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Health Transition and Needs-Based Technology Planning and Implementation

Published online by Cambridge University Press:  10 March 2009

Chitr Sitthi-Amorn
Chitr Sitthi-Amorn
Affiliation:
Chulalongkorn University
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Abstract

Investment in health can offer additional benefits to development independent of economic improvement. Many technologies have been useful in improving the health of the people in the past. However, rapid and often unpredictable change has contributed to the inequity, inefficiency, and rising cost of health care. This paper outlines why a needs-based approach to assessing any new technology in the health sector is essential. To respond to changing needs, capacities within the health care system, several of which are described here, must be strengthened. Needs-based technology planning and implementation is affordable and feasible and is crucial in order that both health as a basic human right and good health at low cost can be attained.

Type
Special Section: Needs-Based Technology Assessment: Who Can Afford Not to Use It?
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 4 , Fall 1995 , pp. 663 - 672
Copyright
Copyright © Cambridge University Press 1995

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References

1.Aitken, R. L. K. Human resource planning: Issues and methods. Data for decision making, Publication #1. Cambridge, MA: Harvard School of Public Health, Department of Population and International Health, 1993.Google Scholar
2.Attributes and threshold capacities of public health graduates. Proceedings of the International Workshop, The College of Public Health, Chulalongkorn University, Bangkok, 1993.Google Scholar
3.Berwick, D. M., Godfrey, A. B., & Roessner, J.Curing health care: New strategies for quality improvement. San Francisco: Jossey-Bass, 1990.Google Scholar
4.Cambell, E. J. M., Scadding, J. G., & Roberts, R. S.The concepts of disease. British Medical Journal, 1979, 2, 757–62.CrossRefGoogle Scholar
5.Causes of infant and child mortality project. Bangkok: Health Statistics Division, MOPH and Faculty of Public Health, Mahidol University, 1988.Google Scholar
6.Chaudhury, R. R. Rational use of drugs. In Attributes and threshold capacities of public health graduates. Proceedings of the International Workshop, The College of Public Health, Chulalongkorn University, Bangkok, 1993, 83–88.Google Scholar
7.Chunharas, S., Wongkanaratanakul, P. & Supachutikul, A.Appropriate remuneration for doctors in Thailand; A research report. Bangkok: Thai Medical Council, 1990.Google Scholar
8.Cumulative number of AIDS and ARC cases by age group and sex since September 1984 till March 31, 1993. Weekly Epidemiology Surveillance Report, 1993, 24, 215–19.Google Scholar
9.Diffusion of CT scanners in Thailand by ownership. The National Epidemiology Board of Thailand: The first four years (1987–1990). Bangkok: Desire Co., Ltd., 1990.Google Scholar
10.Annual Epidemiological Surveillance Report, Bangkok: Division of Epidemiology, the Ministry of Public Health. 1991.Google Scholar
11.D'Souza, M. R. Early diagnosis and multiphasic screening. In Bennett, A. E. (ed.), Recent advances in community medicine. Edinburgh: Churchill Livingstone, 1978, 95–103.Google Scholar
12.Evans, D. Methodological issues and the WDR93: A personal view. Bridge, 1994 (Winter/ Spring), 13.Google Scholar
13.Frenk, J.Balancing relevance and excellence: Organizational responses to link research and decision making. Social Science and Medicine, 1992, 35, 1397–404.CrossRefGoogle Scholar
14.Ghana Health Assessment Project Team. A quantitative method of assessing the health impact of different diseases in less developed countries. International Journal of Epidemiology, 1981, 10, 73–78.CrossRefGoogle Scholar
15.Health security: The President's report to the American people. Washington, DC: The Government Printing Office, 10, 1993.Google Scholar
16.Hsiao, W. C.Health care financing in Thailand; Challenges for the future. Discussio paper for the Leadership Workshop on Health Care Financing in Thailand sponsored by the Thai Government and The World Bank, Cha-am. Thailand, 11, 1993.Google Scholar
17.Jamison, D. T. Invited commentary: Investing in Health: Recommendations of the 1993 World Development Report. Bridge, 1994 (Winter/Spring), 13.Google Scholar
18.Kranandana, T.Voluntary health insurance in Thailand. Discussion paper for the Leader ship Workshop on Health Care Financing in Thailand sponsored by the Thai Government and The World Bank, Cha-am, Thailand, 11 1993.Google Scholar
19.Mills, A.Exempting the poor: The experience of Thailand. Social Science and Medicine 1991, 33, 1241–52.CrossRefGoogle ScholarPubMed
20.Mongkolsmai, D.The social welfare for health care. Faculty of Economics, Thammasat University. Discussion paper for the Leadership Workshop on Health Care Financing in Thailand sponsored by the Thai Government and The World Bank, Cha-am. Thailand, 11, 1993.Google Scholar
21.Mongkolsmai, D., Khoman, S., Satsanguan, P., et al. Public sector health financing in Thailand (Draft). Bangkok: Thammasat University International Health Policy Program. 1993.Google Scholar
22.MOPH Rural Health Division. Budget allocation for the free medical care for the low income program, fiscal year 1991 (Mimeo). Thailand: MOPH, Bangkok, 1991.Google Scholar
23.Mortality rate per 100,000 by sex: Traffic accidents, Thailand 1957–1988. Bangkok: Division of Health Statistics, Ministry of Health, 1988.Google Scholar
24.Ngarmwuthiporn, S.Business trends: Private hospital inside and outside Bangkok. Bangkok: Siam Commercial Bank, 1992.Google Scholar
25.Nittayaramphong, S., Tangcharoensathien, V., Walee-itthikul, S., & Pannarunothai, S.Payroll tax financed health insurance schemes in Thailand: A policy analysis. Discussion paper for the Leadership Workshop on Health Care Financing in Thailand sponsored by the Thai Government and The World Bank, Cha-am. Thailand, 11 1993.Google Scholar
26.Oregon Health Service Commission. Prioritization of health services: A report to the Governor and Legislature, Oregon: Oregon Health Service Commission, 1991.Google Scholar
27.Pannarunothai, S., & Tangcharoensathien, V.Health financing reforms in Thailand: A blue print. Health Policy and Plan Bureau, Ministry of Public Health. Discussion paper for the Leadership Workshop on Health Care Financing in Thailand Sponsored by the Thai Government and The World Bank, Cha-am, Thailand, 11 1993.Google Scholar
28.Pavabuta, P. Changing public health needs in Thailand. In Attributes and threshold capacities of public health graduates. Proceedings of the International Workshop, The College of Public Health, Chulalongkorn University, Bangkok, 1993.Google Scholar
29.Porapakkam, W.Place of entry for initial episode of illness: IPSR survey of health seeking behavior. Bangkok: Institute of Population and Social Research, Mahidol University, 1987.Google Scholar
30.Prachuabmoh Ruffolo, V. Population dynamics. In Attributes and threshold capacities of public health graduates. Proceedings of the International Workshop, The College of Public Health, Chulalongkorn University, Bangkok, 1993, 72–82.Google Scholar
31.Premature mortality in the United States: Public health issues in the use of years of potential life lost. Morbidity and Mortality Weekly Report, 1986, 12 19, 35(suppl 2):1S–11S.Google Scholar
32.Rate of esophageal cancer by region, Thailand. Bangkok: National Cancer Institute, Ministry of Public Health, 1981.Google Scholar
33.Report on Thai Demographic and Health Survey (TDHS), 1988, Survey of Population Change (SPC), 1986, The Study of Mortality and Morbidity Differentials in Thailand (MMD) in 1986, 1988. Bangkok: The Institute of Population and Social Research, Chulalongkorn University, 1988.Google Scholar
34.Reported occupational injuries, Thailand 1979–89. Bangkok: Department of Labour, Ministry of Interior, 1989.Google Scholar
35.Review of health situation in Thailand, priority ranking of diseases. Bangkok: The Fact Finding Commission, National Epidemiology Board, 1987.Google Scholar
36.Rojvanit, A.The social welfare for health care: The civil servant medical benefit scheme. Faculty of Economics, Thammasat University. Discussion paper for the Leadership Work-shop on Health Care Financing in Thailand sponsored by the Thai Government and The World Bank, Cha-am, Thailand, 11 1993.Google Scholar
37.Sitthi-Amorn, C.Clinical epidemiology: A population targeted approach to health reform. Bangkok: Chulalongkorn University Printing House, 1989.Google Scholar
38.Sitthi-Amorn, C., Chandraprasert, S., Bunnag, S., & Plengvidhaya, C.Prevalence and risk factors of hypertension in Klong Toey slum in Bangkok. International Journal of Epidemiology, 1989, 29, 594–97.Google Scholar
39.Tangcharoensathien, V., Nittayaramphong, S., Bennett, S., et al. Medical expenditure for patients under the civil servant medical benefit scheme. Bangkok: Thailand MOPH Health Planning Division, 1993.Google Scholar
40.The National Epidemiology Board of Thailand: The first four years (1987–1990). Bangkok: Desire Co., Ltd., 1990.Google Scholar
41.Torrance, G. W.Measurement of health state utilities for economic appraisal: A review. Journal of Health Economics, 1986, 5, 1–30.CrossRefGoogle Scholar
42.Wadswarth, M. I., Butterfield, W. J. H., & Blaney, R.Health and sickness: The choice of treatment. London: Tavistock, 1971.Google Scholar
43.Sibulpolprasert, S.Community financing: Thailand's experience. Health Policy and Planning, 1991, 6, 354–60.CrossRefGoogle Scholar
44.World Bank. World Development Report 1993: Investing in health. New York: Oxford University Press, 1993.Google Scholar