Saranath

I agreed that we have a good intervention measure for COVID-19. But this might not be able to apply for other endemic diseases in the country though.

Yes. Gathering data from different healthcare settings is such a challenge for the national surveillance system.

Maternal death is a key indicator to assess health service capability. Your MDSR would be very helpful to assess this impact.

Maternal death is a key indicator to assess health service capability. Your MDSR would be very helpful to assess this impact.

Great explanation and examples!

Great explanation!

Great! So far, we have IT proficiency, having smart phone, internet access,education. Looking for more suggested confounding variables from others.

For your title: If you really want to assess “Health impact”, looking at data of year 2020 alone may not be able to assess the impact. You may consider adding temporal trend into your study (can you get 5- or 10- year data?)

What do you mean by “Risk group”? Could you provide a definition for this variable?

I would suggest to modify your title a bit to “Factors influencing the adoption of…”. Term “impact” is quite a strong word.

Can you think about your main outcome variable? How could you measure the adoption of the CDSS? What would be the type of this variable?

Interesting to learn many CDSS from you all. The implementation of the CDSS is much more challenging than building it.
– Support on disease diagnosis (per Saravalee’s comment)- clinical diagnosis and treatment is a complex process that involves not only knowledge, but also doctors or Vets have to consider other contexts (such as social and m…[Read more]

Here are the summarize from your discussion
-lack of interoperability
-limit the use of data (claim insurance, disease monitoring across country, evidence-based decision making)

Many of you suggest to let doctors involve in the EMR development process. Please keep in mind that you should carefully select the doctors to get involved. Ask doctors that are likely to accept to a new change, those who know the needs of having EMR. Once the system implemented, these doctors will be persons who encourage the EMR used for others.…[Read more]

Probably, one reason that Thai doctors do not complain about this issue is that EMR in most hospitals in Thailand is not a full EMR. Many hospitals still let doctors write in a paper, then scan it to the hospital information system (with enforce doctors to put only diagnosis and treatment in the system). Or some hospitals assigned nurses to fill…[Read more]

Now, we have different opinions whether eHealth could be “technology”, “concept”, “practice”, “system”.

Seems that most of you give examples of big data from social media, business, and other sectors besides healthcare.

Do you think that data from your Hospital information system would be considered as big data?

But in my opinion, data from the HDC could be considered as big data, although its characteristics do not follow the 10V.

It seems that you have to enter retrospective data in the paper-based into the electronic database. This is very difficult and time-consuming work. I hope that from now on, data will be recorded directly to the electronic system. This would be very useful for data utilization in the future.

Electronic Medical Record (EMR) is another helpful eHealth project- it has been reported that the EMR can shorten visit duration, reduce human errors, etc. However, data standards and interoperability are an important function when the data have to share among different departments.

Telemedicine is particular important particularly in new-normal era. I agree that the validity of the test is critical for this situation.

It’s great that you have experience in data utilization to assist decision making. It will be really helpful if the database system is fit to the user’s needs.