Auswin Rojanasumapong

In my opinion, using EMRs and electronic databases is an essential part that can help the surveillance run effectively. Using an old paper-based system can be a barrier in making use of the data.

A chatbot is very useful for information giving with frequently asked questions or frequently searched topics. However, the system that you mentioned about matching the patients with attending health care professionals sure helps in answering questions for a specific individual. In my opinion, both systems are essential in this situation and…[Read more]

I totally agree with using both active and passive surveillance methods because the infected case might be underestimated if using passive surveillance alone, especially in asymptomatic cases.

I use to study and work at the same hospital for 12 years (medical students, residency training, and working as a staff). I have a good opportunity to train family practice right after I graduated MD and the opportunity to continue my career as a family physician instructor at the same workplace. I have never changed my workplace since I entered…[Read more]

In my opinion, the application that my country still needs improvement is the contract tracing system. We use to rely on self-report and self check-in systems (“Thai Chana” for self check-in when going into the mall, shop or restaurant) for recording time and places that the person visited. If there was a positive COVID-19 case in that area at the…[Read more]

List of the diseases outbreak that has occurred that the International Health Regulations Emergency Committees were convened, but only the events with “*” have been declared as the Public Health Emergency of International Concern (PHEIC)
– Influenza A (H1N1) pandemic (2009–2010)*
– The Middle East respiratory syndrome coronavirus (MERS-CoV) outbr…[Read more]

Inaccurate data reported to the surveillance system can generate wrong data that affect the following use of the data, such as planning for prevention, policymaking, and resources allocating to manage the problem.

Overestimated data can mislead the policymaking in focusing on the problem that does not exist, or should not be put in the first…[Read more]

Information technology can help in outbreak investigation in many ways. For each step of an outbreak investigation, IT cab helps by
Verification and preparation –> Clinical Decision Support System (CDSS) can be used for differential diagnosis, verify and report the laboratory result in real-time.
Describe the outbreak –> Data collection of…[Read more]

The tool that I like most is contact tracing for COVID-19. This system uses proximity detection to trace and detect contact between people. Before this technology, we asked the individual (with highly suspected or confirmed COVID – 19 case) about their timeline (where and when they went, who they have met) to track for other people who are at…[Read more]

– How can surveillance help to detect and control the disease?
Surveillance can help to detect the control by detecting the time-place-person that infection of COVID-19 occurs. This information can help to allocate the resources, monitor the outbreak and plan for investigation of the outbreak. The surveillance also helps to monitor the impact of i…[Read more]

I agree about the ethical issues that you point about. Disclosing the information without proper consent can do harm and violate the autonomy of the patient.

Not having enough equipment to use the system (laptop, PC, tablet) is one of the problems that my organization has faced. We have to share the laptop and often slow down the ward round process. Supporting the equipment is also very important for the system.

AI in medical imaging is very useful. My hospital also has this system that can help to identify the abnormality of chest X-rays and reduce the chance of misdiagnosis. Very useful for screening for tuberculosis.

I agree with you about the diagnosis record might vary depends on each physician. Having standards might narrow down the details of diagnosis that can be communicated between organizations.

I agree with you about clinicians evaluating the system before implementing it in the real workplace setting. It is good for both the clinicians to prepare for the newer system, while the developer can correct the details of the system to suits the need of clinicians.

– I would not immediately give the data out to the research team outside the organization.

– First, I would check for the condition of the data collected from the individual if there was consent to let us use it for other purposes or to let us disclose the data for research purposes.

– If it has not been consent for research purposes, I would…[Read more]

– I would not tell anyone about the information that I have looked at.

– As a health informatician, I cannot tell anyone even the closest one with the patient without the consent to disclose the health information from the patient.

– In my opinion, it is not appropriate to interfere with another family issue.

– We cannot know for sure if the…[Read more]

As mentioned earlier in Topic 1 about my former organization tried to change from semi-electronic medical records to the full electronic medical records system. The negative feedback was too much to continue using the newer system. In my opinion, the organization missed some of the important ADKAR model components.

Awareness: Most of the people…[Read more]

My former organization had a project to change all of the medical records from the written form into electronic-based medical records. Before this project, they tried to change the system by storing all the medical records in written form into digital images, which is easier for the users. The users can still practice in their familiar way without…[Read more]

Thank you for sharing. This is a very good example of telemedicine use in accessing health services. Telemedicine is ideal for counseling and therapy that does not require much information about the physical examination but rely on history taking and communication technique. However, the issue that must be concerned in this kind of service is…[Read more]