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.
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