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Impact of using a broad-based multi-institutional approach to build capacity for non-communicable disease research in Thailand.
Health Research Policy and Systems ( IF 4.139 ) Pub Date : 2019-06-14 , DOI: 10.1186/s12961-019-0464-8
Kathleen Potempa 1 , Benjaporn Rajataramya 2 , Debra L Barton 1 , Naruemol Singha-Dong 3 , Rob Stephenson 1 , Ellen M L Smith 1 , Matthew Davis 1 , Ivo Dinov 1 , Benjamin M Hampstead 4 , James E Aikens 5 , Laura Saslow 1 , Philip Furspan 1 , Atiya Sarakshetrin 6 , Srijan Pupjain 7
Affiliation  

Thailand's transition to high middle-income country status has been accompanied by demographic changes and associated shifts in the nation's public health challenges. These changes have necessitated a significant shift in public health focus from the treatment of infectious diseases to the more expensive and protracted management of non-communicable diseases (NCDs) in older adults.In 2010, in response to this shift in focus, the University of Michigan and colleagues at the Praboromarajchanok Institute for Health Workforce Development in Thailand began work on a broad-based multi-institutional programme for NCD research capacity-building in Thailand.To begin to build a base of intervention research we paired our programme's funded Thai postdoctoral fellows with United States mentors who have strong programmes of intervention research. One direct impact of the programme was the development of research 'hubs' focused upon similar areas of investigative focus such as self-management of cancer symptoms, self-management of HIV/AIDS and health technology information applications for use in community settings. Within these hubs, interventions with proven efficacy in the United States were used as a foundation for culturally relevant interventions in Thailand. The programme also aimed to develop the research support structures necessary within departments and colleges for grant writing and management, dissemination of new knowledge, and ethical conduct of human subject research.In an effort to capitalise on large national health datasets and big data now available in Thailand, several of the programme's postdoctoral fellows began projects that use data science methods to mine this asset. The investigators involved in these ground-breaking projects form the core of a network of research hubs that will be able to capitalise on the availability of lifespan health data from across Thailand and provide a robust working foundation for expansion of research using data science approaches.Going forward, it is vitally important to leverage this groundwork in order to continue fostering rapid growth in NCD research and training as well as to capitalise upon these early gains to create a sustaining influence for Thailand to lead in NCD research, improve the health of its citizens, and provide ongoing leadership in Southeast Asia.

中文翻译:

在泰国采用广泛的,多机构的方法来建立非传染性疾病研究能力的影响。

泰国向中等偏高收入国家过渡的过程中,伴随着人口结构的变化以及随之而来的公共卫生挑战的转变。这些变化使公共卫生的重点从治疗传染性疾病转移到了老年人非传染性疾病的更昂贵,更持久的管理上。2010年,为应对这一重点转移,美国大学加大了对公共卫生的关注。密歇根州和泰国Praboromarajchanok卫生人力发展研究所的同事开始为泰国的NCD研究能力建设制定一个基础广泛的多机构计划。为建立干预研究基础,我们将由该计划资助的泰国博士后研究人员配对与拥有强大干预研究计划的美国导师一起。该计划的直接影响是开发了针对类似研究重点领域的研究中心,例如癌症症状的自我管理,HIV / AIDS的自我管理以及在社区环境中使用的卫生技术信息应用程序。在这些中心内,在美国证明有效的干预措施被用作泰国与文化相关的干预措施的基础。该计划还旨在发展部门和学院内部必要的研究支持结构,以进行拨款撰写和管理,传播新知识以及对人类主题研究进行道德操守。泰国,该计划的几个 的博士后研究员开始了使用数据科学方法来挖掘此资产的项目。参与这些突破性项目的研究人员构成了研究中心网络的核心,这些中心将能够利用泰国各地的终身健康数据的可用性,并为使用数据科学方法扩展研究提供坚实的工作基础。向前发展,至关重要的是要利用这一基础,以继续促进非传染性疾病研究和培训的迅速增长,并利用这些早期的成果为泰国领导非传染性疾病研究,改善其国民的健康创造持续的影响力。 ,并在东南亚地区提供持续不断的领导。
更新日期:2019-06-14
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