Browsing by Author "Health System Research Institute"

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    At the crossroads: Challenges for thailand's health development
    (1993-09-01) Yongyout Kachondham; Somsak Chunharas; Mahidol University; Health System Research Institute
    Over the past twenty years, Thailand has undergone rapid economic and health (demographic, epidemiological) transitions. While on the one hand the economic outlook is bright, even to the extent of Thailand's emerging status as a Newly Industrialized Country, persisting health development challenges remain as targets for future research and international support. This paper documents Thailand's current economic and health development situations, their transitions and challenges. Special reference is made towards emerging post-transitional health/epidemiological problems, reorientation of health services and the referral system, community participation, health care financing, public-private health care partnerships, decentralization of the health service system and essential national health research. © 1993 Oxford University Press.
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    Extent of aging across education and income subgroups in Thailand: Application of a characteristic-based age approach
    (2020-12-01) Wiraporn Pothisiri; Orawan Prasitsiriphon; Wichai Aekplakorn; Chulalongkorn University; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Health System Research Institute
    © 2020 Pothisiri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Aim This study aimed to identify differences in physical performance across various socioeconomic groups within an older population and to convert those differences into a common metric to facilitate comparisons of aging speed across socioeconomic subgroups. Methods We employed data from the 2009 National Health Examination Survey of Thailand. Physical performance was assessed using three health characteristics: grip strength, as a measure of upper body strength; walking speed, as a measure of lower body strength; and a combined measure of grip strength and walking speed, to capture the strength of the whole body. Education level and income were used to distinguish socioeconomic subpopulations. We followed a characteristic-based age approach to transform these population characteristics, which were measured in different units, into a common and comparable aging metric, referred to as α − age. Results Physical aging trajectories varied by sex and socioeconomic status. Some education, particularly secondary or higher education levels, was significantly associated with greater physical strength in older age for both men and women, whereas higher income was significantly associated with physical strength only for men. Across the three health characteristics, having a primary education slowed age-related declines by up to 6.3 years among men and 2.8 years among women, whereas being in a higher income group slowed age-related declines by 8.2 years among men and up to 4.9 years among women. Conclusions This study adds new evidence from a developing Asian country regarding the difference in aging speeds across subpopulations associated with different levels of education and income.
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    Retailers' compliance to the law banning cigarette sale to minors
    (1996-01-01) Paibul Suriyawongpaisal; Nuan Anan Tantiked; Kitiya Mung-Roen; Supakorn Buasai; Chuchai Suppawong; Mahidol University; Health System Research Institute; Thailand Ministry of Public Health