1. Health Research in Thailand: A Gap Analysis Krit Pongpirul, MD. International Health Policy Program (IHPP-Thailand) doctorkrit@gmail.com

2. Outlines for Gap Analysis Trend (2544 vs 2546) Global Situations National Agencies Observations Proposals

3. Trend (2544 vs 2546)

4. 2544 vs 2546

5. Global Situations

6. Methodology Medline Search using Medical Subject Headings (MeSH) on July 5 th, 2005 Comments from today’s expert panel

7. Medical Subject Headings (MeSH) MeSH is the system designed and used by the National Library of Medicine (NLM) for assigning subject headings to books and journals articles in the medical sciences.

8. MeSH Tree Structure 1 1. Anatomy [A] 2. Organisms [B] 3. Diseases [C] 4. Chemicals and Drugs [D] 5. Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] 6. Psychiatry and Psychology [F] 7. Biological Sciences [G] 8. Physical Sciences [H] 9. Anthropology, Education, Sociology and Social Phenomena [I] 10. Technology and Food and Beverages [J] 11. Humanities [K] 12. Information Science [L] 13. Persons [M] 14. Health Care [N] 15. Geographic Locations [Z]

9. MeSH Tree Structure 2 Diseases [C] Bacterial Infections and Mycoses [C01]+ Virus Diseases [C02]+ Parasitic Diseases [C03]+ Neoplasms [C04]+ Musculoskeletal Diseases [C05]+ Digestive System Diseases [C06]+ Stomatognathic Diseases [C07]+ Respiratory Tract Diseases [C08]+ Otorhinolaryngologic Diseases [C09]+ Nervous System Diseases [C10]+ Eye Diseases [C11]+ Urologic and Male Genital Diseases [C12]+ Female Genital Diseases and Pregnancy Complications [C13]+ …

10. MeSH Tree Structure 3 Health Care [N] Population Characteristics [N01]+ Health Care Facilities, Manpower, and Services [N02]+ Health Care Economics and Organizations [N03] + Health Services Administration [N04]+ Health Care Quality, Access, and Evaluation [N05]+

11. Thai vs Global Kendall’s tau-b = -0.19 (p=0.04); Spearman’s rho = -0.31 (p=0.02)

12. 1.Diseases of the Organs Kendall’s tau-b = -0.039 (p=0.820); Spearman’s rho = -0.036 (p=0.887)

13. 1.Diseases of the Organs Kendall’s tau-b = -0.039 (p=0.820); Spearman’s rho = -0.036 (p=0.887)

14. 1.Diseases of the Organs Thai Mouth Diseases Anesthesiology Musculoskeletal Diseases Reference Values / Biomedical Research Cardiovascular Diseases Eye Diseases Nervous System Diseases Endocrine System Diseases Global Nervous System Diseases Cardiovascular Diseases Immune System Diseases Respiratory Tract Diseases Musculoskeletal Diseases Skin Diseases Gastrointestinal Diseases Endocrine System Diseases

15. 2.Health Problems Kendall’s tau-b = -0.197 (p=0.168); Spearman’s rho = -0.349 (p=0.087)

16. 2.Health Problems Kendall’s tau-b = -0.197 (p=0.168); Spearman’s rho = -0.349 (p=0.087)

17. 2.Health Problems Thai Molecular Biology Traditional Medicine Pharmacology Diagnostic Reagent Kits Communicable Diseases Mental Health Nutrition Drug Control Epidemiology Reproductive Health Environmental Health Substance-Related Disorders HIV Global Neoplasms Radiology Hereditary Diseases Nutrition Chronic Diseases Rehabilitation Substance-Related Disorders HIV Accidents Forensic Medicine Primary Health Care Pharmacology Occupational Medicine

18. 3.Enabling Mechanisms Kendall’s tau-b = 0.297 (p=0.160); Spearman’s rho = 0.432 (p=0.141)

19. 3.Enabling Mechanisms Kendall’s tau-b = 0.297 (p=0.160); Spearman’s rho = 0.432 (p=0.141)

20. 3.Enabling Mechanisms Thai Behavioral Sciences / Health Promotion Healthcare Quality Assessment Health Facilities / Health Manpower / Health Personnel Total Quality Management Health Economics Medical Informatics Health Care Evaluation Mechanisms Global Health Care Evaluation Mechanisms Health Services Health Facilities / Health Manpower / Health Personnel Health Economics Behavioral Sciences / Health Promotion Healthcare Quality Assessment Medical Informatics

21. National Agencies

22. Sources Priority setting report to NRC & NHF Feedback from expert panel in September 2004 Academic institutions were not included Agencies National Research Council (NRC) Thailand Research Fund (TRF) Health Systems Research Institute (HSRI) National Center for Genetic Engineering and Biotechnology (Biotec) Ministry of Public Health (MOPH)

23. Diseases of the Organs RankMeSHNRCTRFHSRIBiotecMOPH 1Mouth Diseases 2Anesthesiology 3Musculoskeletal Diseases 4Reference Values / Biomedical Research 5Cardiovascular DiseasesX 6Eye Diseases 7Nervous System DiseasesX 8Endocrine System Diseases 9Otorhinolaryngologic Diseases 10Respiratory Tract Diseases 11Kidney Diseases / Sudden Death 12Immune System Diseases 13Hematologic Diseases 14Gastrointestinal Diseases 15Urinary Tract Diseases 16Skin Diseases 17Liver Diseases

24. Health Problems 1 RankMeSHNRCTRFHSRIBiotecMOPH 1Molecular BiologyX 2Traditional MedicineXXX 3PharmacologyX 4Diagnostic Reagent KitsXX 5Communicable DiseasesXXX 6Mental Health 7Nutrition 8Drug ControlXX 9Epidemiology 10Reproductive Health 11Environmental Health 12Substance-Related Disorders 13HIVXX

25. Health Problems 2 RankMeSHNRCTRFHSRIBiotecMOPH 14NeoplasmsXX 15Radiology 16Occupational MedicineX 17Human Genome 18Biomedical Technology AssessmentX 19AccidentsXX 20Rehabilitation 21ThalassemiaXX 22Primary Health Care 23Chronic Diseases 24Hereditary DiseasesX 25Forensic Medicine

26. Enabling Mechanisms RankMeSHNRCTRFHSRIBiotecMOPH 1Behavioral Sciences / Health Promotion 2Healthcare Quality Assessment 3Health Facilities / Health Manpower / Health Personnel XX 4Total Quality Management 5Health Economics 6Medical InformaticsXX 7Health Care Evaluation Mechanisms 8Health ServicesXXXX 9Health PolicyXXX 10Ethical Issues 11Legislation 12Medical Education 13International Health Problems

27. Observations Wide & many gaps still exist Past & Present Global situation Thai situation Limitations of quantitative approach No systematic research database

28. Proposals Further qualitative approach MeSH-based research database Further inter-disciplinary collaboration