Building equity in chronic disease management in Thailand : a whole-system provincial trial of systematic, pro-active chronic illness care

Wanitkun, N., Batterham, R., Vichathai, C., Leetongin, G. and Osborne, R. H. 2011, Building equity in chronic disease management in Thailand : a whole-system provincial trial of systematic, pro-active chronic illness care, Chronic illness, vol. 7, no. 1, pp. 31-44.

Attached Files
Name Description MIMEType Size Downloads

Title Building equity in chronic disease management in Thailand : a whole-system provincial trial of systematic, pro-active chronic illness care
Author(s) Wanitkun, N.
Batterham, R.
Vichathai, C.
Leetongin, G.
Osborne, R. H.
Journal name Chronic illness
Volume number 7
Issue number 1
Start page 31
End page 44
Publisher Sage Publications Ltd
Place of publication London, England
Publication date 2011
ISSN 1742-3953
Keyword(s) Chronic disease
Diabetes Mellitus
Dyslipidemia
Health equity
Hypertension
Self-management
Summary Thailand has a history of implementing innovative and proactive policies to address the health needs of its population. Since 1962 Thailand has implemented initiatives that led to it having a health system characterized by a primary care focus, decentralization and mechanisms to maximize equity and universal access to basic care at the local level. Thai health structures initially evolved to meet challenges including infectious and developmental diseases and later HIV. Early in the 21st century chronic illness rapidly became the greatest cause of morbidity and mortality and the question has arisen how Thailand can adapt its strong health system to deal with the new epidemics. This article describes an effort to reorient provincial health services to meet the needs of the increasing number of people with diabetes and heart disease. It describes measures taken to build on the equity-promoting elements of the Thai health system. The project included; a situational analysis, development and implementation of a chronic disease self-management intervention implemented by nurses and alignment of provincial health services. The self-management intervention is currently being evaluated within a clustered randomized control trial. The evaluation has been developed to fit with the focus on equity in relation to both selection criteria and the outcomes that are being assessed.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Sage Publications Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30040697

Document type: Journal Article
Collections: School of Health and Social Development
Population Health
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 2 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 58 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Tue, 06 Dec 2011, 12:41:55 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.