Theekhathat Huapai

Regarding public addressing between two leaders, Donald Trump from the USA and Lee Hsien Loong from Singapore. We can summarize the difference between two leaders according to The six principles of CERC from CDC as stated below.

1. Be first
– Singapore’s leader declared to the public concerning COVID-19 infection as soon as a week after the…[Read more]

I worked in rural public hospitals for three years. This was an excellent experience for me until my last year as an intern. A job became more routine and mentally demanded me. I had a work shift for three days in a row, a couple of times a month. There was also no scholarship that suited me. Despite the difficult situation, I thought this job was…[Read more]

There are two major problems in Thailand in terms of the implementation of Digital health during COVID-19.
– Contact tracing
Contact tracing used to be an innovation in public health surveillance. The use of mobile phones and their technology pave the way for tracing COVID-19 patients. This hope comes shortly because of lacking government trust…[Read more]

Some diseases have been declared as PHEIC
– 2009 H1N1 influenza
– Ebola outbreak
– Zika virus outbreak
– Polio outbreak
These diseases have been raised concern because they have four characteristics of PHEIC
– Is the public health impact of the event serious?
– Is the event unusual or unexpected?
– Is there a significant risk for international…[Read more]

Using inaccurate data can lead to public health problems. This will affect the hospital where the patient was admitted. Diseases that are hard to diagnose and treat usually have high costs. The hospital will report for lower deduction DRGs. It resulted in financial problems and incorrect surveillance reports. If inaccurate surveillance reports…[Read more]

Information technology has a crucial role in disease outbreak investigation. There are 4 steps of the outbreak investigation process.
– Verify and preparation
An outbreak usually begins with the first patient/community case. IT can use to identify a patient from an electronic medical record, laboratory testing, radiographic examination. A data…[Read more]

From my experience as a physician working in home isolation for COVID-19. The most technology I like is a public communication and clinical care. These two technologies help my hospital and healthcare team connect with patients at home. A new wave of COVID-19 patients rises. Patients have mild symptoms due to country-wide vaccination programs, but…[Read more]

– How can surveillance help to detect and control the disease?

The goals of infectious disease surveillance, according to a paper by Jillian Murray, are (1) to describe the current and epidemiology of the disease, (2) to monitor trends, (3) to identify an outbreak of the disease.
We can use this principle to the COVID-19 pandemics.
First, d…[Read more]

This research group wants to access data we call Protected Health Information (PHI). This data can identify an individual patient.

According to HIPAA on research. A researcher group needs to contact Documented Institutional Review Board (IRB) or Privacy Board Approval or ethical committee to rewrite a privacy guideline for this research. The…[Read more]

As we studied and discussed in the second week of this course. Privacy and confidentiality of patients are essential in health informatics.
This scenario is a dilemma in health informatics. This man is an HIV patient. A health informatician is a friend of this patient who does not know about his illness and does not know who knows his condition.…[Read more]

As I previously discussed, the H4U program. This program has a lot of potential for further development. But the redundancy of the work to do both the H4U and old programs can burden users.

According to the ADKAR model, I propose a guide to change the H4U program as follows.

1. Awareness and desire: Changing from different platforms to a single…[Read more]

Ministry of Health developed the H4U app. H4U app is a digital health record platform for patients. Users who use this app can see health data such as blood pressure, blood sugar level, vaccination history. Users can book an appointment with a doctor. This app is usually used in rural hospitals. There are many difficulties in this app as…[Read more]

Most of my experience with Decision support systems (DSS) is simple HosXP alert.
– Drug alert system
This is a standard DSS that I use every day. Drug alert systems may be drug allergy alerts, drug interaction alerts. This Alert is a simple instruction within HosXP. Sometimes, Alert is so annoying because it is the knowledge that I know already.…[Read more]

ICD(International Classification of Diseases) is a semantic interoperability standard that WHO created in 1983. It contains codes for diseases, signs and symptoms, abnormal findings, etc. This standard is easy to use. Other semantic interoperability standards are SNOMED-CT, DSM-V. Two situations can happen if the country does not use ICD.

In the…[Read more]

Early adoption of any new technologies usually had difficulty in adaptation to a new way of working. As time progressed, early adoption, user and developer, became getting used to new technologies. New technologies usually optimize for the efficacy and efficiency of always complex medical care. And they cannot work in the old way again.

From my…[Read more]

According to a research paper from T. shaw, The definition of e-health is an implementation of information technology that covering three domains Health in our hands, Interacting for health, and data enabling health.
I think the definition of e-health by T. shaw is concise. But I would like to think that all the health and medical technology have…[Read more]

NCD patient data has been changed from static data to big data from these characteristics :

Volume: Thailand is a developing country with public health coverage. Every trimester, NCD patients will have a routine check-up at primary care unit around the country. A large number of new health data will be generated and send to a database.

Velocity:…[Read more]

Kampangphet hospital, where I worked 4 years ago, was changed from a paper-based IPD chart to an in-house developed IPD digital chart. This project was developed by a health informatics nurse and her ICT team. The healthcare team can use this program on tablets and desktops because it is a web-based program. This program reduces handwriting errors…[Read more]