ICF In Thailand

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ICF In Thailand

• Pattariya Jarutat MD
• Director
• Sirindhorn National Medical Rehabilitation Centre
• WHO CC in training of medical rehabilitation ,
  prosthetic and orthotics

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Topics

• Thailand, Country profile
• Health care system evolution
• ICF study and implementation
• Future plan

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Thailand, country profile

• Part of Indochina Peninsula, S.E. Asia
• Area 514,000 sq.kms.
• Topography Plains and highlands.
• Weather Tropical rain and monsoon
  climate
• Population 63.08 millions
• Language Thai
• Religion Buddhism, Islam
• Government Democratic, constitutional monarchy
• Economy Agrarian subsistence farming, free
  market,
• middle income country

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Health care system evolution

• Initiated and supported by royal family.
• Thai traditional medicine
• Modern medicine ( 140 years )
• Temporary hospitals
• Permanent hospitals
• First medical school, ( 116 years old )

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Health care system evolution

• Current constitution and Policy
• community participation for laws
  amendment.
• New laws
• National Health Act
• National Health Security Act
• - focus on insecure and under-
  privileged group
• - coverage
• - impact on health system
  financing and
• development

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HC System under health security scheme

• Imbalance co-payment
• Emphasize more on primary prevention
• Poverty alleviation
• Disability certification
• Why ICF?
  
• -To make better for Disability devices
  
• provision

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ICF, study and implementation

• Introduction workshop
• Multidisciplinary integrating study
• Clinical study in each specialty
• Translation into Thai
• National disability survey
• Training workshop by WHO FIC network
• Holistic Health Management

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ICF, introduction workshop

• Resource persons
• Prof. Hisao Sato
• Dr. Yuichiro Haruna
• Topics
• - What is ICF and why it was developed
• - Summary Actual and possible
  application
• of ICF
• - ICF and information Technology
• Application in
  vocational rehabilitation
• information system in
  Japan.

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Multidisciplinary integrating study

• Min. of education
• Min. of social development and human security
• Min. of labor
• Min. of public health
• National statistics office
• Disabled persons organization

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ICF, clinical study

• Core set for spinal cord injury, multi-center
  study
• Core set for stroke, working with DIMDI
• Blindness
• Psychiatric patient
• Learning disability
• Core set for neurological impaired foot
• Family Medicine

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ICF based, National disability survey

• Prevalence of disability
• Distribution of severity of disability
• Access to and uses of social services
• Burden of services

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ICF, WHO FIC network training workshop

• ICF, Holistic health management
• Structures and value
• Experiences among countries
• WHO Disability Assessment Schedule
• Manual for Health Professions, APA
• Group exercises
• Small group sessions

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Lesson learnt

• Progressive training courses
• - concept and basic knowledge
• - exercise of classifying and coding
• Experience sharing among Thai
• Examples of successful implementation
• One or two days, could not go in depth
• Training the trainers and tools from WHO-FIC

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Future plan

• Disability certification for registration
• Dissemination Thai version
• Professional meeting
• Health Information System Development
• Office
• Policy and resource allocation

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Thank you

• For your attention.
• February 7, 2006

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