- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Health Care Issues
- Antibiotic Use and Resistance
- Global Public Health Policies and Epidemiology
- Healthcare Policy and Management
- Gallbladder and Bile Duct Disorders
- Physical Activity and Health
- Pancreatic and Hepatic Oncology Research
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- Pneumonia and Respiratory Infections
- Obesity, Physical Activity, Diet
- Pharmaceutical and Antibiotic Environmental Impacts
- Complementary and Alternative Medicine Studies
- Nosocomial Infections in ICU
- Antibiotics Pharmacokinetics and Efficacy
- Antibiotic Resistance in Bacteria
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Urban Transport and Accessibility
Ministry of Public Health
2019-2024
Lampang Hospital
2017
Thailand achieved full population coverage of financial protection for health care in 2002 with successful implementation the Universal Coverage Scheme (UCS). The three public insurance schemes covered 98.5% by 2015. Current evidence shows a high level service and risk low unmet healthcare need, but path toward UHC was not straightforward. Applying Political Economy Reform Framework concept dependency, this study reviews how these factors influenced evolution reform Thailand. We highlight...
To describe the antibiotic use among hospitalized patients in Thailand.A standardized cross-sectional point prevalence survey (PPS) modified from WHO PPS protocol was conducted 41 selected hospitals Thailand. All inpatients who received an at 9 a.m. on date were enrolled. The total number of that day denominator.Between March and May 2021, a 8958 enumerated; 4745 antibiotics there 6619 prescriptions antibiotics. 53.0% (95% CI 51.1%-54.0%), ranging 14.3% to 73.4%. highest adults aged >65...
Sustaining universal health coverage requires robust active public participation in policy formation and governance. Thailand's scheme was implemented nationwide 2002, allowing Thailand to achieve full population through three insurance schemes demonstrate improved outcomes. Although position on the World Bank worldwide governance indicators has deteriorated since 1996, provisions for voice accountability were embedded legislation design of scheme. We discuss how related citizens' rights...
Universal health coverage (UHC) is one of the targets within Sustainable Development Goals that Member States United Nations have pledged to achieve by 2030. Target 3.8 has two monitoring indicators: 3.8.1 for essential services, which a compound index from 16 tracer indicators recently been developed; and 3.8.2 catastrophic expenditure on health. The global baseline these in 2017 shows progress many low- middle-income countries unlikely be track achieved evaluation mechanism UHC crucial...
Physical inactivity and sedentary behavior are significant risk factors for various non-communicable diseases. Bangkok, Thailand's capital, is one of the fastest-growing metropolitans in Southeast Asia. Few studies have investigated epidemiology physical activity among Bangkok residents. This study aims to investigate prevalence combined patterns residents examine relationships between participants' characteristics movement patterns.We analyzed data from nationally representative 2021 Health...
Background: Healthcare-associated infections (HAIs) pose a grave threat to patient safety, morbidity, and mortality, contributing antimicrobial resistance. Thus, we estimated the point prevalence, risk factors, types, pathogens of HAIs in hospitalized pediatric patients. Methods: A prevalence survey (PPS) patients < 18 years old was conducted from March May 2021. Outcomes, types associated with 41 hospitals across Thailand were collected. Results: The 3.9% (95% CI 2.9–5.0%) (56/1443). By...
The challenge of implementing contributory health insurance among populations in the informal sector was a barrier to achieving universal coverage (UHC) Thailand.UHC political manifesto 2001 election campaign. A system not feasible option honour commitment. Given Thailand's fiscal capacity and moderate amount additional resources required, government legislated use general taxation as sole source financing for scheme.Before 2001, four public schemes covered only 70% (44.5 million) 63.5...
Abstract Background and Aim Cholangiocarcinoma (CCA) is an aggressive malignancy with rapid progression poor prognosis. Abdominal ultrasound surveillance may detect early‐stage improve surgical outcome. However, little data exist on the benefits of abdominal in populations at high risk for CCA development endemic area. This study compared survival outcomes patients recruited through program those presented to hospital independent surveillance. Methods The population‐based cohort was 4225...
Abstract Background Unsafe abortion is one of the major public health problems in Thailand. Although penal code Thailand and Thai Medical Council permit doctors to perform safe certain conditions, little known about attitudes that new medical have towards abortion. The objectives this article are explore conditions among graduates identify factors related those attitudes. Methods A cross-sectional survey was conducted 2018 2017 who attended annual workplace selection forum. participants came...
The rapid economic growth in low and middle-income countries provides the opportunity of translating political commitment into action for achieving Universal Health Coverage. However, this is not straightforward. High donor dependence income countries; lack fiscal space; inadequacy attention to primary health care under-developed pre-payment systems all pose challenges. Windows open up ensuring that Coverage makes it agenda parties subsequent holding them accountable by citizens can address...