits of a fluoride varnish application program during well‐child visits in young children three Thai provinces. Costs from both provider patients are presented. Methods Cost‐effectiveness benefit analysis one to five for using retro‐prospective cohort study design. Cost outcomes were dental personnel survey data, hospital procurement data guardian survey. The primary decayed (treatment needed), missing due...