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Health Research in Thailand: A Gap Analysis

Health Research in Thailand: A Gap Analysis. Krit Pongpirul, MD. International Health Policy Program (IHPP-Thailand) doctorkrit@gmail.com. Outlines for Gap Analysis. Trend (2544 vs 2546) Global Situations National Agencies Observations Proposals. Trend (2544 vs 2546). 2544 vs 2546.

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Health Research in Thailand: A Gap Analysis

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  1. Health Research in Thailand:A Gap Analysis Krit Pongpirul, MD. International Health Policy Program (IHPP-Thailand) doctorkrit@gmail.com

  2. Outlines for Gap Analysis • Trend (2544 vs 2546) • Global Situations • National Agencies • Observations • Proposals

  3. Trend (2544 vs 2546)

  4. 2544 vs 2546

  5. Global Situations

  6. Global Situations • Methodology • Medline Search using Medical Subject Headings (MeSH) on July 5th, 2005 • Comments from today’s expert panel

  7. Medical Subject Headings (MeSH) • MeSH is the system designed and used by the National Library of Medicine (NLM) for assigning subject headings to books and journals articles in the medical sciences.

  8. MeSH Tree Structure 1 • Anatomy [A] • Organisms [B] • Diseases [C] • Chemicals and Drugs [D] • Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] • Psychiatry and Psychology [F] • Biological Sciences [G] • Physical Sciences [H] • Anthropology, Education, Sociology and Social Phenomena [I] • Technology and Food and Beverages [J] • Humanities [K] • Information Science [L] • Persons [M] • Health Care [N] • Geographic Locations [Z]

  9. MeSH Tree Structure 2 • Diseases [C] • Bacterial Infections and Mycoses [C01]+ • Virus Diseases [C02]+ • Parasitic Diseases [C03]+ • Neoplasms [C04]+ • Musculoskeletal Diseases [C05]+ • Digestive System Diseases [C06]+ • Stomatognathic Diseases [C07]+ • Respiratory Tract Diseases [C08]+ • Otorhinolaryngologic Diseases [C09]+ • Nervous System Diseases [C10]+ • Eye Diseases [C11]+ • Urologic and Male Genital Diseases [C12]+ • Female Genital Diseases and Pregnancy Complications [C13]+ • …

  10. MeSH Tree Structure 3 • Health Care [N] • Population Characteristics [N01]+ • Health Care Facilities, Manpower, and Services [N02]+ • Health Care Economics and Organizations [N03] + • Health Services Administration [N04]+ • Health Care Quality, Access, and Evaluation [N05]+

  11. Thai vs Global Kendall’s tau-b = -0.19 (p=0.04); Spearman’s rho = -0.31 (p=0.02)

  12. 1.Diseases of the Organs Kendall’s tau-b = -0.039 (p=0.820); Spearman’s rho = -0.036 (p=0.887)

  13. 1.Diseases of the Organs Kendall’s tau-b = -0.039 (p=0.820); Spearman’s rho = -0.036 (p=0.887)

  14. Thai Mouth Diseases Anesthesiology Musculoskeletal Diseases Reference Values / Biomedical Research Cardiovascular Diseases Eye Diseases Nervous System Diseases Endocrine System Diseases Global Nervous System Diseases Cardiovascular Diseases Immune System Diseases Respiratory Tract Diseases Musculoskeletal Diseases Skin Diseases Gastrointestinal Diseases Endocrine System Diseases 1.Diseases of the Organs

  15. 2.Health Problems Kendall’s tau-b = -0.197 (p=0.168); Spearman’s rho = -0.349 (p=0.087)

  16. 2.Health Problems Kendall’s tau-b = -0.197 (p=0.168); Spearman’s rho = -0.349 (p=0.087)

  17. Thai Molecular Biology Traditional Medicine Pharmacology Diagnostic Reagent Kits Communicable Diseases Mental Health Nutrition Drug Control Epidemiology Reproductive Health Environmental Health Substance-Related Disorders HIV Global Neoplasms Radiology Hereditary Diseases Nutrition Chronic Diseases Rehabilitation Substance-Related Disorders HIV Accidents Forensic Medicine Primary Health Care Pharmacology Occupational Medicine 2.Health Problems

  18. 3.Enabling Mechanisms Kendall’s tau-b = 0.297 (p=0.160); Spearman’s rho = 0.432 (p=0.141)

  19. 3.Enabling Mechanisms Kendall’s tau-b = 0.297 (p=0.160); Spearman’s rho = 0.432 (p=0.141)

  20. Thai Behavioral Sciences / Health Promotion Healthcare Quality Assessment Health Facilities / Health Manpower / Health Personnel Total Quality Management Health Economics Medical Informatics Health Care Evaluation Mechanisms Global Health Care Evaluation Mechanisms Health Services Health Facilities / Health Manpower / Health Personnel Health Economics Behavioral Sciences / Health Promotion Healthcare Quality Assessment Medical Informatics 3.Enabling Mechanisms

  21. National Agencies

  22. National Agencies • Sources • Priority setting report to NRC & NHF • Feedback from expert panel in September 2004 • Academic institutions were not included • Agencies • National Research Council (NRC) • Thailand Research Fund (TRF) • Health Systems Research Institute (HSRI) • National Center for Genetic Engineering and Biotechnology (Biotec) • Ministry of Public Health (MOPH)

  23. Diseases of the Organs

  24. Health Problems 1

  25. Health Problems 2

  26. Enabling Mechanisms

  27. Observations • Wide & many gaps still exist • Past & Present • Global situation • Thai situation • Limitations of quantitative approach • No systematic research database

  28. Proposals • Further qualitative approach • MeSH-based research database • Further inter-disciplinary collaboration

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