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Journal articles on the topic 'Physicians Thailand Attitudes'

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Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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1

Panakhup, Manatsara, Intouch Lertpanomwan, Chayaphat Pajonklaew, Tawepong Arayapisit, Suraphong Yuma, Patr Pujarern, Tharee Champirat, Naiyana Buranachad, Pornpoj Fuangtharnthip, and Chanita Tantipoj. "Attitude of Physicians towards Periodontal Disease and Diabetes Mellitus Screening in Dental Clinics in Thailand." International Journal of Environmental Research and Public Health 18, no. 10 (May 18, 2021): 5385. http://dx.doi.org/10.3390/ijerph18105385.

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Background: Diabetes mellitus (DM) is one of the top causes of death in many places of the world. Diagnosing DM in the early stage is necessary to avoid severe cases and death. Objectives: To evaluate the knowledge of association between DM and periodontal disease (PD) among Thai physicians and assess their attitudes towards DM screening in dental clinics in Thailand. Methods: Online survey of currently practicing physicians in Thailand was conducted on voluntary basis using the newly developed questionnaire. Result: We received 403 responses that are statistically sufficient to represent the entire population of currently practicing physicians in Thailand. A total of 97.3% of all responses indicate that Thai physicians have knowledge about the association between DM and PD. More than 90% know that DM has an effect on PD; however, 70% know about the effect of untreated PD in DM patients. Most of physicians think that DM screening in dental clinics is important (79.1%) and are ready to accept referred cases for definite DM diagnosis from a dentist (84.1%). The concerned issues among the participants were the accuracy of the test results in DM screening (73%) and ability of a dentist to perform the screening (71.5%). Conclusions: The majority of participating physicians have adequate knowledge about the bidirectional relationship between DM and PD. They have a positive attitude towards DM screening in dental setting. The collaboration between physicians and dental professionals should be established to reduce the number of undiagnosed DM patients and enhance the medical care of DM patients.
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2

Sanitya, Rugsapon, Aniqa Islam Marshall, Nithiwat Saengruang, Sataporn Julchoo, Pigunkaew Sinam, Rapeepong Suphanchaimat, Mathudara Phaiyarom, Viroj Tangcharoensathien, Nongluk Boonthai, and Kamheang Chaturachinda. "Healthcare Providers’ Knowledge and Attitude Towards Abortions in Thailand: A Pre-Post Evaluation of Trainings on Safe Abortion." International Journal of Environmental Research and Public Health 17, no. 9 (May 4, 2020): 3198. http://dx.doi.org/10.3390/ijerph17093198.

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Although physicians in Thailand can carry out abortions legally, unsafe abortion rates remain high and have serious consequences for women’s health. Training programs for healthcare providers on the ‘Care of unplanned and adolescent pregnancies for the prevention of unsafe abortions’ have been implemented in Thailand with the aim of providing information and challenging negative attitudes about abortions. This study investigated the participants of the training courses in order to: (i) evaluate their knowledge and attitudes towards safe abortions; and (ii) investigate the factors that determine their knowledge and attitudes. A pre-post study design was applied. Descriptive statistics were calculated to provide an overview of the data. Bivariate analysis, a Wilcoxon signed rank test and a multivariable analysis using multiple linear regression were applied to determine the changes in attitudes and assess the likelihood of behaviour change towards adolescents and women experiencing unplanned pregnancy and abortions, according to demographic and professional characteristics. Having had the training, healthcare providers’ change in attitudes towards adolescents and women experiencing unplanned pregnancies and abortions were found to be 0.67 points for the nine responses of attitudes and 0.79 points for the 14 responses on various abortion scenarios. Changes in attitude were significantly different among the varying health professional types, with non-doctors increasing by 0.53 points, non-obstetricians and non-gynaecologists increasing by 0.46 points and obstetricians and gynaecologists (OBGYN) increasing by 0.32 points. Positive attitudes towards unplanned pregnancies and unsafe abortions and attitudes towards abortion scenarios significantly increased. The career type of the health professional was a significant factor in improving attitudes. The training program was more effective among non-doctor healthcare providers. Therefore, non-doctors could be the target population for training in the future.
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Pitanupong, Jarurin, Jaturaporn Sangkool, and Chonnakarn Jatchavala. "Outpatient’s Preference and Attitudes Towards the Thai Physician’s Attire: A Cross-Sectional Study." Songklanagarind Medical Journal 36, no. 1 (March 27, 2018): 3. http://dx.doi.org/10.31584/smj.2018.36.1.761.

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Objective: To determine Thai, outpatients’ preference and attitudes towards various styles of a physicians’ attire, whilst they were on duty at Songklanagarind Hospital, within Songkhla province, Thailand.Material and Method: A cross-sectional study was conducted at Songklanagarind Hospital, Songkhla, Thailand; during the periods of January to March, 2015. Outpatients, who visited and were waiting to see their doctor, were approached by simply, convenience randomization. Demographic characteristics of participants along with their preference on attire were collected by using a self-rating questionnaire enclosed with 3 various styles of attire pictures.Results: Most patients preferred both male and female physicians, who wore white coats (70.0%), while they were on duty, either during weekdays or over the weekend. Similarly, the patients stated that they trusted physicians, who wore white coats (92.2%), more than those in a style of formal attire, (7.5%) or casual clothing (0.3%) during the weekday due to; a sense of professionalism and knowledge. Although, most patients also preferred physicians wearing white coats over the weekend and holiday periods (50.4%) they could accept a form of smart, casual dress, (45.0%) more so than a style of formal attire (4.7%).Conclusion: Most patients preferred and tended to trust physicians, who wore white coats during both official and non-official times.
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Moon, Hanlim, Dang Huy Quoc Thinh, Wimonrat Sriraj, Marzida Binti Mansor, Kian Hian Tan, Suhana Yusak, Johan Kurnianda, et al. "Patient and physician satisfaction with analgesic treatment in Southeast Asia (SEA): Findings from the analgesic treatment for cancer pain in Southeast Asia (ACE) study." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e21698-e21698. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e21698.

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e21698 Background: Adequate dosing of analgesics is important for optimum cancer pain control & quality of life (QoL). To understand current attitudes toward analgesic treatment for cancer pain in SEA, the ACE study explored patient & physician satisfaction with pain control in 6 SEA countries. Methods: This cross-sectional observational study included 465 adult outpatients prescribed analgesics for cancer pain for ≥1 month in Indonesia, Malaysia, Philippines, Singapore, Thailand, & Vietnam. Pain intensity, sleep disturbance, QoL, satisfaction with pain control, & physicians’ assessment of adequacy of analgesics were recorded via questionnaires. Current analgesic doses prescribed were extracted from medical records. Results: Most patients (84%) had stage 3 or 4 cancer. While 91% were prescribed opioids, mean reported pain intensity was 4.1 (0/no pain, 10/worst possible pain) & most had problems with sleep (55%) & QoL (problems with pain/discomfort [82%], usual activities [66%] & anxiety/depression [56%]). 60% of patients were satisfied with their pain control status & 30% found it acceptable. Physicians more often reported dissatisfaction with patients’ pain control status compared with patients (21% vs 10%). Patient-physician concordance in satisfaction with pain control was low (weighted Kappa 0.36; 95% CI 0.30-0.43). More than 1 in 4 physicians (29%) assessed prescribed analgesics to be “inadequate” for pain control. Median daily dose prescribed in oral morphine equivalents was 30 mg for both morphine & tramadol. Of the SEA countries included, prescribed doses of opioids were generally lower in Indonesia & higher in Vietnam. Conclusions: The results highlight the complexity of managing cancer pain in SEA. Despite unrelieved pain, sleep disturbance & QoL issues, many patients still reported satisfaction with pain control. Notably, physicians expressed dissatisfaction more frequently than patients. These findings suggest a need for all-round pain status assessment (including pain intensity, sleep disturbance, QoL) & improved patient-physician communication about analgesic treatment expectations, pain control & adverse effects.
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5

Bhatta, M. P., J. S. A. Stringer, P. Phanuphak, and S. H. Vermund. "Mother-to-child HIV transmission prevention in Thailand: physician zidovudine use and willingness to provide care." International Journal of STD & AIDS 14, no. 6 (June 1, 2003): 404–10. http://dx.doi.org/10.1258/095646203765371303.

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We conducted a mail survey of Thai physicians involved in obstetric care to assess attitudes and practices regarding zidovudine use during pregnancy and willingness to provide care for HIV-infected women in 1999. Of 845 respondents, 57% reported using perinatal zidovudine prophylaxis, an increase from 20% reported in 1997. Highest failure-to-use rates (52%) were among the respondents from Central and Southern Thailand and lowest failure rate was among those from the North (37%). Predictors of failure to use zidovudine in a multivariable logistic regression analysis were not knowing a source from which to obtain zidovudine (odds ratio [OR]=3.1), working in smaller hospitals (district/provincial/private hospitals) (OR=2.0), being from Eastern/Central/Southern Thailand (OR=1.4), unwillingness to perform caesarean section delivery on a HIV-positive women (OR=1.8), having provided antenatal care to fewer than 100 women in 1998 (OR=1.7), and unfamiliarity with Pediatric AIDS Clinical Trial Group 076 protocol (OR=2.9). A number of respondents described themselves as unwilling to perform pelvic examinations (15%), vaginal delivery (29%), or caesarean sections (37%) on HIV-infected pregnant women. About 39% of the respondents advocated elective terminations of pregnancy for HIV-infected women. Our survey indicates an increasing willingness of Thai physicians to use antiretroviral therapy to prevent mother-to-child HIV transmission and to provide obstetric care to HIV-infected women. However, availability and affordability remained major barriers to more widespread antiretroviral use in 1999.
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6

Brachman, P. "Knowledge and attitudes of hospital-based physicians and trainees about HIV infection in the United States, Canada, India, and Thailand." Archives of Internal Medicine 156, no. 7 (April 8, 1996): 761–66. http://dx.doi.org/10.1001/archinte.156.7.761.

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7

Brachman, Philip. "Knowledge and Attitudes of Hospital-Based Physicians and Trainees About HIV Infection in the United States, Canada, India, and Thailand." Archives of Internal Medicine 156, no. 7 (April 8, 1996): 761. http://dx.doi.org/10.1001/archinte.1996.00440070085010.

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8

Khongrang, Siriporn, Chitima Boongird, Soontraporn Phiphadthakusolkul, and Krongtong Putthipokin. "Health Promotion Education for Elderly Patients by Using Structured Self-Health Records to Enhance Knowledge and Attitudes Toward Fall Prevention." Ramathibodi Medical Journal 42, no. 1 (March 18, 2019): 19–28. http://dx.doi.org/10.33165/rmj.2019.42.1.125623.

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Background: Health promotion education in elderly is the most important key to successful implementation of fall prevention program in primary care practice. The Ministry of Public Health in Thailand has encouraged the hospital in community to use the self-health records which were found to enhance healthy behaviors. Objective: To compare the knowledge and attitudes on fall prevention among elderly patients and their caregivers before and after the education program that employed using self-health records and receiving the counseling from nurses and pharmacists. Methods: This embedded mixed methods study was designed by using the structured questionnaires including demographic data and measuring the knowledge and attitude on fall prevention for quantitative arm (143 elderly patients and 42 caregivers). The open-ended questions about the advantages and disadvantages of self-health records were used in qualitative part among 106 elderly patients and 29 caregivers after 6 months of using their records. Results: Knowledge and attitude scores were statistically higher in all parts, including appropriate use of the medications, following vaccination schedule, and getting information about fall prevention from their primary care physicians. All participants in qualitative study required to have their self-health records to improve their understanding about their medications and health information. Conclusions: Self-health records and receiving the counseling from nurses and pharmacists not only enhances the knowledge and attitude toward fall prevention program in older adults but also helps patients to communicate with the specialists about their health information.
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Sittisombut, Sudarat, Colleen Maxwell, Edgar J. Love, and Chitr Sitthi-Amorn. "Physicians' attitudes and practices regarding advanced end-of-life care planning for terminally ill patients at Chiang Mai University Hospital, Thailand." Nursing & Health Sciences 11, no. 1 (February 10, 2009): 23–28. http://dx.doi.org/10.1111/j.1442-2018.2008.00416.x.

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Stringer, Jeffrey S. A., Elizabeth McPhillips Stringer, Praphan Phanuphak, Paradorn Jetwana, Damrong Reinprayoon, Ellen M. Funkhouser, and Sten H. Vermund. "Prevention of Mother-to-Child Transmission of HIV in Thailand: Physicians' Attitudes on Zidovudine Use, Pregnancy Termination, and Willingness to Provide Care." JAIDS Journal of Acquired Immune Deficiency Syndromes 21, no. 3 (July 1999): 217. http://dx.doi.org/10.1097/00126334-199907010-00006.

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11

Park, J., S. Chow, H. Ngan, C. Pancharoen, R. Soon, P. Basu, Y. Qiao, and Y. Kim. "O885 Attitudes surrounding human papillomavirus (HPV) vaccination in Asia: Results of a survey of mothers and physicians from Malaysia, Korea, Taiwan and Thailand." International Journal of Gynecology & Obstetrics 107 (October 2009): S345. http://dx.doi.org/10.1016/s0020-7292(09)61258-3.

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12

Gosch, Markus, Christian Kammerlander, Emilio Fantin, Thomas Giver Jensen, Ana Milena López Salazar, Carlos Olarte, Suthorn Bavatonavarech, Claudia Medina, Bjoern-Christian Link, and Michael Cunningham. "Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110038. http://dx.doi.org/10.1177/21514593211003857.

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Introduction: Surgeons, internal medicine physicians, nurses, and other members of the healthcare team managing older adults with a fracture all have barriers to attending educational courses, including time away from practice and cost. Our planning group decided to create and evaluate a hospital-based educational event to address, meet, and improve the care of older adults with a fracture. Materials and Methods: A committee of surgeons and geriatricians defined 3 learning objectives to improve knowledge and attitudes in co-managed care. They designed a 1-day educational event consisting of a departmental visit, a review of cases, a planning session to identify gaps and plan changes, and presentations on selected topics. Thirteen hospitals worldwide completed an 8-question online application form, and 7 sites were selected for delivery over 3 years in Denmark, Colombia, Thailand, Paraguay, Switzerland, and the Dominican Republic. Results: Each event was conducted by 1 or more visiting surgeons and geriatricians, and the local team leaders. The most common challenges reported in the applications were preoperative assessment or optimization, delayed surgery, lack of protocols, access to a geriatrician, teamwork, and specific aspects of perioperative and postoperative care. In each department, 4 or 5 goals and targets for implementation were agreed. The presentations section was customized and attended by 20 to 50 team members. Discussion: Topics selected by a majority of departments were principles of co-managed care (7), preoperative optimization (7), and management of delirium (4). Follow up was conducted after 3 and 12 months to review the degree of achievement of each planned change and to identify any barriers to complete implementation. Conclusions: Hospital-based events with visiting and local faculty were effective to engage a broader audience that might not attend external courses. A performance improvement component with goal setting and follow up was acceptable to all host departments.
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Matsuda, Masami. "HIV/AIDS and Professional Freedom of Expression in Japan." Nursing Ethics 9, no. 4 (July 2002): 432–38. http://dx.doi.org/10.1191/0969733002ne526oa.

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A senior physician with a government role in Japan made a widely reported and misleading statement about Thailand’s policy on HIV/AIDS patients. He claimed that in Thailand the policy is to spend public money on the prevention of HIV infection while allowing AIDS patients to die untreated. The author, a community nursing specialist in Japan with first-hand knowledge of HIV/AIDS policy in Thailand, thought that this statement would influence attitudes negatively in Japan. However, speaking out about this misrepresentation of the facts carried certain risks. Although freedom of expression is valued in Japan, in practice it is not easy to contradict senior medical professionals. The author uses his experience of this difficult professional situation to teach nurses how to approach speaking out in the public interest.
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Wungrath, Jukkrit, and Nattapong Autorn. "Effectiveness of Line application and telephone-based counseling to improve medication adherence: A randomized control trial study among uncontrolled type 2 diabetes patients." Health Promotion Perspectives 11, no. 4 (December 19, 2021): 438–43. http://dx.doi.org/10.34172/hpp.2021.55.

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Background: More than 4.2 million cases of diabetes mellitus (DM) were reported in Thailand during 2019. Medication adherence is necessary to delay disease progression and prevent complications among uncontrolled type 2 DM patients. The objective of this research was to study how education via the Line application and telephone-based counseling impacted medication adherence knowledge by analyzing the behavior of uncontrolled type 2 diabetic patients. Methods: Uncontrolled type 2 DM patients in Doi Saket Hospital, Doi Saket district, Chiang Mai province, Thailand. were included in the study. The sample was divided into an experimental (n=30) and control group (n=30). Patients who met the inclusion criteria of having uncontrolled type 2 diabetes diagnosed by a physician for at least one year, capable of communicating in Thai, possessing a mobile phone with the Line application and able to partake in activities for eight weeks were recruited in the parallel-group randomized trial. The experimental group participated in the developed education program, while the control group received standard routine health education activities provided by their health care providers. The intervention was based on the 5Rs principle as right medicine, right dose, right route, right patient and right time and included activities via the Line application and telephone-based counseling. Participants were evaluated for their medication adherence knowledge and behavior. Results: After eight weeks of education through the Line application and telephone-based counseling, posttest mean scores of medication adherence knowledge of the experimental and control groups were 18.03 (SD=0.28) and 12.37 (SD=0.62), while posttest mean scores of medication adherence behavior of the experimental and control groups were 49.28 (SD=3.77) and 33.84 (SD=3.81), respectively. Results revealed that the experimental group had statistically significant (P<0.01) higher medication adherence knowledge and behavior mean scores. Conclusion: Education using the Line application and telephone-based counseling program improved medication adherence knowledge and behavior among uncontrolled type 2 DM patients. Other outcomes of social media interactions such as patient engagement, patient behavior and attitudes, and the efficacy of patient-health care provider communication levels are possible areas for future study.
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Lin, Shih-Ku, and An-Nie Chung. "T213. TREND OF LONG-ACTING INJECTABLE ANTIPSYCHOTICS USE IN ASIA: FINDINGS FROM REAP ANTIPSYCHOTIC STUDIES." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S313—S314. http://dx.doi.org/10.1093/schbul/sbaa029.773.

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Abstract Background Research on Asian Prescription Pattern (REAP) is the largest and the longest lasting international collaborative research in psychiatry in Asia since 2001. At present, four studies on antipsychotics in schizophrenia, two antidepressants, one bipolar disorder and one mood disorder were completed. Previous studies have examined the use of Long-acting Injectable (LAI) antipsychotic in patients with schizophrenia and revealed major differences across countries. The aim of the study is to investigate the prescription trend of LAI antipsychotic use in four REAP schizophrenia surveys. Methods We analyzed the results from four times of REAP studies (AP1 to AP4, 2001, 2004, 2009 and 2016), to compare the trend of LAI prescriptions rates in China, Hong Kong, Japan, Korea, Singapore, and Taiwan, and also the rate of LAI use among 15 Asian countries in AP4. Results A total of 10505 patients were analyzed, with an average rate of 14.6% of patients received LAI antipsychotic treatment. For comparison of AP1 to AP4, there was a wide variation in the rate of LAI use among the six countries, with the highest prescription rate in Singapore (68.1%) and the lowest in Korea (1.6 %). Korean patients received no LAIs treatment in the first two surveys, and the rates in China and Japan were also very low. While in Hong Kong and Singapore, the rates were much higher. In AP4 survey, India, Malaysia, Thailand, Pakistan and Sri Lanka have a higher rate of LAI use, while in Indonesia, Myanmar, the rate is much lower. Vietnam does not use LAI at all. The prescription trend was also diverse, which increased in Korea and Japan and decreased in China, Hong Kong and Singapore. The overall prescription trend of LAI was in decrease. Besides, when analyzing cases with only using second generation antipsychotics, the usage of LAI was increased. Discussion Previous studies identified several factors associated with prescription of LAI, including demographic and clinical characteristics of patients, patients’ and physicians’ attitude towards LAI, availability of LAI, insurance coverage and related cultural factors. The prescription trend of first generation LAI was decreased in most of the six countries; on the other hand, second generation LAI usages maintain steady level and even slightly increased. In conclusion, LAI antipsychotic is still underuse in Asia, especially in some countries such as Korea, China, Japan, Indonesia and Myanmar. Various factors that influenced the prescription rate of LAI antipsychotic should be addressed further.
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Sirikalyanpaiboon, May, Krittin Ousirimaneechai, Jeerath Phannajit, Panyavee Pitisuttithum, Watsamon Jantarabenjakul, Roongruedee Chaiteerakij, and Leilani Paitoonpong. "COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand." BMC Infectious Diseases 21, no. 1 (November 22, 2021). http://dx.doi.org/10.1186/s12879-021-06863-5.

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Abstract Background The COVID-19 vaccines provide renewed hope in the fight against the recent pandemic. To ensure widespread vaccination, it is crucial to analyze vaccine willingness and its determinants among physicians, key health care influencers. This study aimed to assess acceptance rate and identify factors associated with vaccine hesitancy among Thai physicians. Methods A cross-sectional online-based questionnaire was distributed to all physicians at King Chulalongkorn Memorial Hospital during March 31, 2021 to April 30, 2021 in order to assess their attitudes toward receiving the COVID-19 vaccine. Reasons for vaccine acceptance and refusal as well as predictors of vaccine hesitancy were analyzed by bivariate and multivariable analysis. Results A total of 705 complete responses were received with 95.6% (n = 675) of physicians expressing willingness to receive a COVID-19 vaccine. Only one of the 31 physicians (4.4%) who expressed a hesitancy or unwillingness to be vaccinated was a faculty member; the others were physicians-in-training. Approximately one-fifths of physicians surveyed were also not willing to recommend the vaccine to their family members (21.4%, n = 151) or patients (18.7%, n = 132). Using multivariable logistic regression, vaccine hesitancy was independently associated with preference for particular vaccines over the government allocated option, especially for mRNA vaccine (aOR 8.86; 95% CI 1.1–71.54; p = 0.041). Vaccine literacy showed an inverse relationship (aOR 0.34; 95% CI 0.13–0.9; p = 0.029) with vaccine hesitancy. Uncertainty of the vaccine efficacy (83.9%) and fear of adverse events (48.4%) were major concerns contributing to vaccine hesitancy. Conclusion This study revealed a high rate of physician willingness to take the COVID-19 vaccine especially among staffs; however, a significant proportion would not currently suggest vaccination to their families or patients. Restrictions on vaccine choice and vaccine illiteracy, together with concerns over adverse effects and uncertainty of efficacy, were associated with negative attitudes toward vaccination. To raise acceptance of the vaccination program, efforts should be made to balance individual preference for vaccine type in addition to increasing the availability of accurate data on safety and efficacy for each vaccine.
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Saengruang, Nithiwat, Nisachol Cetthakrikul, Anond Kulthanmanusorn, Somtanuek Chotchoungchatchai, Nareerut Pudpong, and Rapeepong Suphanchaimat. "Self-assessment of attitudes towards conditions to provide safe abortion among new medical graduates in Thailand, 2018: an application of cross-sectional survey with factor analysis." BMC Women's Health 21, no. 1 (July 27, 2021). http://dx.doi.org/10.1186/s12905-021-01412-3.

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Abstract Background Unsafe abortion is one of the major public health problems in Thailand. Although the penal code of Thailand and the Thai Medical Council permit doctors to perform safe abortion in certain conditions, little is known about the attitudes that new medical doctors have towards abortion. The objectives of this article are to explore the attitudes towards abortion in certain conditions among new medical graduates and to identify factors related to those attitudes. Methods A cross-sectional survey was conducted in 2018 among 2017 medical graduates who attended the annual workplace selection forum. The participants came from the two main tracks of admission to Thai medical schools: normal track and special track physicians, namely, the Collaborative Project to Increase Production of Rural Doctors (CPIRD). Of these 2017 graduates, 926 returned the questionnaire with complete information. Descriptive analysis, factor analysis, and multi-variable regression analysis were performed. Results We found that most physicians agreed to perform abortions in the context of life-threatening conditions for mothers and children, but not under conditions directly related to physical health (such as pregnancy with socioeconomic problems or pregnancy in adolescents). CPIRD doctors were less amenable than normal track doctors in providing abortions if the reason for the termination of pregnancy was related to socioeconomic problems. Conclusion The study suggests that a proactive campaign for new medical graduates to raise awareness and mutual understanding of abortion services should be exercised. The CPIRD curricula relating to safe abortion should enhance the capacity of medical graduates to deal with pregnant women who face not only a physical health-related problem, but also socioeconomic difficulties and well-being as a whole.
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"Thai Physicians’ Opinions about the Use of Home Blood Pressure Monitoring." Journal of the Medical Association of Thailand 104, no. 11 (November 15, 2021): 1870–72. http://dx.doi.org/10.35755/jmedassocthai.2021.11.12731.

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Hypertension is a powerful modifiable risk factor for cardiovascular disease. The prevalence of hypertension in Thailand is increasing progressively. Patients with hypertension are usually asymptomatic, and thus proper blood pressure measurement is required to diagnose and assess the blood pressure control. Home blood pressure monitoring (HBPM) is recognized as a useful tool in hypertension management and is recommended by many organizations, including the Thai Hypertension Society. The proven benefits of HBPM beyond the usual clinic measurement is that it allowed detection of white-coat hypertension and masked hypertension, better prediction of cardiovascular events, better assessment of the status of blood pressure control, and improved treatment compliance. Despite these benefits, the use of HBPM has remained low in many countries. The Asia HBPM Survey is a collaborative study of participants from 11 countries in Asia. The present study aimed to investigate physicians’ rationale, challenge, and attitudes toward the use of HBPM for hypertensive patients. Herein, the authors report Thai physicians’ responses in the Asia HBPM Survey.
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