Sukhontha Kongsin | Mahidol University (original) (raw)
Papers by Sukhontha Kongsin
Journal of multidisciplinary healthcare, Mar 1, 2024
Health Science Reports
Background and AimsDengue is endemic in Thailand and imposes a high burden on the health system a... more Background and AimsDengue is endemic in Thailand and imposes a high burden on the health system and society. We conducted a prospective cohort study in Umphang District, Tak Province, Thailand, to investigate the share of dengue cases with long symptoms and their duration. Here we present the results of the enrollment process during the COVID‐19 pandemic with implications and challenges for research and policy.MethodsIn a prospective cohort study conducted in Umphang District, Thailand, we examined the prevalence of persistent symptoms in dengue cases. Clinically diagnosed cases were offered free laboratory testing, We enrolled ambulatory dengue patients regardless of age who were confirmed through a highly sensitive laboratory strategy (positive NS1 and/or IgM), agreed to follow‐up visits, and gave informed consent. We used multivariate logistic regressions to assess the probability of clinical dengue being laboratory confirmed. To determine the factors associated with study enroll...
Southeast Asian Journal of Tropical Medicine and Public Health, May 19, 2020
Despite methadone maintenance treatment (MMT), many continue injecting illicit drugs. In this stu... more Despite methadone maintenance treatment (MMT), many continue injecting illicit drugs. In this study, we aimed to explore factors associated with continuing to use illicit injection drugs while receiving MMT in Indonesia in order to improve an illicit injection drug use harm reduction program for this marginalized population. We conducted this cross-sectional study among 342 randomly selected patients attending any of 11 MMT clinics in Indonesia, based on minimum sample size calculation and anticipated non-participation rate. Each subject was interviewed following a structured questionnaire and her/his MMT clinic records were also reviewed. Data were analyzed using multivariable logistic regression. A total of 266 MMT clinic patients participated in the study; 95.5% male. The median age of study subjects was 30 years; 38.3% of subjects (n=102) had a university education level; 87.2% (n=232) were employed, 49.6% (n=132) were married. Thirty-six point one percent of subjects (n=96) had injected illicit drugs during the previous month. On multivariable logistic regression analysis, factors significantly associated with injecting illicit drugs during the previous month were the subject perceived they had a more severe level of drug dependence [Adjusted odds ratio (Adjusted OR)] = 13.8; 95% confidence interval (95% CI: 6.6-29.0), subjects felt they did not have the ability to stop injecting illicit drugs (Adjusted OR = 5.4; 95%CI: 2.4-12.1) and the subjects felt they were in a high risk environment (Adjusted OR = 2.3; 95%CI: 1.2-4.5). Our study of MMT patients who inject illicit drugs during MMT shows this is a common problem in the study population, worse in those who believe their problem is more severe, they feel unable to stop or continue to be in a high risk environment. In order to improve MMT program efficiency, these problems need to be targeted and effective interventions created to improve them and then further studies need to be conducted to determine the efficacy of these interventions.
This paper is a product of the research project on "The economic impact of fatal adult illne... more This paper is a product of the research project on "The economic impact of fatal adult illness due to AIDS and other causes in Sub-Saharan Africa", sponsored by the World Bank, USAID, and Danida. We are grateful to UNAIDS, particularly Anita Alban, for the financial support for this paper, to Paurvi Bhatt, David Bishai, Deon Filmer, Robert Hecht, John Knodel, Sukhontha Kongsin, Robert Ssengonzi, John Stover, and John Strauss for comments on an earlier draft, and to Anna Marie Maraon for expert assistance in producing the paper. A preliminary draft was presented at the March 2001 annual meetings of the Population Association of America, in Washington, D.C. Our characterization of adults over 50 as "elderly" is purely for convenience; we wish to affirm that none of our friends, colleagues or coinvestigators over 50 could in any way be described as elderly. The findings, interpretations and conclusions expressed in this paper are those of the authors and do not nece...
The purpose of this study is to inform decision makers in Thailand about the cost implications of... more The purpose of this study is to inform decision makers in Thailand about the cost implications of AIDS treatment. This information will be an incentive to use resources as effectively as possible,aiming at preventing AIDS and improving patientsu lives. The research was done to analyze cost components to Government including(1) routine service cost: RSC (cost/IP day) by using the retrospective data base from the Division of Provincial Hospital during 1988-1991, (2) medical care cost:MCC(cost/case) by using the retrospective data from the available medical records of patients with AIDS/ARC during 1988-1992,and (3) external cost: EC (cost/case) to the relatives of the patients which was cross-sectional prospective data denved from inspection interview questionnaires collected in regional and general hospitals. It was found that the RSC(labour and operating cost) was Thai Baht 341.19 per IP day ($US 13.65: costin 1992),the MCC(laboratory test,procedures and medication cost) was Thai B...
Journal of Health Science, 2012
Reported data on AIDS cases in Thailand suggest that laborers and agricultural workers, who are g... more Reported data on AIDS cases in Thailand suggest that laborers and agricultural workers, who are generally the poorest and least educated, are the most susceptible to AIDS. The largest proportion of AIDS cases has been reported in Thailand's northern provinces, mainly in rural areas. Because AIDS infects mainly adults of prime working age and no cure is available, an adult AIDS death can cause further immiseration of the poor in rural areas. This chapter measures and analyzes the economic impact of adult AIDS deaths on rural households in Thailand based on a primary survey of rural households in Chiangmai province, which has the highest number of reported AIDS cases. It also investigates whether a linkage exists between adult AIDS mortality and low income and poverty in rural areas. The chapter also analyzes the ability of households' of different socioeconomic status to cope and investigates whether an adult AIDS death differs from a death from other causes in terms of the economic impact on the household. The study finds that the economic impact of an adult AIDS death is sizeable and significant despite all the coping strategies employed. The least able to cope were the poorest and least educated households engaged in agricultural work. The economic impact of an adult AIDS death was more severe than the impact of death from other causes. This is largely because AIDS infects a specific population, mainly those already disadvantaged and less able to cope with the resulting adversity. Finally, the chapter suggests some policy implications of its findings, which are that existing government measures to alleviate rural poverty should be broadened and strengthened to include
This cross-sectional descriptive study analyzed the activity-based costing of malaria caseadmissi... more This cross-sectional descriptive study analyzed the activity-based costing of malaria caseadmissions at the Outpatient Department, Hospital for Tropical Diseases. Expenditure wasclassified by the provider into operating costs and capital costs. Malaria case-admission data werecollected via interview, using the financial records of fiscal year 2009, and by service observationin April-June 2009. Nine major activities were involved in malaria-case admission, starting withservices provided at the Outpatient Department through admission to the hospital ward. The totalcost of malaria case admissions incurred in fiscal year 2009 was 365,360.38 THB; about 81.42% wereoperating costs and 18.58% capital costs. The unit cost of malaria case admission was 1,343.24 THB.The highest operating costs were office materials and medical supplies, accounting for 56%. Thethree most costly activities were screening, laboratory work, and charging for services, respectively.The results of this study are usef...
Journal of Health Science, 2018
Nowadays, financial crisis becomes a major problem worldwide and affects the policy towards tripl... more Nowadays, financial crisis becomes a major problem worldwide and affects the policy towards triple zero of AIDS. The investment in prevention is less than providing treatment and care. Cost-effec-tiveness analysis is crucial to find out which intervention is the most efficient. The purpose of study was to assess the economic evaluation using cost–effectiveness analysis of HIV preventive interventions. To calculate cost and effectiveness of interventions implemented among 567 youths, the study was conducted in 4 steps: (1) identify the main intervention, (2) analyze data for cost from secondary data, (3) analyze data on effectiveness from face to face interview using questionnaire, and (4) cost-effectiveness analysis to find out the most cost-effective intervention. The costs for 4 interventions for youths — (1) develop-ment of enhancing life skills course, volunteering, networking and leadership, (2) establishing network and partnership through collaboration with government organiza...
Journal of Health Science, 2017
The objective of this study was to undertake activity based costing analysis of general anestheti... more The objective of this study was to undertake activity based costing analysis of general anesthetic service provided by Anesthesiology Department of Bamrasnaradura Infectious Diseases Institute, Nonthaburi, during the fiscal year 2014. The study analyzed the proportion of resource utilization in each activity and its unit cost comprising both operational cost and capital cost. The study was conducted as a retrospective descriptive research in the perspective of the service provider. The studied population were 10 personnel working in Anesthesiology Department and 543 medical records of the patients receiving the service from the department. The tools for data collection were recording format for labor cost, material cost, capital cost and dictionary of activity. The validity of the content of research tools had been approved by advisors. The statistics used for data analysis were frequency distribution, mean, percentage and standard deviation. The study found that the total activity ...
Journal of Health Science, 2017
Stroke is one of the most frequent causes of morbidity and mortality. Nearly 60% of stroke patien... more Stroke is one of the most frequent causes of morbidity and mortality. Nearly 60% of stroke patients had permanent disability. There is evidence that rehabilitation can significantly improve functional ability of stroke patients, however the comparison on cost-effectiveness between home-based rehabilitation services (HB) and outpatient rehabilitation services (OPD) in Thai health care setting is still unknown. The purpose of this study was to analyze the cost-effectiveness of rehabilitation services for ischemic stroke patients at the Stroke Corner of Pranangklao hospital under the Universal Health Coverage during the fiscal year 2011-2012. This study was a retrospective – prospective study that analyzed the cost-effectiveness of stroke rehabilitation services in Pranangklao Hospital under the provider and patient perspectives. Fifty ischemic stroke patients were recruited to the study, from 1 June 2011 to 30 November 2011 and followed up at 6 months after discharge. Effectiveness wa...
Journal of Health Science, 2017
This study aimed to evaluate national HIV-related surveillance system in target population. It wa... more This study aimed to evaluate national HIV-related surveillance system in target population. It was conducted by gathering information on events and find relationship using quantitative and qualitative methods from October 2013 to December 2015. Altogether 2,587 participants were recruited into the study consisted of grade 8 and 11 students, 2 nd year vocational students, employees in workplaces, sex workers and military conscripts as well as administrators and 50 surveillance system staff. The study sites included 10 provinces: Ratchaburi, Chiang Rai, Phayao, Khon Kaen, Udon Thani, Krabi, Phangnga, Chachoengsao, Sa Kaeo and Phetchaburi. The findings were as follow: Input: the surveillance system had been driven by budget, personnel and related projects and activities. Process: success of the system de-pended on activities that contained overlapping and integrated network functions and the coverage of the networks. Output: successful components of behavioral surveillance system compr...
Journal of Health Science, 2011
The aim of this study was to analyze the cost and benefit of antiretroviral therapy (ART) infisca... more The aim of this study was to analyze the cost and benefit of antiretroviral therapy (ART) infiscal year 2008 using a quantitative research method to collect internal cost of provider and externalcost of HIV/AIDS patients. The benefit was collected in interview of 200 patients with AIDSwho had received ART (160 outpatient cases and 40 inpatient cases) in terms of willingness to pay(WTP) by contingent valuation method.The results revealed that the total cost of ART was equal to 11,366,561.18 baht, with 8,838,069.65baht for internal cost and 2,528,491.53 baht for external cost. The average cost or unit cost ofoutpatient (OP) ART services was 1,380.87 baht per visit, and for inpatient ART services was 3,067.16baht per day. Furthermore, the average WTP of OP ART services was 426.06 baht per visit, and theaverage for WTP of IP ART services was 874.50 baht per day, so that gross benefit-cost ratio of OPwas 5.31 and that of IP was 4.06. Therefore, ART was worth continuing on with the Univer...
ความชกและปจจยทสมพนธกบการตดเชอแบคทเรยในการนอนโรงพยาบาลของผปวย โรคตมนำพองใส (Pemphigus Vulgaris) สถ... more ความชกและปจจยทสมพนธกบการตดเชอแบคทเรยในการนอนโรงพยาบาลของผปวย โรคตมนำพองใส (Pemphigus Vulgaris) สถาบนโรคผวหนง ป พ.ศ. 2554-2558 บษยมาศ นำกลน สม.*, สคนธา คงศล Ph.D.**, สขม เจยมตน พ.บ., Ph.D.***, วลยอร ปรชญพฤทธ พ.บ.* *สถาบนโรคผวหนง แขวงทงพญาไท เขตราชเทว กรงเทพมหานคร 10400 **ภาควชาบรหารงานสาธารณสข คณะสาธารณสขศาสตร มหาวทยาลยมหดล เขตราชเทว กรงเทพมหานคร 10400 ***ภาควชาตจวทยา คณะแพทยศาสตร ศรราชพยาบาล มหาวทยาลยมหดล แขวงศรราช เขตบางกอกนอย กรงเทพมหานคร 10700 Abstract: Prevalence and Factors Associated with Bacterial Infection in Hospitalized Patients with Pemphigus Vulgaris at the Institute of Dermatology from 2011-2015 Numklun B, Kongsin S, Jiamton S, Pratchayapruit W *Institute of Dermatology, Phayathai, Rajthevee, Bangkok, 10400 **Department of Public Health Administration, Mahidol University, Rajthevee, Bangkok, 10400 ***Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Siriraj, Bangkok-Noi, Bangkok, 10700 (E-mail: ruttnukhuan@gmail.com) Pemphigus vulgar...
The objective of this study was to analyze hospital care cost of Ko Chang Hospital for normal del... more The objective of this study was to analyze hospital care cost of Ko Chang Hospital for normal delivery of migrant workers in fiscal year 2015 under provider perspectives. Migrant women who were covered by migrant health insurance fund were recruited. The participants were 84 migrants who visited the hospital and had normal delivery from October 2014 to September 2015. Health care were provided by 29 hospital personnel including doctors, nurses, and nurse-aids. The overall hospital care cost of normal delivery among 86 migrant workers in fiscal year 2015 was 887,372.92 baht, comprised of operating cost of 829,543.11 baht (93.4%), material cost of 23,622.77 baht (2.6%), and capital cost of 34,207.04 baht (3.8%). The ratio of labor cost : material cost : capital cost was 35.12 : 1.00 : 1.45. Unit cost of normal labor was 10,563.96 per case or 3,841.44 baht per admission-day. The study revealed that the budget the hospital received from migrant insurance fund was lower than the over all...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2011
To assess the effectiveness of diabetes care and the factors associated with the effectiveness at... more To assess the effectiveness of diabetes care and the factors associated with the effectiveness at primary care settings. Data were obtained from reviewing of 1,795 medical patient files of patients with type 2-DM treated at forty-eight primary care settings. Information recorded included characteristics, body mass index, co-morbidity, fasting blood glucose (FBG) and HbA1c levels and health personnel mix types (physicians, pharmacists, nurses, health technical officers and community health workers). HbA1c level of diabetes in 542 of 1,795 medical patient files were analyzed. Glycemic controllability of diabetes patients was defined using FBG and HbA1c levels as the effectiveness indicators of diabetes care. Of 1,795 patients, 40.8% were able to control their FBG levels and 22.7% of the 542 patients who have HbA1c data could control their HbA1c levels. Multivariate analysis confirmed that age and health personnel mix types are significant factors for glycemic controllability as measur...
Journal of multidisciplinary healthcare, Mar 1, 2024
Health Science Reports
Background and AimsDengue is endemic in Thailand and imposes a high burden on the health system a... more Background and AimsDengue is endemic in Thailand and imposes a high burden on the health system and society. We conducted a prospective cohort study in Umphang District, Tak Province, Thailand, to investigate the share of dengue cases with long symptoms and their duration. Here we present the results of the enrollment process during the COVID‐19 pandemic with implications and challenges for research and policy.MethodsIn a prospective cohort study conducted in Umphang District, Thailand, we examined the prevalence of persistent symptoms in dengue cases. Clinically diagnosed cases were offered free laboratory testing, We enrolled ambulatory dengue patients regardless of age who were confirmed through a highly sensitive laboratory strategy (positive NS1 and/or IgM), agreed to follow‐up visits, and gave informed consent. We used multivariate logistic regressions to assess the probability of clinical dengue being laboratory confirmed. To determine the factors associated with study enroll...
Southeast Asian Journal of Tropical Medicine and Public Health, May 19, 2020
Despite methadone maintenance treatment (MMT), many continue injecting illicit drugs. In this stu... more Despite methadone maintenance treatment (MMT), many continue injecting illicit drugs. In this study, we aimed to explore factors associated with continuing to use illicit injection drugs while receiving MMT in Indonesia in order to improve an illicit injection drug use harm reduction program for this marginalized population. We conducted this cross-sectional study among 342 randomly selected patients attending any of 11 MMT clinics in Indonesia, based on minimum sample size calculation and anticipated non-participation rate. Each subject was interviewed following a structured questionnaire and her/his MMT clinic records were also reviewed. Data were analyzed using multivariable logistic regression. A total of 266 MMT clinic patients participated in the study; 95.5% male. The median age of study subjects was 30 years; 38.3% of subjects (n=102) had a university education level; 87.2% (n=232) were employed, 49.6% (n=132) were married. Thirty-six point one percent of subjects (n=96) had injected illicit drugs during the previous month. On multivariable logistic regression analysis, factors significantly associated with injecting illicit drugs during the previous month were the subject perceived they had a more severe level of drug dependence [Adjusted odds ratio (Adjusted OR)] = 13.8; 95% confidence interval (95% CI: 6.6-29.0), subjects felt they did not have the ability to stop injecting illicit drugs (Adjusted OR = 5.4; 95%CI: 2.4-12.1) and the subjects felt they were in a high risk environment (Adjusted OR = 2.3; 95%CI: 1.2-4.5). Our study of MMT patients who inject illicit drugs during MMT shows this is a common problem in the study population, worse in those who believe their problem is more severe, they feel unable to stop or continue to be in a high risk environment. In order to improve MMT program efficiency, these problems need to be targeted and effective interventions created to improve them and then further studies need to be conducted to determine the efficacy of these interventions.
This paper is a product of the research project on "The economic impact of fatal adult illne... more This paper is a product of the research project on "The economic impact of fatal adult illness due to AIDS and other causes in Sub-Saharan Africa", sponsored by the World Bank, USAID, and Danida. We are grateful to UNAIDS, particularly Anita Alban, for the financial support for this paper, to Paurvi Bhatt, David Bishai, Deon Filmer, Robert Hecht, John Knodel, Sukhontha Kongsin, Robert Ssengonzi, John Stover, and John Strauss for comments on an earlier draft, and to Anna Marie Maraon for expert assistance in producing the paper. A preliminary draft was presented at the March 2001 annual meetings of the Population Association of America, in Washington, D.C. Our characterization of adults over 50 as "elderly" is purely for convenience; we wish to affirm that none of our friends, colleagues or coinvestigators over 50 could in any way be described as elderly. The findings, interpretations and conclusions expressed in this paper are those of the authors and do not nece...
The purpose of this study is to inform decision makers in Thailand about the cost implications of... more The purpose of this study is to inform decision makers in Thailand about the cost implications of AIDS treatment. This information will be an incentive to use resources as effectively as possible,aiming at preventing AIDS and improving patientsu lives. The research was done to analyze cost components to Government including(1) routine service cost: RSC (cost/IP day) by using the retrospective data base from the Division of Provincial Hospital during 1988-1991, (2) medical care cost:MCC(cost/case) by using the retrospective data from the available medical records of patients with AIDS/ARC during 1988-1992,and (3) external cost: EC (cost/case) to the relatives of the patients which was cross-sectional prospective data denved from inspection interview questionnaires collected in regional and general hospitals. It was found that the RSC(labour and operating cost) was Thai Baht 341.19 per IP day ($US 13.65: costin 1992),the MCC(laboratory test,procedures and medication cost) was Thai B...
Journal of Health Science, 2012
Reported data on AIDS cases in Thailand suggest that laborers and agricultural workers, who are g... more Reported data on AIDS cases in Thailand suggest that laborers and agricultural workers, who are generally the poorest and least educated, are the most susceptible to AIDS. The largest proportion of AIDS cases has been reported in Thailand's northern provinces, mainly in rural areas. Because AIDS infects mainly adults of prime working age and no cure is available, an adult AIDS death can cause further immiseration of the poor in rural areas. This chapter measures and analyzes the economic impact of adult AIDS deaths on rural households in Thailand based on a primary survey of rural households in Chiangmai province, which has the highest number of reported AIDS cases. It also investigates whether a linkage exists between adult AIDS mortality and low income and poverty in rural areas. The chapter also analyzes the ability of households' of different socioeconomic status to cope and investigates whether an adult AIDS death differs from a death from other causes in terms of the economic impact on the household. The study finds that the economic impact of an adult AIDS death is sizeable and significant despite all the coping strategies employed. The least able to cope were the poorest and least educated households engaged in agricultural work. The economic impact of an adult AIDS death was more severe than the impact of death from other causes. This is largely because AIDS infects a specific population, mainly those already disadvantaged and less able to cope with the resulting adversity. Finally, the chapter suggests some policy implications of its findings, which are that existing government measures to alleviate rural poverty should be broadened and strengthened to include
This cross-sectional descriptive study analyzed the activity-based costing of malaria caseadmissi... more This cross-sectional descriptive study analyzed the activity-based costing of malaria caseadmissions at the Outpatient Department, Hospital for Tropical Diseases. Expenditure wasclassified by the provider into operating costs and capital costs. Malaria case-admission data werecollected via interview, using the financial records of fiscal year 2009, and by service observationin April-June 2009. Nine major activities were involved in malaria-case admission, starting withservices provided at the Outpatient Department through admission to the hospital ward. The totalcost of malaria case admissions incurred in fiscal year 2009 was 365,360.38 THB; about 81.42% wereoperating costs and 18.58% capital costs. The unit cost of malaria case admission was 1,343.24 THB.The highest operating costs were office materials and medical supplies, accounting for 56%. Thethree most costly activities were screening, laboratory work, and charging for services, respectively.The results of this study are usef...
Journal of Health Science, 2018
Nowadays, financial crisis becomes a major problem worldwide and affects the policy towards tripl... more Nowadays, financial crisis becomes a major problem worldwide and affects the policy towards triple zero of AIDS. The investment in prevention is less than providing treatment and care. Cost-effec-tiveness analysis is crucial to find out which intervention is the most efficient. The purpose of study was to assess the economic evaluation using cost–effectiveness analysis of HIV preventive interventions. To calculate cost and effectiveness of interventions implemented among 567 youths, the study was conducted in 4 steps: (1) identify the main intervention, (2) analyze data for cost from secondary data, (3) analyze data on effectiveness from face to face interview using questionnaire, and (4) cost-effectiveness analysis to find out the most cost-effective intervention. The costs for 4 interventions for youths — (1) develop-ment of enhancing life skills course, volunteering, networking and leadership, (2) establishing network and partnership through collaboration with government organiza...
Journal of Health Science, 2017
The objective of this study was to undertake activity based costing analysis of general anestheti... more The objective of this study was to undertake activity based costing analysis of general anesthetic service provided by Anesthesiology Department of Bamrasnaradura Infectious Diseases Institute, Nonthaburi, during the fiscal year 2014. The study analyzed the proportion of resource utilization in each activity and its unit cost comprising both operational cost and capital cost. The study was conducted as a retrospective descriptive research in the perspective of the service provider. The studied population were 10 personnel working in Anesthesiology Department and 543 medical records of the patients receiving the service from the department. The tools for data collection were recording format for labor cost, material cost, capital cost and dictionary of activity. The validity of the content of research tools had been approved by advisors. The statistics used for data analysis were frequency distribution, mean, percentage and standard deviation. The study found that the total activity ...
Journal of Health Science, 2017
Stroke is one of the most frequent causes of morbidity and mortality. Nearly 60% of stroke patien... more Stroke is one of the most frequent causes of morbidity and mortality. Nearly 60% of stroke patients had permanent disability. There is evidence that rehabilitation can significantly improve functional ability of stroke patients, however the comparison on cost-effectiveness between home-based rehabilitation services (HB) and outpatient rehabilitation services (OPD) in Thai health care setting is still unknown. The purpose of this study was to analyze the cost-effectiveness of rehabilitation services for ischemic stroke patients at the Stroke Corner of Pranangklao hospital under the Universal Health Coverage during the fiscal year 2011-2012. This study was a retrospective – prospective study that analyzed the cost-effectiveness of stroke rehabilitation services in Pranangklao Hospital under the provider and patient perspectives. Fifty ischemic stroke patients were recruited to the study, from 1 June 2011 to 30 November 2011 and followed up at 6 months after discharge. Effectiveness wa...
Journal of Health Science, 2017
This study aimed to evaluate national HIV-related surveillance system in target population. It wa... more This study aimed to evaluate national HIV-related surveillance system in target population. It was conducted by gathering information on events and find relationship using quantitative and qualitative methods from October 2013 to December 2015. Altogether 2,587 participants were recruited into the study consisted of grade 8 and 11 students, 2 nd year vocational students, employees in workplaces, sex workers and military conscripts as well as administrators and 50 surveillance system staff. The study sites included 10 provinces: Ratchaburi, Chiang Rai, Phayao, Khon Kaen, Udon Thani, Krabi, Phangnga, Chachoengsao, Sa Kaeo and Phetchaburi. The findings were as follow: Input: the surveillance system had been driven by budget, personnel and related projects and activities. Process: success of the system de-pended on activities that contained overlapping and integrated network functions and the coverage of the networks. Output: successful components of behavioral surveillance system compr...
Journal of Health Science, 2011
The aim of this study was to analyze the cost and benefit of antiretroviral therapy (ART) infisca... more The aim of this study was to analyze the cost and benefit of antiretroviral therapy (ART) infiscal year 2008 using a quantitative research method to collect internal cost of provider and externalcost of HIV/AIDS patients. The benefit was collected in interview of 200 patients with AIDSwho had received ART (160 outpatient cases and 40 inpatient cases) in terms of willingness to pay(WTP) by contingent valuation method.The results revealed that the total cost of ART was equal to 11,366,561.18 baht, with 8,838,069.65baht for internal cost and 2,528,491.53 baht for external cost. The average cost or unit cost ofoutpatient (OP) ART services was 1,380.87 baht per visit, and for inpatient ART services was 3,067.16baht per day. Furthermore, the average WTP of OP ART services was 426.06 baht per visit, and theaverage for WTP of IP ART services was 874.50 baht per day, so that gross benefit-cost ratio of OPwas 5.31 and that of IP was 4.06. Therefore, ART was worth continuing on with the Univer...
ความชกและปจจยทสมพนธกบการตดเชอแบคทเรยในการนอนโรงพยาบาลของผปวย โรคตมนำพองใส (Pemphigus Vulgaris) สถ... more ความชกและปจจยทสมพนธกบการตดเชอแบคทเรยในการนอนโรงพยาบาลของผปวย โรคตมนำพองใส (Pemphigus Vulgaris) สถาบนโรคผวหนง ป พ.ศ. 2554-2558 บษยมาศ นำกลน สม.*, สคนธา คงศล Ph.D.**, สขม เจยมตน พ.บ., Ph.D.***, วลยอร ปรชญพฤทธ พ.บ.* *สถาบนโรคผวหนง แขวงทงพญาไท เขตราชเทว กรงเทพมหานคร 10400 **ภาควชาบรหารงานสาธารณสข คณะสาธารณสขศาสตร มหาวทยาลยมหดล เขตราชเทว กรงเทพมหานคร 10400 ***ภาควชาตจวทยา คณะแพทยศาสตร ศรราชพยาบาล มหาวทยาลยมหดล แขวงศรราช เขตบางกอกนอย กรงเทพมหานคร 10700 Abstract: Prevalence and Factors Associated with Bacterial Infection in Hospitalized Patients with Pemphigus Vulgaris at the Institute of Dermatology from 2011-2015 Numklun B, Kongsin S, Jiamton S, Pratchayapruit W *Institute of Dermatology, Phayathai, Rajthevee, Bangkok, 10400 **Department of Public Health Administration, Mahidol University, Rajthevee, Bangkok, 10400 ***Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Siriraj, Bangkok-Noi, Bangkok, 10700 (E-mail: ruttnukhuan@gmail.com) Pemphigus vulgar...
The objective of this study was to analyze hospital care cost of Ko Chang Hospital for normal del... more The objective of this study was to analyze hospital care cost of Ko Chang Hospital for normal delivery of migrant workers in fiscal year 2015 under provider perspectives. Migrant women who were covered by migrant health insurance fund were recruited. The participants were 84 migrants who visited the hospital and had normal delivery from October 2014 to September 2015. Health care were provided by 29 hospital personnel including doctors, nurses, and nurse-aids. The overall hospital care cost of normal delivery among 86 migrant workers in fiscal year 2015 was 887,372.92 baht, comprised of operating cost of 829,543.11 baht (93.4%), material cost of 23,622.77 baht (2.6%), and capital cost of 34,207.04 baht (3.8%). The ratio of labor cost : material cost : capital cost was 35.12 : 1.00 : 1.45. Unit cost of normal labor was 10,563.96 per case or 3,841.44 baht per admission-day. The study revealed that the budget the hospital received from migrant insurance fund was lower than the over all...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2011
To assess the effectiveness of diabetes care and the factors associated with the effectiveness at... more To assess the effectiveness of diabetes care and the factors associated with the effectiveness at primary care settings. Data were obtained from reviewing of 1,795 medical patient files of patients with type 2-DM treated at forty-eight primary care settings. Information recorded included characteristics, body mass index, co-morbidity, fasting blood glucose (FBG) and HbA1c levels and health personnel mix types (physicians, pharmacists, nurses, health technical officers and community health workers). HbA1c level of diabetes in 542 of 1,795 medical patient files were analyzed. Glycemic controllability of diabetes patients was defined using FBG and HbA1c levels as the effectiveness indicators of diabetes care. Of 1,795 patients, 40.8% were able to control their FBG levels and 22.7% of the 542 patients who have HbA1c data could control their HbA1c levels. Multivariate analysis confirmed that age and health personnel mix types are significant factors for glycemic controllability as measur...