PDF(Pubmed)
Abstract：
Adverse events and medical harm comprise major health concerns for people all over the world, including Thailand. The prevalence and burden of medical harm must always be monitored, and a voluntary database should not be used to represent national value. The purpose of this study is to estimate the national prevalence and economic impact of medical harm in Thailand using routine administrative data from the inpatient department electronic claim database under the Universal Coverage scheme from 2016 to 2020. Our findings show that there are approximately 400,000 visits with potentially unsafe medical care per year (or 7% of all inpatient visits under the Universal Coverage scheme). The annual cost of medical harm is estimated to be approximately USD 278 million (approximately THB 9.6 billion), with an average of 3.5 million bed-days per year. This evidence can be used to raise safety awareness and support medical harm prevention policies. Future work should focus on improving medical harm surveillance using better data quality and more comprehensive data on medical harm.
摘要：
不良事件和医疗伤害是全世界人民的主要健康问题，包括泰国。必须始终监测医疗伤害的发生率和负担，自愿数据库不应被用来代表国家价值。这项研究的目的是使用2016年至2020年普遍覆盖计划下的住院部电子索赔数据库中的常规管理数据来估计泰国医疗伤害的国家患病率和经济影响。我们的调查结果表明，每年大约有40万次就诊可能不安全的医疗护理(或全球覆盖计划下所有住院就诊的7%)。医疗伤害的年度成本估计约为2.78亿美元（约96亿泰铢），平均每年350万张床。这些证据可用于提高安全意识并支持医疗伤害预防政策。未来的工作应侧重于使用更好的数据质量和更全面的医疗伤害数据来改善医疗伤害监测。
