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  1. Article ; Online: Integrating public health and primary care: the response of six Asia-Pacific countries to the COVID-19 pandemic.

    Noknoy, Sairat / Kassai, Ryuki / Sharma, Neil / Nicodemus, Leilanie / Canhota, Carlos / Goodyear-Smith, Felicity

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2021  Volume 71, Issue 708, Page(s) 326–329

    MeSH term(s) Asia/epidemiology ; COVID-19 ; Humans ; Pandemics/prevention & control ; Primary Health Care ; Public Health ; SARS-CoV-2
    Language English
    Publishing date 2021-06-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/bjgp21X716417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Priorities for primary health care policy implementation: recommendations from the combined experience of six countries in the Asia-Pacific.

    Kassai, Ryuki / van Weel, Chris / Flegg, Karen / Tong, Seng Fah / Han, Tin Myo / Noknoy, Sairat / Dashtseren, Myagmartseren / Le An, Pham / Ng, Chirk Jenn / Khoo, Ee Ming / Noh, Kamaliah Mohd / Lee, Meng-Chih / Howe, Amanda / Goodyear-Smith, Felicity

    Australian journal of primary health

    2020  Volume 26, Issue 5, Page(s) 351–357

    Abstract: Primary health care is essential for equitable, cost-effective and sustainable health care. It is the cornerstone to achieving universal health coverage against a backdrop of rising health expenditure and aging populations. Implementing strong primary ... ...

    Abstract Primary health care is essential for equitable, cost-effective and sustainable health care. It is the cornerstone to achieving universal health coverage against a backdrop of rising health expenditure and aging populations. Implementing strong primary health care requires grassroots understanding of health system performance. Comparing successes and barriers between countries may help identify mutual challenges and possible solutions. This paper compares and analyses primary health care policy in Australia, Malaysia, Mongolia, Myanmar, Thailand and Vietnam. Data were collected at the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) Asia-Pacific regional conference in November 2017 using a predetermined framework. The six countries varied in maturity of their primary health care systems, including the extent to which family doctors contribute to care delivery. Challenges included an insufficient trained and competent workforce, particularly in rural and remote communities, and deficits in coordination within primary health care, as well as between primary and secondary care. Asia-Pacific regional policy needs to: (1) focus on better collaboration between public and private sectors; (2) take a structured approach to information sharing by bridging gaps in technology, health literacy and interprofessional working; (3) build systems that can evaluate and improve quality of care; and (4) promote community-based, high-quality training programs.
    MeSH term(s) Adult ; Australia ; Female ; Health Policy ; Humans ; Malaysia ; Male ; Mongolia ; Myanmar ; Primary Health Care/methods ; Thailand ; Vietnam
    Language English
    Publishing date 2020-07-30
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2566332-X
    ISSN 1836-7399 ; 1448-7527
    ISSN (online) 1836-7399
    ISSN 1448-7527
    DOI 10.1071/PY19194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: RCT of effectiveness of motivational enhancement therapy delivered by nurses for hazardous drinkers in primary care units in Thailand.

    Noknoy, Sairat / Rangsin, Ram / Saengcharnchai, Pichai / Tantibhaedhyangkul, Usa / McCambridge, Jim

    Alcohol and alcoholism (Oxford, Oxfordshire)

    2010  Volume 45, Issue 3, Page(s) 263–270

    Abstract: Aims: To determine the effectiveness of Motivational Enhancement Therapy (MET) for hazardous drinkers in Primary Care Unit (PCU) settings in rural Thailand.: Methods: A randomized controlled trial was conducted in eight PCUs in Ubonratchatanee and ... ...

    Abstract Aims: To determine the effectiveness of Motivational Enhancement Therapy (MET) for hazardous drinkers in Primary Care Unit (PCU) settings in rural Thailand.
    Methods: A randomized controlled trial was conducted in eight PCUs in Ubonratchatanee and Chachoengsao provinces in Thailand. Hazardous drinkers were identified using the World Health Organization-recommended Alcohol Use Disorder Identification Test. Of 117 eligible participants (91% male), 59 were randomized to the intervention group to receive MET in three individual appointments with a trained nurse and 58 to an assessment-only control group. Outcome evaluations were carried out after 6 weeks, 3 months and 6 months.
    Results: Follow-up data were available on 84, 94 and 91% of subjects, respectively, at the three intervals. Self-reported drinks per drinking day, frequency of hazardous drinking assessed either on a daily or weekly basis, and of binge drinking sessions were reduced in the intervention group more than in the control group (P < 0.05) after both 3 and 6 months. The groups did not generally differ at 6 weeks. However, although self-reported consumption in both groups fell from baseline to 6-month follow-up, serum gamma-glutamyl transferase increased in both groups, which raises doubts about the validity of this marker in this sample and/or the validity of the self-reported data in this study.
    Conclusion: MET delivered by nurses in PCUs in Thailand appears to be an effective intervention for male hazardous drinkers. Uncertainties about the validity of self-reported data jeopardize the safety of this conclusion.
    MeSH term(s) Adolescent ; Adult ; Aged ; Alcoholism/psychology ; Alcoholism/rehabilitation ; Biomarkers/blood ; Double-Blind Method ; Female ; Follow-Up Studies ; Health Behavior ; Humans ; Male ; Middle Aged ; Motivation ; Nurses ; Primary Health Care ; Psychiatric Status Rating Scales ; Psychotherapy/methods ; Sample Size ; Thailand ; Treatment Outcome ; Young Adult ; gamma-Glutamyltransferase/blood
    Chemical Substances Biomarkers ; gamma-Glutamyltransferase (EC 2.3.2.2)
    Language English
    Publishing date 2010-05
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 604956-4
    ISSN 1464-3502 ; 0309-1635 ; 0735-0414
    ISSN (online) 1464-3502
    ISSN 0309-1635 ; 0735-0414
    DOI 10.1093/alcalc/agq013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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