Salin Sirinam

Thailand needs to improve in:

– Techquity: Many people still have limited capacity to use digital tools, and this gap seems to be wider. It results in unequal participation in digital health programs.

– Transparency and trust: Fragmented data sharing and unclear data governance cause low confidence and trust among people. They are unsure how…[Read more]

PHEIC outbreaks were: H1N1 (2009), Polio (2014), Ebola (2014, 2018), Zika (2016), COVID-19 (2020).

These outbreaks raise such concerns because they were threat to public health by causing severe morbidity and high mortality. Some also posed rapid global spread.

The possible PHEIC in the future could be the emergence of a zoonotic influenza…[Read more]

1.) Which single design limitation most threatens valid estimates of sensitivity and representativeness? How would you address it within six weeks?
– It was the lack of involvement of private healthcare providers, resulting in under-reporting and incomplete documentation. When this data was missed, it means the community awareness of AEFI report…[Read more]

I agree with the point that text messaging and chatbots can be hugely useful nowadays, given the way of our communication in this era. Public health authorities can use these tools to deliver messages to people instantly. Also, IT devices can be useful in the reverse direction in that they aren’t only for communication but also for monitoring the…[Read more]

1. Verification and preparation
– IT can be used for verification of case numbers by comparing them to the normal baseline on IT-based surveillance systems
– It can send timely alerts when there’s an excess number, which also helps in identifying the Place.
– IT helps to deliver rapid information to the authorities responsible for v…[Read more]

I still find that some platforms continue to spread misinformation about COVID-19 even today, especially in open chat groups that started during the pandemic and have now turned into anti-vaccine communities. I have seen efforts from both the government and health influencers trying to tackle this news by sharing correct information online to…[Read more]

I choose social media platforms as a tool that I found having a strong impact on COVID-19 surveillance and response. Through social media, people can quickly become aware of an emerging disease and its characteristics by accessing information shared by public health authorities and their communities. For example, these platforms help spread…[Read more]

For dengue scenario:
1. How can surveillance help to detect and control the disease?
– Surveillance helps detect dengue by monitoring trends and signals of dengue cases in the target area, resulting in an appropriate response when any change is found, e.g. increasing acute febrile illness suggesting dengue infection. It not only helps in early…[Read more]

Should you give the data out?
– No, I should not give out individual data with personal identifiers. That would break privacy and confidentiality, even if the research has potential public health benefits.

How do you not violate any of the General Principles of Informatics Ethics?
– I will follow the individual privacy and security, least…[Read more]

As a health information professional – can you tell your friend?
– As a health information professional, I cannot tell my friend about her husband’s HIV status because it would break confidentiality and professional ethics.

Can you interfere with other people or family issue?
– I cannot interfere with family issues either. Disclosure should com…[Read more]

In my hospital, the EMR system is still used alongside paper records, and a newer inpatient digital system is currently being piloted. I think the change management has not been fully effective. Referring to the ADKAR model:

– Awareness: I believe that staff are frustrated, and some concerns may have been raised to the hospital board. However,…[Read more]

In my hospital, we use an EMR system, but it still runs alongside paper records. The EMR mainly stores scanned copies of doctors’ handwritten notes, laboratory results, and uses a separate program for imaging studies.

From my experience, the main problems are design and operation. The system is not user-friendly. For example, to review imaging e…[Read more]

Thank you for the comment ka. I saw physicians in the U.S. using it in their OPDs. In Thailand, tech start-ups are now developing AI software that can record conversations between doctors and patients and automatically summarize them into HIS/EMR systems, such as Prescribe AI. I think further development is still needed to improve transcription…[Read more]

Based on the hospitals I work with, the CDSS examples include pop-up alerts during drug prescriptions, such as dosage adjustments for body weight, and allergy warnings. These help reduce prescription errors and reviews.

Factors that could influence the implementation of CDSS are:
– Users: Their trust in the system. Alert fatigue
– Technical:…[Read more]

Apart from interoperability, data analysis and sharing, health surveillance, and billing that were already mentioned, without ICD (or other standardized tools), it would be difficult to develop EMR or decision-support systems. Hospitals may also struggle to adopt IT tools that are meant to reduce the workload of health professionals. This can lead…[Read more]

Hi Hteik! Thank you for your presentation about KOBO. The VDO helped me better understand how the KOBO works, after previously reading peers’ mentions of it. I agree that this project improves field staff’s monitoring and response efficiency. It also enables faster communication between field staffs and regional teams or other stakeholders, s…[Read more]

I agree with the pilot testing step, especially the idea of including proper feedback mechanisms. In my opinion, feedback should be gathered regularly, especially right after launching with more frequent hearing sessions, so that the EMR can be continuously adjusted and made more user-friendly.

I agree with the review that EMRs can cause physician burnout. It aligns with my experience from working with different EMRs in different hospitals, where it clearly shows that design and user-friendliness are very important. Some hospital EMRs cause me frustration when they require too many windows, run too slowly, or force me to go back and…[Read more]

Thank you for your comments :). I agree with your point about making the app accessible to all communities. In reality, some people are not aware that these options are available on the app. In my opinion, this tool is especially useful in big cities like Bangkok, where there are multiple health benefit schemes and various health centers, and…[Read more]