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Supasit Pannarunothai - One of the best experts on this subject based on the ideXlab platform.
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How can stroke patients have better accessibility to stroke fast track system in Thailand
BMC Public Health, 2014Co-Authors: Jiraluck Nontarak, Sirinad Nipaporn, Samrit Srithamrongsawat, Vinai Leesmidt, Supasit PannarunothaiAbstract:In Thailand, 2005, the mortality rate of stroke was 24.3 per 100,000 populations and since then it has continuously increased. The prevalence of stroke increased from 216.6 to 307.9 in 2008 to 2010. Diabetes, hypertension and hyperlipidaemia are the root cause of stroke and myocardial infarction. To prevent stroke is to prevent complication, and in order to do so, it needs the implementation of effective stroke fast track policy. In 2009, the National Health Security Office (NHSO) launched stroke fast track policy by supporting the costs of thrombolytic agent (rt-PA), computed tomography scan, physical therapy and home visit. The policy aimed to reduce mortality rate and disability for patients covered by universal coverage scheme (UCS). However, this special management for stroke fast track are not covered by the civil servant medical benefit scheme (CSMBS) and social Security Office (SSO). Up till now, the utilization rate of thrombolytic agent is still low. One factor is delayed hospital presentation in patients with such condition. This is because of lack of knowledge and understanding of early signs and symptoms of stroke. However, stroke fast track is the best practice to increase the accessibility and reduce the severity and disability of patients. The question remains whether stroke fast track policy is successful, and whether it can improve the accessibility to care. Which factors influence policy implementation? It is therefore important to study the process of this policy in order to develop policy implementation.
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Pattern of outpatient utilisation and cost for patients under the Universal Coverage
BMC Public Health, 2014Co-Authors: Kanet Sumputtanon, Nilawan Upakdee, Pudtan Phanthunane, Supasit PannarunothaiAbstract:Materials and methods Outpatient data from the National Health Security Office in 2011 were analysed, 4 provinces were picked to represent the pattern of service utilisation. The selection criteria emphasised on 1) availability of various types of hospitals in the province (health promoting, community, general/ regional, university hospital; and others), and 2) the maximum utilisation rate of people in the province. Descriptive statistical analysis was employed to calculate annual utilisation. One-way analysis of variance was used to calculate the association between the annual costs per person and the pattern of service utilisation (whether rural or urban or both; and the type of hospital).
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Hospitalisation by ambulatory care sensitive conditions at Rajavithi hospital, Bangkok
BMC Public Health, 2014Co-Authors: Weena Promprasert, Nilawan Upakdee, Pudtan Phanthunane, Supasit PannarunothaiAbstract:Materials and methods A retrospective study collected data from electronic medical record from Rajavithi hospital and National Health Security Office. ACSCs selected were DM, HT and related diseases based on diagnosis codes (ICD-10) from fiscal year 2007–2011. The outcome measurements were number of patients, inpatient admissions, length of stay and cost from hospitalisation. The referral cases were excluded. Descriptive statistics were expressed as a median, 25th and 75th percentile, and percentage. The rates of ACSC were shown by trend line and R for a perfect linearity. The ACSC rate was calculated by number of admission patients on the condition divided by number of patients of that condition visited ambulatory care.
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Improving efficiency in financial process of the National Health Security Scheme
BMC Public Health, 2014Co-Authors: Niramol Henprasert, Nilawan Upakdee, Supasit Pannarunothai, Pudtan PhanthunaneAbstract:Background The National Health Security Scheme was established 10 years ago with the document finance model in communicating the transfer of budget from payer to providers. This model was found to be inefficient in transferring (17 billion Baht delay) or not knowing the amount transferred (33 billion Baht bad debt). A new ageing account model was developed 3 years ago to improve efficiency in financial process. It is interesting to know whether the change achieved the efficiency. This research also wanted to compare efficiency in financial process of all three government health insurance funds managed by the National Security Health Office (NHSO managing the universal coverage scheme), the Social Security Office (SSO managing insurance for workers in private sector) and the Comptroller General Department (CGD managing insurance for civil servants and dependents).
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Casemix adjustment for outpatient service: a tool for resource allocation of social Security population in Thailand
BMC Health Services Research, 2007Co-Authors: Nilawan Upakdee, Supasit Pannarunothai, Thaworn Sakunphanit, Rangsima PreechachardAbstract:Address: 1Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand and Centre for Health Equity Monitoring, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand, 2Centre for Health Equity Monitoring, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand, 3National Health Security Office, Nonthaburi, Thailand and 4Social Security Office, Nonthaburi, Thailand
Nilawan Upakdee - One of the best experts on this subject based on the ideXlab platform.
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An Analysis of Services Utilization and Medical Care Charge in Pesticide Poisoned Patients Using the National Health Security Office Database
Ramathibodi Medical Journal, 2020Co-Authors: Jetsadapong Uanpromma, Punyanuch Suwangbutra, Nilawan UpakdeeAbstract:Background: As the results of the high pesticides use, pesticide poisoning is an important health problem in Thailand. Most studies are about pesticide use behavior and health impact, but lack of studies that indicate the impact economically. Objective: To analyze the services and medical care charge of patient diagnosed with pesticide poisoning at the hospitals. Methods: This study was a cross-sectional descriptive study using data from the National Health Security Office both outpatients and inpatients. Data was during the year 2016 - 2018 and selected according to ICD-10 diagnosis code is T60.0-T60.9 (Toxic effect of pesticides), but excluding code X68 (Intentional self-poisoning by and exposure to pesticides). Data were analyzed using descriptive statistics. Results: During the year 2016 - 2018, mostly patient was inpatient care (97.0%), and diagnose with herbicide and fungicides (47.9%). The average cost per person per year of inpatient care was ฿7740, ฿11 048 and ฿9641, respectively. While the average cost per person per year of outpatient care was ฿1651, ฿1482, and ฿1668, respectively. The reasons for the treatment of inpatient and outpatient was herbicide and fungicides, followed by organophosphate and carbamate poisoning. Conclusions: The majority of patients affected by pesticides are inpatients who were poisoned by herbicide and fungicides with higher medical cost than outpatients. However, the causes of the highest average cost of treatment and the highest number of visits are organophosphate and carbamate insecticides.
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Pattern of outpatient utilisation and cost for patients under the Universal Coverage
BMC Public Health, 2014Co-Authors: Kanet Sumputtanon, Nilawan Upakdee, Pudtan Phanthunane, Supasit PannarunothaiAbstract:Materials and methods Outpatient data from the National Health Security Office in 2011 were analysed, 4 provinces were picked to represent the pattern of service utilisation. The selection criteria emphasised on 1) availability of various types of hospitals in the province (health promoting, community, general/ regional, university hospital; and others), and 2) the maximum utilisation rate of people in the province. Descriptive statistical analysis was employed to calculate annual utilisation. One-way analysis of variance was used to calculate the association between the annual costs per person and the pattern of service utilisation (whether rural or urban or both; and the type of hospital).
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Hospitalisation by ambulatory care sensitive conditions at Rajavithi hospital, Bangkok
BMC Public Health, 2014Co-Authors: Weena Promprasert, Nilawan Upakdee, Pudtan Phanthunane, Supasit PannarunothaiAbstract:Materials and methods A retrospective study collected data from electronic medical record from Rajavithi hospital and National Health Security Office. ACSCs selected were DM, HT and related diseases based on diagnosis codes (ICD-10) from fiscal year 2007–2011. The outcome measurements were number of patients, inpatient admissions, length of stay and cost from hospitalisation. The referral cases were excluded. Descriptive statistics were expressed as a median, 25th and 75th percentile, and percentage. The rates of ACSC were shown by trend line and R for a perfect linearity. The ACSC rate was calculated by number of admission patients on the condition divided by number of patients of that condition visited ambulatory care.
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Improving efficiency in financial process of the National Health Security Scheme
BMC Public Health, 2014Co-Authors: Niramol Henprasert, Nilawan Upakdee, Supasit Pannarunothai, Pudtan PhanthunaneAbstract:Background The National Health Security Scheme was established 10 years ago with the document finance model in communicating the transfer of budget from payer to providers. This model was found to be inefficient in transferring (17 billion Baht delay) or not knowing the amount transferred (33 billion Baht bad debt). A new ageing account model was developed 3 years ago to improve efficiency in financial process. It is interesting to know whether the change achieved the efficiency. This research also wanted to compare efficiency in financial process of all three government health insurance funds managed by the National Security Health Office (NHSO managing the universal coverage scheme), the Social Security Office (SSO managing insurance for workers in private sector) and the Comptroller General Department (CGD managing insurance for civil servants and dependents).
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Casemix adjustment for outpatient service: a tool for resource allocation of social Security population in Thailand
BMC Health Services Research, 2007Co-Authors: Nilawan Upakdee, Supasit Pannarunothai, Thaworn Sakunphanit, Rangsima PreechachardAbstract:Address: 1Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand and Centre for Health Equity Monitoring, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand, 2Centre for Health Equity Monitoring, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand, 3National Health Security Office, Nonthaburi, Thailand and 4Social Security Office, Nonthaburi, Thailand
Timothy M. Laseter - One of the best experts on this subject based on the ideXlab platform.
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Department of Homeland Security: Office Products Sourcing
Social Science Research Network, 2008Co-Authors: Tom Cross, Timothy M. LaseterAbstract:DHS has become a leader in implementing strategic sourcing among federal government agencies, with 14 commodity councils established to support the initiative. This case traces the work of the commodity council for Office products, its organizational structure, and its sourcing strategy.Related cases OM-1176 and OM-1181
Xia Gong-yi - One of the best experts on this subject based on the ideXlab platform.
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Research upon Related Problems of Public Security Mediation
Journal of Henan Public Security Higher Academy, 2005Co-Authors: Xia Gong-yiAbstract:Public Security mediation is an important supplementary measure for Chinese public Security management and penalty regulation. It cannot be repealed. How to control the condition of applying public Security mediation comprehensively? How to determine the boundary of "civil disputation" accurately? Being able to make decision precisely in regards of "fight, combat, damage other people's belongings, and so on", being able to reasonably comprehend whether "the issue is slight" or not, and related problems are the essential foundations for public Security Office to accurately execute public Security mediation by law.
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Scientifically Defining the Duty of Chinese Public Security Office’s Security Management
Journal of Henan Public Security Higher Academy, 2004Co-Authors: Xia Gong-yiAbstract:What is the duty of Chinese Public Security Office Security management? Utill now, Security management theoretical field have not come up with a unified conclusion. My research believes the reason is that there is no scientifically defined theoretical foundation. Base on the requirement of profession and management, the three fundamental elements of Chinese Public Security Office duty for Security management should be: management area based on specific field; management principle based on law and order; management system based on government structure. From above information, we could give a correct definition the dudy of Chinese public Security Office for Security management.
Piya Rujkijyanont - One of the best experts on this subject based on the ideXlab platform.
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Pediatric primary central nervous system tumors registry in Thailand under National Health Security Office schemes
Journal of Neuro-Oncology, 2020Co-Authors: Bunchoo Pongtanakul, Nongnuch Sirachainan, Pacharapan Surapolchai, Pimlak Charoenkwan, Worawut Choeyprasert, Patcharee Komwilaisak, Su-on Chainansamit, Nittaya Witsanuyothin, Yujinda Lertrakul, Piya RujkijyanontAbstract:Background Few epidemiological studies of pediatric central nervous system (CNS) tumors have been performed using data from Southeast Asian national registries. Therefore, we aimed to examine data on CNS tumors from the first national childhood CNS tumor registry in Thailand. Methods Newly diagnosed children with benign and malignant primary CNS tumors from 20 nationwide hospitals were included. Two eras in the Thai registry were studied to compare national protocol effectiveness, including 2003–2005 (before establishment of a pediatric CNS tumor protocol) and 2011–2012 (post-establishment). Results The first study period had 300 patients with an incidence of 7.5/1,000,000 person-years and the second had 168 patients with an incidence of 13.24/1,000,000 person-years. The three most common tumors were gliomas, medulloblastoma/primitive neuroectodermal tumor (PNET), and germ cell tumors. The most common tumor site was the cerebellum, followed by the brainstem and pineal region. Five- and 10-year overall survival (OS) rates were 46.62% (95% confidence interval [CI] 40.85–52.18) and 41.78% (95% CI 36.11–47.34), respectively, for the first period. The second period had a 5-year OS of 64.75% (95% CI 56.70–71.68). OS rates for gliomas, germ cell tumors, medulloblastoma/PNET, and ependymomas were better in the second period than in the first period. Conclusions The incidence of primary childhood CNS tumors in our study is lower compared with other reports. Improvement of OS in the second study period might be because of establishment of the Thai Pediatric Oncology Group, and national protocols for childhood CNS tumors.
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Pediatric primary central nervous system tumors registry in Thailand under National Health Security Office schemes.
Journal of neuro-oncology, 2020Co-Authors: Bunchoo Pongtanakul, Nongnuch Sirachainan, Pacharapan Surapolchai, Pimlak Charoenkwan, Worawut Choeyprasert, Patcharee Komwilaisak, Su-on Chainansamit, Nittaya Witsanuyothin, Yujinda Lertrakul, Piya RujkijyanontAbstract:Background Few epidemiological studies of pediatric central nervous system (CNS) tumors have been performed using data from Southeast Asian national registries. Therefore, we aimed to examine data on CNS tumors from the first national childhood CNS tumor registry in Thailand. Methods Newly diagnosed children with benign and malignant primary CNS tumors from 20 nationwide hospitals were included. Two eras in the Thai registry were studied to compare national protocol effectiveness, including 2003-2005 (before establishment of a pediatric CNS tumor protocol) and 2011-2012 (post-establishment). Results The first study period had 300 patients with an incidence of 7.5/1,000,000 person-years and the second had 168 patients with an incidence of 13.24/1,000,000 person-years. The three most common tumors were gliomas, medulloblastoma/primitive neuroectodermal tumor (PNET), and germ cell tumors. The most common tumor site was the cerebellum, followed by the brainstem and pineal region. Five- and 10-year overall survival (OS) rates were 46.62% (95% confidence interval [CI] 40.85-52.18) and 41.78% (95% CI 36.11-47.34), respectively, for the first period. The second period had a 5-year OS of 64.75% (95% CI 56.70-71.68). OS rates for gliomas, germ cell tumors, medulloblastoma/PNET, and ependymomas were better in the second period than in the first period. Conclusions The incidence of primary childhood CNS tumors in our study is lower compared with other reports. Improvement of OS in the second study period might be because of establishment of the Thai Pediatric Oncology Group, and national protocols for childhood CNS tumors.