Pacharapol Withayasakpunt

I would vote for Influenza, as it potentially has high severity. But the currently implementation system does not only has to establish the presence of the disease, but also the severity…

I think it starts with awareness, that is also, health promotion, which is competitive and relative with other issues as well, such as pesticide use.

However, on pollution in Northern Thailand, it is indeed emergency, according to the news, but impact needs to be emphasized, as well of cost of changing versus cost of not changing.

Lastly, there…[Read more]

I think firstly, we have to focus on interoperability and data sharing. How advanced actually in the technology is beyond that.

We have to go back to achieve what is the most basic. — interconnectedness

Not only magnitude, but also accuracy / clearness of the data leads to clear action from the government, and probably public sector (e.g. pharmaceuticals, NGO). To improve treatment, no underestimation/overestimation cannot be over-emphasized.

I think, in reality, the disease in underestimated, especially regarding morbidity; and this requires a…[Read more]

IT can help with outbreak investigation in many steps, such as

– Establishing the existence of the outbreak — although IT cannot really make the diagnosis faster, the standardization of the system can make first case reporting faster and more accurate; but the also depends on an accurate case definition and coding system.

– Develop hypothesis…[Read more]

I would choose a disease based on Highly-transmissible or High-severity, as well as, less done by other people.

I would consider regional diseases, that may be forgotten by western people, such as Tuberculosis or Melioidosis, as it can possibly be totally eliminated from the country.

Influenza is a good one, as the symptom varies, and it does carry a big health burden; as well as it is infectious and potentially preventable.

Syndromic surveillance at PCU might have prevent outbreaks faster, but the problem is false positives, which we might tally several symptoms found at PCU and do statistical analysis.

If done well, it can…[Read more]

In your opinion, which functions that you think the surveillance system in your country has very effective performance. And which function that the surveillance system should be improve to reach maximum benefit. It would be great if you could provide an example.

I think in Thailand, infectious disease reporting system is quite good, as well as…[Read more]

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In short, I want to, a medical doctor in province, make better public health, not only for KPI, but also satisfaction.

Generally, no. Unless I notify the client that the data will be given out, and given chance to participate or withdraw from the project, in order not to violate the Principle of Privacy.

Unless a legal framework is already set, so that the consent is already possible in advance.

Apparently, in this case, it is impossible to tell my friend, despite feeling conflicted. However, it is possible to contact the medical personnel who deals with my friend’s husband, or telling my friend’s husband to be careful of others.

It is best to tell my friend nothing, and give no clues, as legally, it is intention that matters, whether…[Read more]

About PACS system, it can be much improved according to ADKAR model.

A – / everyone should be well aware of it by now
D – O indeed, not everyone really like it
K – X should exists formal training
A – X should exists formal training, good UX and resilient design
R – X

Indeed, the improvement should start from formal training, both on creators and…[Read more]

X-ray PACS system, despite far from perfect, can be considered a relative success, as
– We can access X-ray films from anywhere in the hospital.
– We can import X-ray from most hospitals into the system.
– Better than traditional film in that we can zoom in and control contrast.

Still, despite meeting the criteria for success (significantly…[Read more]

Example of Decision Support System are indeed various smartphone apps that medical students get after graduated from medical schools. However, this varies by medical schools, and it might end at some time after graduation.

Smaller hospitals that I worked in are less likely to be able to afford most decision support systems; and they certainly…[Read more]

Thinking deeper. I think it is about bad priorities.

http://disq.us/p/259qt0o

The EHR is good for capturing costs, Jones noted, adding that they’re more geared toward capturing the billing information for insurance companies.

I would say that EHR is systems first.
– quality of care, second
– patient satisfaction / PMR, third
– doctors’ f…[Read more]

In my experience, I totally agree with the findings. Other than typing, there are still many challenges that need to be research into.

– Drawing and video capturing should be easy, like LINE logging, or paper scanning.
– Typing in the wrong place is real. Must be fixed, maybe via UX research, or even perhaps Natural language processing.
– Bad at…[Read more]

If there is better standard, I would be OK with it, but at some point, using the same standard, or normalizable to the same standard is needed, in order to better the interoperability. Using an ICD10 superset would indeed be interesting.

According to Dr. Boonchai’s interop book, Table 10; I think there needs to be more research on why some…[Read more]

Health information in various Electronic Health Records across different hospitals can be considered Big Data.

1. Volume — As the number of patients is high, the volume of data is undoubtedly high. It is also high in other aspects as will be described.
2. Velocity — Healthcare facility works like a factory. A lot of data is continually added…[Read more]

In my opinion, there still remain multiple dimensions of eHealth.

– Networking part — trend towards more patient-centered medicine, whether decision making in case of bad health, or preventing in case of good health; but, can patients be relied upon? Not every person loves their health and their society that much, and not everyone’s first…[Read more]

1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.

Actually, I have been in 3 district hospitals, using the same computer application. Nurses and pharmacists also use this same application. It helps managing during a visit, and between visits. It can also help to reduce paper,…[Read more]