Wirichada Pan-ngum

I feel like I know everyone for ages, but nice to see all again in the course!
Enjoy Stat 🙂

I found some useful links explaining why people may not want to share data here:

Take a look and comment if you like…these reasons are valid in some situation and we should be aware of.

I think everyone agrees that people play important part of improving health system. And people I mean both top to down level, we need good workforce that have good knowledge, attitude toward changes and training. We also need policy decision makers and governors that see the importance of this and are willing to go through the changing process.…[Read more]

I agreed with this long term suggestion and hope Japan can set up a good example for others in Asia.

I couldn’t agree more.

Share or not to share…no right or wrong 🙂

Doctor’s handwriting is notorious in Thailand…is it the same in other countries???

Good point on data authorization…sometimes we try to access patient’s data unintentionally, just because it was easy to access.

Thank you for sharing the experience. It reminded me of the Leading change in Health Informatics COURSERA (plan-do-act-study) – Analyse and iterate. Maybe your case needs this.

The rest who come in to post on this topic you do not need to reinvent the arguments on good and bad of EMR but if you can try yo participate in the discussions we already have then that could be more interesting. Also if you would like to share your experiences of EMR as a user or the implementing person then that would also be useful.

What is it like in Indonesia? Given a much more religious, do you think corruption is less of a problem in your country?

I agreed that it is difficult in some situations to judge. Let’s sort out the obvious cases first, plenty to improve in our system I think!

What about other barriers such as human factors, Fajar?

In the final week we will discuss more about universal coverage scheme and challenges in the COVID-19 era.

And the cost to it is huge to initiate and maintain. Have you seen the series หมอหงวน…แสงดาวแห่งศรัทธา https://www.youtube.com/watch?v=Gzr4d9o4_II Recommended!

Some of these 8-steps from Kotter would probably be needed:
Create a sense of urgency
Build a guiding coalition
Form a strategic vision and initiatives
Enlist a volunteer army
Enable action by removing barriers
Generate short-term wins
Sustain acceleration
Institute change

Can you list the keys to success of the changing? Was it kind of compulsory to change? Somehow it seems easier when that it the case, isn’t it?

Similar point to Pisit on the hierarchical and seniority in Asian culture, wouldn’t it be good if the senior leaders show how to become corruption-free in an organization? I think we need many good role models to generate changes. What is it liked in other countries…anyone?

Pisit, excellent observation of the Thai system. I have to admit that I searched for the two terms you mentioned, megalomaniac and narcissistic, very interesting description of self-centering. Changing this will take time but at least we are creating more awareness among the new generation here.

It is good to hear from the different views from Arwin and Anawat on impacts of COVID19 in their setting. Thanks for sharing. Can I hear more from the class?