• TH
    • EN
    • Register
    • Login
    • Forgot Password
    • Help
    • Contact
  • Register
  • Login
  • Forgot Password
  • Help
  • Contact
  • EN 
    • TH
    • EN
View Item 
  •   Home
  • สถาบันวิจัยระบบสาธารณสุข (สวรส.) - Health Systems Research Institute (HSRI)
  • Articles
  • View Item
  •   Home
  • สถาบันวิจัยระบบสาธารณสุข (สวรส.) - Health Systems Research Institute (HSRI)
  • Articles
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Health System during Crisis in Restive Southern Provinces of Thailand

พงค์เทพ สุธีรวุฒิ; Pongthep Sutheravut; อมร รอดคล้าย; Amorn Rodklai; สุวัฒน์ วิริยพงษ์สุกิจ; Suwat Wiriyapongsukit; สุภัทร ฮาสุวรรณกิจ; Supat Hasuwannakit;
Date: 2550
Abstract
The violence in the Southern provinces in Thailand took a toll on physical, psycho-social and spiritual health. Data collection began from March 2004 to March 2007 using questionnaires, face to face interview including group seminars and brainstorming sessions. It was found that the frequency of chaotic events occured 5,460 times during January 2003 to August 2006. About 1,730 have been killed and 2,513 injured. These victims included 22 health workers and 31 health volunteers. In the prime of the violence, every single hospital has prepared itself to be ready to cope with those crises. Health workers, for example, suddenly changed their behaviors substantially such as adjusting their work schedules, not wearing uniform, taking more precautions, decreasing or avoiding their proactive roles in field works, particularly health promotion and health prevention. These were remarkable changes in health care roles which would have long term serious effects on the communitiy health. In addition, security in hospitals has been tightened while stocks of food became critically necessary. Some local health offices rearranged their teams by having village health volunteers working closely with their health officers. These actions could boost their morale and ensure their safety. Community faith in them and being natives inspired health workers to remain in their posts. It was interesting that the number of cases of out-patient and in-patient departments had not changed much but the number of patients visiting local health offices clearly decreased. Nevertheless, the number of patients in labor departments increased and the chronic disease cases increased as well. Besides, the number of cases with psychosis or having mental problems sharply increased. Eventhough, the turn over and replacement of health workers became even but the lack of medical specialists in some areas remained. Number of registered nurses would become the major concern in the near future if the violence is not restrained. The crisis dictates requirements on short-term measures to focus on security, life protection, creating the supporting systems about counseling, referring, transferring and maintaining the systems. In the long run, measures include peace restoration, then, create health participatory system of people in communities, self-care system and enhance effectiveness of health system. It should be concerned about the opportunity to build Muslim medical curriculum and agenda. Having a specific team work to monitor the situation closely, connecting and communicating with the government and developing the participatory management of data system and solving the problem may gradually decrease the violence. In addition, research and development on the consequences of the health system of the restive southern provinces are required in order to cope with the drastic change.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
Fulltext
Thumbnail
Name: hsri_journal_v1n2 ...
Size: 224.5Kb
Format: PDF
Download

User Manual
(* In case of download problems)

Total downloads:
Today: 0
This month: 2
This budget year: 79
This year: 43
All: 1,020
 

 
 


 
 
Show full item record
Collections
  • Articles [1366]

    บทความวิชาการ


DSpace software copyright © 2002-2016  DuraSpace
Privacy Policy | Contact Us | Send Feedback
Theme by 
Atmire NV
 

 

Browse

HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

DSpace software copyright © 2002-2016  DuraSpace
Privacy Policy | Contact Us | Send Feedback
Theme by 
Atmire NV