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泰国近期全球公共卫生研究相关集锦

本部分收集展示了泰国近期在全球公共卫生领域的研究进展,具体如下:

Authors Article Title 文章标题 Source Title Abstract 摘要 Publication Year DOI Link
Chutarong, W; Thammalikhit, R; Sawangwong, A; Guo, YQ; Fawad, M; Lonapalawong, S; Zhang, WW The impact of digital channels on public health services to enhance city resilience during the public health emergency response in Thailand (2020-2023) 数字渠道对公共卫生服务的影响:以泰国公共卫生应急响应期间(2020—2023年)增强城市韧性为例 BMC HEALTH SERVICES RESEARCH Background This study examines the impact of digital channels on public health services and their role in enhancing city resilience. Methods Conducted in Thailand, this study employed an online questionnaire distributed in both Thai and English from December 2023 to February 2024. A total of 824 valid responses from Thai nationals and foreigners were analyzed. Exploratory factor analysis, confirmatory factor analysis, and structural equation modeling were performed using IBM SPSS 23 and AMOS 23. Results Digital channels have a strong positive direct effect on public health services (beta = 0.70, p < 0.001), public health services have a strong positive direct effect on resilient cities (beta = 0.69, p < 0.001), and digital channels have a low positive direct and a moderate positive indirect effect on resilient cities (beta = 0.19, p < 0.001, and beta = 0.48, p < 0.001, respectively). The model demonstrated excellent fit with the empirical data: X2/df = 2.189, CFI = 0.954, GFI = 0.900, NFI = 0.919, TLI = 0.946, RMSEA = 0.038, and RMR = 0.047. Conclusions Digital channels are critical tools for collecting, analyzing, and disseminating public health service data. They improve public health services across five dimensions-product, facility, service, process, and price-while also strengthening city resilience in disaster management, economic stability, quality of life, and institutional capacity. 本研究旨在探讨数字渠道对泰国公共卫生服务的影响及其在增强城市韧性中的作用。通过对824份有效问卷进行结构方程模型分析,结果显示,数字渠道对公共卫生服务具有显著的正向直接影响;公共卫生服务对城市韧性同样具有显著的正向直接影响;数字渠道对城市韧性既有直接正向影响,也通过公共卫生服务产生间接正向影响。研究模型与实证数据拟合良好。结论指出,数字渠道是收集、分析和传播公共卫生服务数据的关键工具,能够改善公共卫生服务的五个维度(产品、设施、服务、流程和价格),同时增强城市在灾害管理、经济稳定、生活质量和机构能力等方面的韧性。 2025 http://dx.doi.org/10.1186/s12913-025-13480-4
Chutarong, W; Thammalikhit, R; Kraiklang, R; Sawangwong, A; Saechang, O; Guo, YQ; Zhang, WW Impact of digital device utilization on public health surveillance to enhance city resilience during the public health emergency response: A case study of SARS-CoV-2 response in Thailand (2020-2023) 数字设备应用对公共卫生监测的影响——旨在提升公共卫生应急响应期间的城市韧性:以泰国应对SARS-CoV-2疫情为例(2020—2023年) DIGITAL HEALTH Objective This study aims to examine the impact of digital devices on public health surveillance, the impact of public health surveillance on resilient cities, and the impact of digital devices on resilient cities.Methods Questionnaires were issued to residents of Thailand during the severe acute respiratory syndrome coronavirus 2 response (2020-2023). In total, 1025 valid responses were recorded from Thai nationals and expatriates. Exploratory factor analysis, confirmatory factor analysis, and structural equation modeling were used to assess the model through IBM SPSS 23 and AMOS 23.Results Digital devices have a strong positive direct effect on public health surveillance (beta = 0.73, p <= .001), public health surveillance has a strong positive direct effect on resilient cities (beta = 0.79, p <= .001), and digital devices have a low positive direct and a moderate indirect effect on resilient cities (beta = 0.13, p <= .001, and beta = 0.58, p <= .001, respectively). The use of digital devices in data collection, analysis, and dissemination, positively impacted public health surveillance, considering five dimensions: medical and vaccine, individual, health care, epidemiological, and disease. Meanwhile, using digital devices in public health surveillance positively impacted the resilience of cities, considering three dimensions: socioeconomic, institutional, and living. The causal relationship model of the digital device utilization on public health surveillance enhancing the resilience of the cities met all the necessary criteria: X2/df = 2.802, comparative fit index = 0.953, goodness of fit index = 0.901, normed fit index = 0.935, Tucker-Lewis index = 0.935, root mean square of approximation = 0.048, and root of mean square residual = 0.043. This indicates the model fits the empirical data.Conclusion Digital devices are vital tools in collecting, analyzing, and disseminating public health surveillance-related data during the public health emergency. This, in turn, can improve medical and vaccine, individual, health care, epidemiological, and disease surveillance, and also enhance cities' socioeconomic, institutional, and living resilience. 本研究旨在探讨数字设备在泰国新冠疫情期间对公共卫生监测及城市韧性的影响。通过对1025份有效问卷进行结构方程模型分析,结果显示,数字设备对公共卫生监测具有显著正向直接影响;公共卫生监测对城市韧性具有显著正向直接影响;数字设备对城市韧性既有较低的直接正向影响,也通过公共卫生监测产生中等程度的间接正向影响。研究模型与实证数据拟合良好。数字设备在数据收集、分析和传播中的应用,显著改善了医疗与疫苗、个体、医疗保健、流行病学和疾病五个维度的公共卫生监测,并进而增强了城市在社会经济、制度和居住生活三个维度的韧性。结论指出,在公共卫生紧急事件中,数字设备是支持监测相关数据工作的关键工具。 2025 http://dx.doi.org/10.1177/20552076241304070
Herman, B; Lee, JKW; Du, XH; Terawattananon, Y Ecological assessment of extreme temperature and fine particulate matter (pm2.5) impact on diabetes service and outcomes in Thailand 极端气温与细颗粒物(PM2.5)对泰国糖尿病服务及预后影响的生态学评估 BMC PUBLIC HEALTH BackgroundEnvironmental changes, such as extreme heat and air pollution, are assumed to exacerbate chronic conditions like diabetes and increase demand for related health services. This study investigates how daily maximum temperature and air pollution affect diabetes service utilization in Thailand.MethodUsing ecological analysis, national diabetes service data from the Thai Ministry of Public Health and ERA5 LAND satellite data (from 2018 to 2023) were examined. The data included 2-meter ambient temperature and particulate matter (PM2.5) concentrations, adjusted for health system variables, aggregated risk factors, the COVID-19 outbreak response, and spatiotemporal correlations. A generalized additive mixed model (GAMM) was employed to assess the effects of maximum temperature and PM2.5 on diabetes screening and the proportion of patients with controlled blood glucose.ResultsThe analysis revealed an annual average maximum temperature of 38.6 degrees C and an average PM2.5 concentration of 21.6 mu g/m(3). National diabetes screening was 87% of the target, and only 30% of diagnosed patients achieved the recommended blood glucose levels. Maximum temperature was found to non-linearly reduce diabetes screening, particularly between 31.6 degrees C and 41.9 degrees C, while no significant association was observed with PM2.5 levels. Temperatures above 32.7 degrees C were associated with lower proportions of patients achieving recommended blood sugar levels, while lower annual PM2.5 levels (16.4 to 18.8 mu g/m(3)) had similar benefits.Conclusion and recommendationsExtreme heat was associated with reduced diabetes screening, while PM2.5 showed no significant effect. These findings highlight the need to adapt health service delivery to reduce the impact of heat stress on service utilization. Strategies such as shifting screening services closer to communities, promoting telemedicine, and strengthening the role of primary care and village health volunteers may help maintain access to care during periods of extreme temperature. 本研究利用泰国全国的糖尿病服务数据及卫星遥感数据,采用生态学分析,探讨了每日最高温度和空气污染(PM2.5)对糖尿病服务利用的影响。结果显示,年平均最高温度较高,而仅有三成确诊患者达到推荐血糖控制水平。最高温度与糖尿病筛查率呈非线性负相关,尤其在特定温度区间内;而PM2.5水平未发现显著关联。当温度超过某阈值后,患者达到推荐血糖水平的比例也显著降低。较低的年度PM2.5水平则与更好的血糖控制相关。研究建议,应调整卫生服务提供模式,以减轻极端高温对服务利用的影响,包括将筛查服务下沉至社区、推广远程医疗、强化基层医疗和乡村卫生志愿者的作用,从而在极端高温期间保障服务可及性。 2025 http://dx.doi.org/10.1186/s12889-025-24003-5
Chinfak, N; Charoenpong, C; Sompongchaiyakul, P; Wu, Y; Supcharoen, R; Zhang, J Environmental factors influencing the distribution of fecal coliform bacteria in Bandon Bay, Thailand 影响泰国班顿湾粪大肠菌群分布的环境因素 REGIONAL STUDIES IN MARINE SCIENCE The presence of fecal coliform bacteria (FCB) and deteriorated water quality are prevalent problems in various coastal ecosystems leading to public health concerns. Here, we evaluated the contamination of FCB and its member, Escherichia coli, in the Tapi-Phumduang River system and Bandon Bay in Thailand, and the accumulation of FCB in oysters cultured therein. The results show significantly higher FCB and E. coli in river water than in seawater, substantiating the role that the river serves as a conduit for bacterial delivery to the bay. FCB discharged from the river to the bay during low tide was approximately 4-fold higher than during high tide. The concentrations of FCB in seawater (<79 MPN/100 mL) and oysters (<187 MPN/100 g) from the Bandon Bay are within regulatatory limits. Statistical analysis shows that various environmental parameters including salinity, turbidity, and DSi are strongly correlated with bacterial pollutants in river water, whereas bacterial pollutants in bay water are strongly correlated with salinity, pH, dissolved oxygen, total nitrogen and dissolved silicate. Hence, salinity and turbidity can be used as proxies for bacterial pollution monitoring in the river, and salinity is a good proxy for indicating bacterial contamination in Bandon Bay. Thus, these two proxies may assist in a rapid assessment of bacterial pollution in aquatic environments. 本研究评估了泰国塔比-蓬达鲁昂河流域及班东湾中粪便大肠菌群及其成员大肠杆菌的污染状况,以及养殖牡蛎中细菌的累积情况。结果显示,河水中的细菌浓度显著高于海水,证实河流是将细菌输送到海湾的重要通道。低潮期从河流排入海湾的细菌通量约为高潮期的四倍。海水和牡蛎中的细菌浓度均在监管限值以内。统计分析表明,河水中细菌污染物与盐度、浊度和溶解硅等环境参数密切相关;而海湾水体中的细菌污染物则与盐度、pH、溶解氧、总氮和溶解硅显著相关。因此,盐度和浊度可作为河流细菌污染的快速监测替代指标,盐度也可作为班东湾细菌污染的指示因子。 2023 http://dx.doi.org/10.1016/j.rsma.2023.103277
Jiang, HC; Ramesh, M Building integrated primary health care: the role of the government in China and Thailand 构建整合型初级卫生保健:中国与泰国政府的作用 JOURNAL OF ASIAN PUBLIC POLICY While the importance of primary health care (PHC) as a foundation for a strong healthcare system is widely accepted, the policies needed to achieve it remain deeply controversial. Some proponents call for a greater role for market and user choice in expanding and strengthening PHC, whereas others recommend a greater role for the government in directing its development. The objective of this paper is to assess these arguments by comparing the experience of China and Thailand in strengthening PHC. We find that tight government steering of the healthcare system in Thailand has produced better integration and eventually outcomes than the more decentralized and competitive system in China. The Chinese government's massive administrative and fiscal efforts to strengthen PHC have been undermined by systemic barriers in the wider health system, notably fee-for-service and out-of-pocket financing that distort the incentives of healthcare providers. A key conclusion to emerge from the analysis is that central stewardship and steering accompanied by appropriate incentives to promote integration are critical to building effective primary health care. 本文通过比较中国与泰国在加强初级卫生保健方面的经验,评估了政府主导与市场/用户选择两种路径的有效性。研究发现,泰国政府对卫生系统的较强引导带来了更好的整合性和最终结果,而中国更为分权和竞争性的体系则面临挑战。尽管中国政府在行政和财政上做出了巨大努力,但按项目付费和自费支付等系统性障碍削弱了这些努力的效果。文章的核心结论是,建立有效的初级卫生保健,关键在于中央层面的引导与调控,并配合以促进整合的适当激励机制。 2026 http://dx.doi.org/10.1080/17516234.2024.2349983