PREUT ASSAWAWORRARIT

This week, I have learned about ethics for health informaticians. The following is a summary of the principles of professional and ethical conduct.

1. Ethical guidelines regarding patients:
• Patients, including their relatives and caregivers, have the right to know about the existence and use of the electronic health records and have right to c…[Read more]

What I have learned from this week topic:
1. Technology is being grown and developed faster than the adaptation of regulation
• This put people at risk of security and privacy destruction
2. Ethical acceptability, sustainability, and societal desirability are three main concerning issues to develop responsible research and innovation.
3. “…[Read more]

I would like to discuss point number 14 (page 342). The point is that we should always use two-sided P values.

This statement is false.

By default, two-sided alpha is used because we do not absolutely know the direction of the hypothesis. For example, we would like to know the adverse effect of a new drug A compared to the current drug whether…[Read more]

Hi everyone.

My name is Preut Assawaworrarit. My background is medical doctor and my specialty is an internist (a doctor who studies internal medicine) and intensivist (a doctor who expertise in intensive care medicine). My current workplace is King Chulalongkorn Memorial Hospital, Thai Red Cross Society, and Faculty of Medicine, Chulalongkorn…[Read more]

Technology acceptance model (TAM) is a model to evaluate perceived usefulness and perceived ease of use on a new system or technology. Perceived usefulness is defined as the degree to which a person believes that using a particular system would enhance their job performance. Factors which associated with perceived usefulness are the…[Read more]

There are many external variables influencing the perceived ease of use or perceived usefulness of a new technology. Followings are the potential external variables.

The bad experience of the previous change to a new technology makes people fear of changes.

Participation in the implementation of new technology can help users accept changes.…[Read more]

I would like to provide my non-identifiable data that could identify me if they are combined.
Job titles: internist, intensivist
Workplace: Department of Medicine, Faculty of Medicine, Chulalongkorn University

This topic discussion emphasizes that every record from containing patient information must be kept under security despite of…[Read more]

From my point of view, qualitative research can help us figure out why people do not using bednets. I would like to start with the literature review to determine whether previous studies that mentioned about the reasons for not using bednets. This will help us conceptualize and summarize the potential reasons to ask them.

Next, we will select the…[Read more]

Efficacy is capacity for beneficial changes following an intervention under ideal or controlled conditions. For example, a new vaccine shows an efficacy in preventing people from infection of a particular disease. The efficacy can be summarized according to the finding of pre-clinical trial.

Effectiveness links to the notion of external validity…[Read more]

Number of their contact persons
The number of contact persons can determine their contact pattern. People who have many friends or colleagues during their business or recreation will be in the active contact pattern. On the other hand, those who does not have a lot of friend or do their business have less chance to be active contact pattern. Both…[Read more]

Sorry all, I forgot to answer this topic on yesterday.

During the Covid-19 pandemics, I worked as a physician who contribute to care for severe Covid-19 infection in the intensive care unit. The major problem that many hospitals around the world has to deal with was intensive care unit shortage although we had tried to construct new intensive…[Read more]

Age-specific mortality rate
Definition: A mortality rate in a specific age group
Calculation: The numerator is the number of deaths in that age group; the denominator is the number of persons in that age group in the population.
Main usefulness: To determine a burden of a disease in term of mortality in a particular age group, especially, there is…[Read more]

The Universal Health Coverage (UHC) scheme has been a game changer in healthcare coverage for Thai citizens since about two decades ago. It improves access to hospitals, high-cost medications and treatment, hospitalization, etc. The UHC scheme includes Universal Coverage for Emergency Patients (UCEP). The UCEP is a project that allows patients…[Read more]

In my opinion, the health informatics workforce in Thailand is underdeveloped, but is still growing. The challenges of developing the health informatics workforce are provided below.

1. Recognition of the importance of health informatics. To be honest, there are many people who do not know what health informatics is, what kinds of health…[Read more]

From my point of view, there are many factors that have to be considered to make a decision about data sharing. I would like to consider the following factors.

1. Data owners. Data that belong to the hospital or the government can be shared. Such data include epidemiological data, key performance indicators, financial reports, etc. However, data…[Read more]

About 7 years ago, I had the opportunity to be in a transition period from paper-based medical records to electronic medical records. With the implementation of the electronic medical record, there are many benefits, challenges, and concerns.

Benefits

1. Time savings. Implementing electronic medical records can reduce time spent on many…[Read more]

Although there are great benefits and opportunities from big data, these make the great challenges to informaticians to retrieve specific data, process them, and transform them to valuable information or clinical application. Followings are such challenges and my suggestions on coping with them.

1. Multiple definition. There are some diseases or…[Read more]

I agree with all four steps of the recommendation to fight corruption. The details in each step should be modified to meet specific contexts in different organizations. The following are my opinion on such recommendations.

First, we must ensure that we have key stakeholders in the health system before discussing measurement to fight against…[Read more]

I would like to introduce you to an example of innovation that can improve the health system. The clinical decision support system (CDSS) is one of the powerful innovations that leads to changes in healthcare delivery. The CDSS is a tool to enhance medical decision with clinical knowledge, patient information, and research. The CDSS can be…[Read more]