เอกสารเผยแพร่

Background: One means of better understanding the variations in health systems among the four greater Mekong subregion (GMS) countries is to determine how the overall health environment influences the area’s health-service systems and health status. Objectives: The study examined the determinants that affect the health-service systems and health status of the Thai, Lao, Viet- namese, and Cambodian people in the GMS countries, as well as the determinants that best predict health-service-system quality and health status. Patients and Methods: The sample groups consisted of 320 - 402 clients and 30 - 69 healthcare providers recruited from three hos- pitals with similar topographies to those in the respective countries. The sample sizes depended on the number of hospital beds and people in the study areas. The questionnaires included assessments of the perceptions of health-service-system quality and health status, as well as the affecting determinants; the analyses included descriptive statistics, Pearson product-moment correlation, and stepwise multiple regression. Results: The major findings included the following: first, for the clients’ perceptions, only the internal determinant that reflected the strengths and weaknesses of the hospital environment was shown to be a strong predictor of health-service-system quality of the GMS countries. Second, for both the clients’ and providers’ perceptions, we found no common determinant that could predict the health status of GMS people, although we did find a few similar and different determinants. Societal and cultural values affected health-service-system quality and the health status of Vietnamese people, as well the health status of the Lao people, while trade and investment only had an impact on the health-status perception of Lao clients. In addition, medical information and technology affected the health-service systems of Thailand and Vietnam, as well as the health status of the people of Thailand and Laos; the living and working environment influenced the health status of the people of Thailand and Vietnam. The strengths and weaknesses of the hospital also affected the health status of the people of Vietnam and Cambodia. Conclusions: These findings may be used for further knowledge development and for various practical applications. Our findings recommend that a comprehensive and system-wide review of health-policy planning and strategic settings should be conducted in accordance with those particular factors to improve the health-service systems and health status of the GMS countries.

Ruchiwit, M., Cowawintaweewat, S., Pootong, A., Wareenil, C., & Pawloski, L. R.

Background: One means of better understanding the variations in health systems among the four greater Mekong subregion (GMS) countries is to determine how the overall health environment influences the area’s health-service systems and health status. Objec

NURSING AND MIDWIFERY STUDIES Volume: 5

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Background: Holistic health status is influenced by a multitude of factors, such as socioeconomic status, cultural values, perceptions, attitudes, advanced information and technology, and the living and work environment. This study aims to examine the factors that predict the holistic health status of the Thai, Laotian, Vietnamese, and Cambodian peoples in the Greater Mekong Subregion (GMS) countries. Method: One thousand six hundred and seventy participants were recruited from major regions of Thailand, the Lao PDR, Vietnam, and Cambodia, and were selected using multistage random sampling. The study area provinces in each region of the GMS countries were compared according to similar geographies and contexts. A self-reported holistic health status questionnaire was developed and a questionnaire assessing the people's perceptions concerning the factors affecting their holistic health was administered. Results: The factors predicting the holistic health status of the peoples were the living and work environment and the availability of medical information and technology at their hospitals. Conclusion: This study initiates policy recommendations in relation to the predictive factors affecting the holistic health status of the peoples in the GMS countries to help enhance their quality of life. Building the capacity of international health networks in the public and private sectors is suggested.

Ruchiwit, M.

Predicting factors, Holistic health, Greater Mekong Subregion countries

Ponte

Scopus

doi: 10.21506/j.ponte.2016.5.31

100-118

The modernization development on Mukdahan-Savannakh etestablished by international institutions as ADB, GMS and EWEC which are essentially act as globalizer of development ideology. Therefore, the Thai and Lao PDR government play the roles as a giver and a leader of its people, Mukdahan-Savannakhet people think that they desperately want the modernization development. They have a determination to be out of poverty, to improve their well-being, to increase their value of trade, to attract more tourists and investment. However, from the document study and the field study, it has been found that Mukdahan-Savannakhet has special cultural influence such as the Boun Song Rua or Boat Racing Festival and Heat Sibsong or 12-month customs it still powerful among mainstream of the modernization development. For this reason, the researcher would like to analyze how some case of culture influence has been existed in the modernization development society as Mukdahan-Savannakhet by using cultural relations and local customs as case studies. In this study, qualitative methodology based on documentary research and field research was utilized. The latter was carried out by using in-depth interviews. Furthermore, the approach to the theory of functional explanation was used for research analysis. The results were found that the influence of cultural relations and influence of customs such as kinship relation, language, food, legend, Prathat ideology, Phuk Siew ritual, Boun Song Rua festival, Long Khag custom, and Heat Sibsong custom. Its show the influence and power of local culture that could exist in the society because of those custom functions still respond spiritual and relational needs of Mukdahan-Savanakhet society among the stream of modernization development.

Jaiborisudhi, W., & Kaewkumkong, A.

Cultural Influences Modernization Development Cultural Relations Local CustomsMukdahan-Savanakhet

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This review paper aimed to illustrate the major problems, actual intervention, and further plans related to the economic development, environmental issues, and healthcare determinants in the Greater Mekong Subregion (GMS). ASEAN integration is likely to bring a big change to this area in the new era; it can subsequently cause many problems as well. The characteristic differences among the ASEAN member countries in terms of socioeconomic background, ethnicity, culture, governance styles, policies, political issues and geography have become the major problems of ASEAN integration. ASEAN integration aimed to transform ASEAN into a single market with free flows of products, services, and skilled labor as well as investment openness, which will ultimately enforce regional economic growth. However, the process of boosting economic growth can have a negative effect on the environment, sustainable development, and public health. In addition, revising existing policies for better the economic capacity of the country and the region is crucial. Regional collaboration and action plans should be determined after thorough study of local characteristics in order to achieve regional and international standards, national benefits, and positive intervention outcomes. This study strongly recommends that regional development be implemented in a more practical way in order to generate national economic growth and it should specially focus on environmental management for sustainable development and climate change responses, and public health concern.

Ruchiwit, M., & Nget, M.

Economic, Environment, Health, Greater Mekong Subregion Countries (GMS)

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The purposes of this research were to study the problems, policies management, and environmental protection planning. The sample consisted of 400 people selected by multi-stage random sampling from Danang and Hue city in Vietnam. Quantitative data were analyzed by frequency and percentage. Qualitative data was also conducted via in-depth interview from 12 participants selected by purposive sampling and was analyzed by content analysis. Major findings were found the most important environmental problem was air pollution. Additionally, water pollution was rated the second most important environmental problem. The main causes of air pollution were burning fuels from automobile engines and main causes of water pollution were from sewage and household waste. The qualitative data demonstrated that government should take policy to produce strong environmental law enforcement and regulations, enforce air and water inspection for quality, and utilize standard and update model for air and water treatment. Regarding community, government should enhance knowledge, public awareness, and participation in environmental protection.

Ruchiwit, K., Vuthiarpa, S., & Phongmethakul, A.

Case study; Environmental management on urban and community; Vietnam

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This research aims to examine the relationships between internal and external determinants of the Vietnamese hospital and healthcare system and (a) the health service system and (b) the perceived health status of healthcare providers and clients from the Socialist Republic of Vietnam. Participants included 42 healthcare providers and 240 patients from Hue Central Hospital, Hue City Hospital, and Danang Hospital. Data were collected over a 4- week period in June 2012. The results revealed greatest predictors for clients’ perceptions about the health service system and health status in Vietnam were concerns about society and cultural values, medical information and technology, and the strengths and weaknesses of the hospital system were only society and cultural values, and the strengths and weaknesses of the hospital system were co-effective factors that predicted health status. Further, regarding the healthcare pro- viders’ perception of health status, the only determi- nant, living, and working environment, was an effective factor in predicting the health status. These findings may be used as the basis for the analysis and application of health policy planning and appropriate strategies within Vietnam for pro- moting health and improving the performance of health service systems to meet the healthcare needs of its people. The findings suggest that Vietnamese do have concerns on the impact of trade and investment and medical information and technology on the quality of the health service system. Moreover, these findings will be further beneficial for knowledge development and application to regional study for the countries in the Greater Mekong Subregion.

Ruchiwit, M., Cowawintaweewat, S., Pootong, A., & Pawloski, L.

Vietnam, Health service system, Internal and external determinants, Health status, Hospital, Perceptions of clients, Perceptions of health professionals

International Journal of Healthcare ManagementVolume 8

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156-163

The aim of this research was to examine the determinants/factors affecting the well-being of the Thai and Lao people, and the factors that predict the well-being of those respective peoples. Eight hundred and sixty participants were recruited from three major regions of Thailand and Laos and were selected using multistage random sampling. A self-reported well-being questionnaire was developed using the theoretical framework of Maslow’s hierarchy of needs, and a questionnaire assessing their perceptions/attitudes concerning the factors affecting their well-being was administered. The major findings were the following: (i) the factors affecting the well-being and the self-reported well-being of Thais and Laotians were significantly different; and (ii) the factors predicting the well-being of Thais included the living and working environment and the availability of medical information and technology at their hospitals. On the other hand, one of the factors predicting the well-being of Laotians was their attitudes toward their society and its cultural values. A comprehensive and system-wide review of mental-health policy planning to improve the well-being of people in Thailand and Laos in accordance with those predicted factors is recommended.

Ruchiwit, M.

determinants, health, Laos, Maslow’s Hierarchy of Needs, predictive factors, Thailand, well-being.

Nursing and Health Sciences Volume 15

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94-100

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Ruchiwit, M., Cowawintaweewat, S., & Pootong, A.

Vietnam, Health service system, Internal and external determinants, Health status, Hospital, Perceptions of clients, Perceptions of health professionals

International Journal for Quality in Healthcare

Science Citation Index @ และ PubMed -SCImago Journal Rank

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รศ.ดร.กำพล รุจิวิชชญ์ และคณะ

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วารสารวิทยาศาสตร์และเทคโนโลยี

TCI

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ผศ.นพ.ฉัตรนรินทร์ เมธีกุล และคณะ

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The International Journal of East Asia studies

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ดร.วรางคณา ก่อเกียรติพิทักษ์ และคณะ

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วารสารร่มพฤกษ์ มหาวิทยาลัยเกริก

TCI

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รศ.ดร.ชนินทร์ มีโภคิน และคณะ

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The International Journal of East Asia studies

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นายสุทิน สายสงวน และคณะ

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The International Journal of East Asia studies

TCI

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As a transitional country recently entering the Association of Southeast Asian Nation’s (ASEAN) community, Thailand aims to improve its healthcare and health of its people. One means of better understanding the health status of a population is to examine how the overall health environment influences health status. For this study, we examine the impact of perceptions of the Thai health environment on the health status of Thai adults. Four hundred and two participants from three regions of Thailand were surveyed concerning sociodemographic variables, perceptions of health status, and perceptions of the internal and external health environment. The results revealed that those reporting their health status to be satisfactory believed that their living and working environment and availability of medical information and technology was good. In Thailand, the perception of having a good living and working environment as well as good medical information and innovative medical technology may have an important bearing on health status.

Ruchiwit, M., Ruchiwit, K., Pawloski, L., & Curtin, K. M.

health status, Thailand, perceptions, health facility environment

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35-46

Introduction: Obesity policies in transitional countries are limited as most have needed to focus resources on reducing hunger, poverty, and infectious diseases. The Mekong Region is one such area that is still facing issues of undernutrition and infectious disease, yet has a growing population at risk of obesity related diseases. Such a dual burden creates a dilemma regarding which issue to address first, given limited resources. This review addresses this problem from a policy perspective. Materials and Methodology: Comparative analyses of literature reviews, existing policy, and previous research were synthesized among countries within the Mekong Region. Results: Traditional diets, quickly emerging fast food markets, and urbanization add levels of complexity to managing and creating obesity policy. Existing policies have not been successful and there are few measurable outcomes. Conclusion and Policy Implications: Obesity-related policies have been initiated in the Mekong Region, but with few resources and conflicting priorities, several countries are at risk of being left behind. Suggested policies in the region include utilizing mass media education campaigns, modeling other successful public health programs, and promoting culturally and regionally appropriate interventions.

Pawloski, L. R., Thurman, S., Curtin, K. M., & Ruchiwit, M.

obesity, Mekong Region, nutrition transition, obesity policy

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Ruchiwit, M.

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International Journal of Quality in Health Care

ISI

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ผศ.นพ.ฉัตรนรินทร์ เมธีกุล

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Health: an interdisciplinary journal for the social study of health, IIIness and medicine

ISI

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รศ.ดร.มรรยาท รุจิวิชชญ์

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วารสารวิทยาศาสตร์และเทคโนโลยี

TCI

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รศ.ดร.มรรยาท รุจิวิชชญ์

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วารสารวิทยาศาสตร์และเทคโนโลยี

TCI

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รศ.ดร.ชนินทร์ มีโภคี และคณะ

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วารสารเอเชียตะวันออกศึกษา

TCI

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น.ส.อาภารัศมี ณะมณี

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วารสารธรรมศาสตร์เวชสาร

TCI

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นายวทัญญู ใจบริสุทธิ์

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วารสารเอเชียตะวันออกศึกษา

TCI

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นายวทัญญู ใจบริสุทธิ์

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วารสารเอเชียตะวันออกศึกษา

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Ruchiwit, M., Pawloski, L., Ruchiwit, K., & Wareenil, C.

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In recent years, there has been a rise in obesity related diseases in transitional countries. These countries once plagued with problems related to infectious disease and poverty now face a dual burden of both chronic and infectious disease. Thailand, has recently experienced significant economic growth and as a result the numbers related to obesity and obesity related diseases have risen significantly. Thailand is an important region to examine obesity related policy as this issue is timely and Thailand has been a model for successful public health interventions and policies throughout Asia. Further, such policies have significant implications for other regions of the world experiencing similar health transitions.

Pawloski, L. R., Ruchiwit, M., & Markham, S. M.

Thailand, Obesity, Nutrition policy, Nutrition transition

Pediatric nursing Volume 37

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Cowawintaweewat, S., Pootong, A., Ruchiwit, M., & Pawloski, L. R.

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39-45

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Ruchiwit, M., & Sai-Sagyuan, S.

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