Noncommunicable Disease Service Utilization among Expatriate Patients in Thailand: An Analysis of Hospital Service Data, 2014–2018

Khunakorncharatphong, Anon; Pudpong, Nareerut; Suphanchaimat, Rapeepong; Julchoo, Sataporn; Phaiyarom, Mathudara; Sinam, Pigunkaew

doi:10.3390/ijerph18189721

Cited by 5 publications

(11 citation statements)

References 19 publications

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“…The study also found that chronic diseases was the main health problem among the expatriates given their age profile. This finding was in line with the recent quantitative study by Khunakorncharatphong et al (2021), which analyzed the health service records of the MOPH from 2014–2018 [ 24 ]. This study found that most expatriate patients, who were admitted to public hospitals in Thailand, were elderly and had noncommunicable diseases (NCDs); this was found more prevalent in the northern region than in other regions [ 24 ].…”

Section: Discussionsupporting

confidence: 89%

“…This finding was in line with the recent quantitative study by Khunakorncharatphong et al (2021), which analyzed the health service records of the MOPH from 2014–2018 [ 24 ]. This study found that most expatriate patients, who were admitted to public hospitals in Thailand, were elderly and had noncommunicable diseases (NCDs); this was found more prevalent in the northern region than in other regions [ 24 ]. Diseases most frequently mentioned were hypertension, diabetes mellitus, and cardiovascular diseases.…”

Section: Discussionsupporting

confidence: 89%

“…Scuzzarello conducted a study in older Westerners in Thailand and found that many retirees could not afford private health insurance due to old age and chronic diseases [23]. The recent study by Khunakorncharatphong et al (2021) analyzed health service utilization among expatriate patients in Thailand using hospital records of the MOPH during 2014-1018 [24]. It was reported that, for outpatient services, most expatriate patients were female, CLMV at working age, and used the services in the central region [24].…”

Section: Of 18mentioning

confidence: 99%

“…The recent study by Khunakorncharatphong et al (2021) analyzed health service utilization among expatriate patients in Thailand using hospital records of the MOPH during 2014–1018 [ 24 ]. It was reported that, for outpatient services, most expatriate patients were female, CLMV at working age, and used the services in the central region [ 24 ]. However, when looking at inpatient services, most admitted expatriates were the elderly with noncommunicable diseases (NCDs), and were admitted to hospitals in the northern region more than in other regions [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…It was reported that, for outpatient services, most expatriate patients were female, CLMV at working age, and used the services in the central region [ 24 ]. However, when looking at inpatient services, most admitted expatriates were the elderly with noncommunicable diseases (NCDs), and were admitted to hospitals in the northern region more than in other regions [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Health Status and Barriers to Healthcare Access among “Son-in-Law Westerners”: A Qualitative Case Study in the Northeast of Thailand

Julchoo

Pudpong

Phaiyarom

et al. 2021

IJERPH

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The northeast of Thailand is well-known as a popular destination where many male Westerners marry Thai women and settle down there. However, little is known about their health and well-being. This study aims to explore the Western husbands’ health status and identify barriers hindering their healthcare access. A qualitative case study was conducted from November 2020 to May 2021. In-depth interviews and focus group discussions with 42 key informants who were involved with social and health issues among these expatriates were carried out. The social determinants framework was adapted for guiding the interviews. Data were triangulated with field notes, document reviews, and researchers’ observations. Inductive thematic analysis was applied. Results showed that most male expatriates who married Thai women in the northeast were in their retirement years and had non-communicable diseases, health risk behaviors, and mental health problems. Most of them did not purchase health insurance and held negative impressions toward Thai public hospitals’ quality of care, which was denoted as the main barrier to accessing healthcare services. Other significant barriers consisted of high treatment costs commonly charged by private hospitals and language issues. While the improvement of healthcare quality and the provision of friendly health services are important, public communication with foreign residents, especially male expatriates, is recommended to increase understanding and improve perceptions of the Thai healthcare systems. A regular population-based survey on the health and well-being of expatriates in Thailand, a cost study of a health insurance package, a survey study on willingness to pay for health insurance premiums, and a feasibility survey exploring the opportunity to establish either voluntary or compulsory health insurance among this group should be undertaken.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Section: Of 18mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health Status and Barriers to Healthcare Access among “Son-in-Law Westerners”: A Qualitative Case Study in the Northeast of Thailand

Julchoo

Pudpong

Phaiyarom

et al. 2021

IJERPH

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Problems and needs when caring for stroke patient at homes

Suten

Paluangrit

Dangkrajang

et al. 2022

IJPHS

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The Thailand health policy aim to develop the patient care system in a community level, especially, the home rehabilitation program for stroke patients. Currently, stroke patients have long term disabilities and recurrent stroke leading to the serious life-threatening and death. The study investigated the problems and needs of caregivers for taking care stroke patients after hospital discharge and caring at home. A qualitative study was conducted in 80 key informants that comprised of 25 post stroke patients, 25 caregivers, 10 local health care officers at the community, 10 community leader, and 10 health volunteers. An in-depth interviews and focus group discussions were designed to collect the data. Caregivers were not confident about ability and skill to care stokes patients at home. Additionally, they were not understood the policy and health care service system. Health volunteers lacked of experience for supporting stroke patients in the community. The community leader and local health care officer needed more knowledge and skills including budgets, equipment, and facilities for caring the stroke patients. Ability, knowledge, skill and experience for caring stoke patients of the health care team should be addressed. Moreover, resources, facilities, equipment and budgets must be properly supported.<br /><br />

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The association of physical activity and sedentary behaviour on health-related quality of life: a cross-sectional study from the physical activity at work (PAW) trial

Akksilp,

Müller-Riemenschneider,

Teerawattananon

et al. 2023

JASSB

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Introduction Physical inactivity and sedentary behaviour independently increase morbidity and negatively affect quality of life. This study evaluates the associations between physical activity and sedentary behaviour with health-related quality of life, including the five dimensions of quality of life (mobility, self-care, usual activities, pain or discomfort, and anxiety or depression). Methods This cross-sectional study analysed baseline data from Thailand's Physical Activity at Work (PAW) trial. Physical activity data were collected using the ActiGraph™ accelerometer, worn on the right hip for a minimum of three ten-hour workdays. Accelerometer data were then used to categorise participants into: (i) not-sedentary and physically active (the Reference Group), (ii) not-sedentary but inactive, (iii) sedentary but active, and (iv) sedentary and inactive. We employed the EuroQol-5 dimensions questionnaire with five scoring levels (EQ-5D-5L) to measure health-related quality of life. The Thai EQ-5D-5D valuation was utilised to convert the EQ-5D profile into utility index scores (EQ-5D values). Tobit regression models were used to analyse EQ-5D value differences. Moreover, the odds of having problems in each EQ-5D dimension were compared between categories. Results 277 valid participant data were included. Older age (P = 0.007), higher education (P < 0.001), and higher prevalence of cardiovascular disease (P = 0.032) were observed in participants who were sedentary and physically inactive compared to other groups. We found − 0.0503 (95% CI: − 0.0946–− 0.00597) lower EQ-5D value and 1.39 (95% CI: 1.07–1.79) higher odds of reporting pain or discomfort problems in the sedentary and physically inactive group compared to the Reference Group. We also found 2.12 (95%CI: 1.14–5.40) higher odds of reporting usual activity problems in the not-sedentary but physically inactive group than in the Reference Group. Discussion We found further evidence of the potential benefit of higher physical activity levels and lower sedentary time for higher quality of life among healthy office workers in Thailand. Further research with larger cohorts and longitudinal data is needed to establish a stronger foundation for interventions and economic evaluations targeting physical activity promotion to improve quality of life.

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Noncommunicable Disease Service Utilization among Expatriate Patients in Thailand: An Analysis of Hospital Service Data, 2014–2018

Cited by 5 publications

References 19 publications

Health Status and Barriers to Healthcare Access among “Son-in-Law Westerners”: A Qualitative Case Study in the Northeast of Thailand

Health Status and Barriers to Healthcare Access among “Son-in-Law Westerners”: A Qualitative Case Study in the Northeast of Thailand

Problems and needs when caring for stroke patient at homes

The association of physical activity and sedentary behaviour on health-related quality of life: a cross-sectional study from the physical activity at work (PAW) trial

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