The Kingdom of Thailand

The Kingdom of Thailand
Situated in the continental Southeast Asia,
just north of the equator, and part of the
Indochina Peninsula.
Shape is like an ancient axe,
covering an area of about
514,000 square kilometers.
Population of Thailand is 64.46 M. (2012)
For communication purposes, the Thai
language is officially and commonly used
for speaking and writing.
Thailand is a democratic country, having
the King as Head of the State.
Several levels of health care have been
organized, beginning with
self-care at the family level
primary health care
secondary health care
higher-level of medical care.
In the pluralistic health service system, the
main service provision is managed by the
public sector
Health Facilities in the Public Sector (1)
In Bangkok Metropolis :
5 medical school hospitals, 29 general
hospitals, and 61 public health centers
Provincial level :
4 medical school hospitals,
95 regional /general hospitals
Health Facilities in the Public Sector (2)
District level :
769 community hospitals
Subdistrict level :
9,750 health promotion hospitals, covering
all subdistricts
What’s Telemedicine?
Telemedicine normally refers to the
practice of medicine, or a provision of
medical services from a distance, while
eHealth refers to the administration of
health data electronically.
Former Thai Ministry of Public Health’s
Telemedicine 1996 – 2005 (1)
Utilization
Video Conferencing
Medical Consultation
Distance learning
Former Thai Ministry of Public Health’s
Telemedicine 1996 – 2005 (2)
Working area
- 2 medical school hospitals and 1 general
hospitals in Bangkok Metropolis
- 17 community hospitals in rural area
Former Thai Ministry of Public Health’s
Telemedicine 1996 – 2005 (3)
Concern points :
- high cost per unit, $US 250K (appox.)
- high maintenance cost
- low telecommunication reliability
- personal contact w/ doctor
Present Thai Ministry of Public Health’s
Telemedicine 2012 - …… (1)
Concept : Doctors for all Household
1:1250
people/patient
family
healthcare
staff
1:12
family
medical
doctor
specialist
Present Thai Ministry of Public Health’s
Telemedicine 2012 - …… (1)
Consulting Hierarchy
voice call
Home
Health
Promotion
Hospitals
voice/video call
Community
Hospitals
General/
Regional
Hospitals
Present Thai Ministry of Public Health’s
Telemedicine 2012 - …… (2)
Home visit
by
family
healthcare
staff
Present Thai Ministry of Public Health’s
Telemedicine 2012 - …… (3)
Concern points :
- Telemedicine should support MoPH’s
policy.
- MoPH’s policy are curative, health
promotion, control/prevention, and
rehabilitation
Present Thai Ministry of Public Health’s
Telemedicine 2012 - …… (4)
Concern points :
- Telecommunication barriers are different
in each area : rural area, remote area.