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*

*‚√ßæ¬“∫“≈·°≈ß ®—ßÀ«—¥√–¬Õß

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¢âÕ¡Ÿ≈∑—Ë«‰ª, ¢âÕ¡Ÿ≈°“√¡“√—∫∫√‘°“√, ¢âÕ¡Ÿ≈ ‘∑∏‘¥â“π√—°…“æ¬“∫“≈, ·≈–¢âÕ¡Ÿ≈§à“„™â®à“¬¢Õß·√ßß“π µà“ß¥â“«∑’Ë¡“√—∫∫√‘°“√∑’Ë‚√ßæ¬“∫“≈·°≈ß ®—ßÀ«—¥√–¬Õß, ‚¥¬„™â·∫∫‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈®“°∑–‡∫’¬π ª√–«—µ‘¢Õß°≈ÿà¡·√ßß“πµà“ß¥â“«·≈–§√Õ∫§√—« ®“°‚ª√·°√¡ HIM Pro. ∑’Ë¡“√—∫∫√‘°“√¬âÕπÀ≈—ß Ò ªï µ—Èß·µà Ò µÿ≈“§¡ ÚıÙ˘ - Û °—π¬“¬π Úıı ‰¥â®”π«π°≈ÿà¡ª√–™“°√µ—«Õ¬à“ß∑—Èß ‘Èπ ˆ,Òˆı √“¬

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æ¬“∫“≈ æ∫«à“ºŸâ√—∫∫√‘°“√ “¡“√∂™”√–§à“„™â®à“¬‰¥â‡Õß√âÕ¬≈– ıÙ.Ù˘. ºŸâ√—∫∫√‘°“√∑’Ë·ºπ°ºŸâªÉ«¬

πÕ° “¡“√∂™”√–§à“„™â®à“¬‰¥â¡“°°«à“ºŸâ√—∫∫√‘°“√∑’Ë·ºπ°ºŸâªÉ«¬„π.

§” ”§—≠: ·√ßß“πµà“ß¥â“«, ‚√ßæ¬“∫“≈·°≈ß

Abstract Non-Thai Laborers Attending Klaeng Hospital, Rayong Province Sanont Sungpapan*

*Klaeng Hospital, Rayong Province

This was an exploratory and retrospective study, the objective of which was to study the medical treatment provided to aliens availing themselves of remedial services, medical privileges, and the expenses paid for such services at Klaeng Hospital in Rayong Province. The data were collected using the HIM Pro. program, which extracted data from the medical records of this group of patients and their families who sought medical treatment in the previous year (from October 1, 2006 to September 30, 2007). The total 6,165 cases comprised 5,792 out-patients and 373 in- patients. The analysis used percent- ages and means. The results of the study found that the majority of the non-Thai laborers

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Õ“≥“‡¢µµ‘¥µàÕ°—∫ª√–‡∑»‰∑¬ ‰¥â·°à æ¡à“ ≈“« ·≈–°—¡æŸ™“.

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·√ßß“πµà“ß¥â“«Õ¬à“ß‡ªìπ√–∫∫µàÕ‡π◊ËÕß^(Ú).

·√ßß“πµà“ß¥â“«∑’Ë‡¢â“¡“∑”ß“π„πª√–‡∑»‰∑¬¡’∑—Èß∑’Ë∂Ÿ°

°ÆÀ¡“¬ ·≈–À≈∫Àπ’‡¢â“‡¡◊Õß ‡¢â“∑”ß“πÕ¬Ÿàµ“¡ ∂“π ª√–°Õ∫°“√µà“ß Ê ‡™àπ °‘®°“√, °√√¡°√„π‚√ßß“π, ª√–¡ß

·≈–ª√–¡ßµàÕ‡π◊ËÕß, °√√¡°√∑—Ë«‰ª, ‡æ“–ª≈Ÿ°, §π√—∫„™â, §π

‡≈’È¬ß —µ«å ®π°≈“¬‡ªìπª√–™“°√·Ωß®”π«π¡“° ‡ªìπ‡Àµÿ„Àâ

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¡“°. ®“°¢âÕ¡Ÿ≈°“√‡¢â“√—∫µ√«® ÿ¢¿“æ°àÕπ‡¢â“∑”ß“π¢Õß

·√ßß“πµà“ß¥â“«∑’Ë‚√ßæ¬“∫“≈·°≈ß ®—ßÀ«—¥√–¬Õß „π æ.».

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·√ßß“πµà“ß¥â“«. ®“°°“√¥”‡π‘πß“π àß‡ √‘¡ ÿ¢¿“æ·≈–

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and their families were Cambodian, aged 21-25 years, with mean age being 26.5 years old. With regard to the medical privilege, they paid the fee concerned by themselves, the cost of which exceeded the privilages obtained. The majority of alien laborers were using the services for medical check-ups for employment purposes, health promotion, antena- tal care (ANC), immunization, family planning, etc. The major diseases or illness found were injury, and gastro-intestinal tract and respiratory tract problems, 13.37, 7.10, 5.94 percent, respectively. The infected diseases found in the out-patient section were diarrhea, tuberculosis, syphilis, HIV, and food poisoning in 1.19, 0.22, 0.19, 0.10, 0.07 percent of the cases, respectively. Admitted patients had diarrhea, dengue hemorrhagic fever, HIV, appendicitis and viral hepatitis in 2.86, 1.07, 1.07, 0.54, 0.27 of the cases, respectively.

As for the expenses for the medical treatment of the alien laborers that did not have such privileges, the study found that 54.49 percent of the patients were able to pay the fees.

The out- patients had a greater capacity to pay the fees than the patients admitted to the hospital.

Key words: alien laborers, Klaeng Hospital

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- ¢âÕ¡Ÿ≈°“√¡“√—∫∫√‘°“√

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(4)

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(√âÕ¬≈– .ı¯), Õ“¬ÿ ıˆ-ˆ ªï ˜ √“¬ (√âÕ¬≈– .ÒÒ) ·≈–

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‡¬Á∫·º≈√âÕ¬≈– Ò.ÚÙ, ∑âÕß‡ ’¬·≈–°√–‡æ“–Õ“À“√·≈–

≈”‰ â‡≈Á°Õ—°‡ ∫√âÕ¬≈– Ò.Ò˘, °≈ÿà¡Õ“°“√øíπßÕ°√âÕ¬≈– Ò.ÒÚ.

à«π∑’Ë·ºπ°ºŸâªÉ«¬„π¡“√—∫∫√‘°“√¥â«¬°“√§≈Õ¥‡¥’Ë¬«§≈Õ¥

‡Õß√âÕ¬≈–ÚÛ.ı˘, §≈Õ¥∑“√°¡’™’«‘µ√âÕ¬≈– ÚÛ.ı˘, °“√

·∑âß‡Õß√âÕ¬≈– Ù.Ú˘, ‚√§∑âÕß√à«ß·≈–°√–‡æ“–Õ“À“√·≈–

≈”‰ â‡≈Á°Õ—°‡ ∫µ‘¥‡™◊ÈÕ√âÕ¬≈– Ù.Ú ·≈–‡≈◊Õ¥ÕÕ°¢≥–‡√‘Ë¡

µ“√“ß∑’Ë Ú ‚√§¢Õß°≈ÿà¡µ—«Õ¬à“ß

√“¬ √âÕ¬≈–

‚√§

°—¡æŸ™“ æ¡à“ ≈“« √«¡ °—¡æŸ™“ æ¡à“ ≈“« √«¡

ªí®®—¬µà“ß Ê ∑’Ë¡’º≈µàÕ ∂“π– ÿ¢¿“æ Ò,¯ˆÒ Ò,ÒÙ ÚÙ˘ Û,ÒÚÙ Û.Ò˘ Òˆ.Ùı Ù.Ù ı.ˆ˜

°“√∫“¥‡®Á∫ ı¯ˆ ÚÒı Ùˆ ¯Ù˜ ˘.ıÒ Û.Ù˘ .˜ı ÒÛ.˜Ù

‚√§√–∫∫¬àÕ¬Õ“À“√ Û¯ ÒÚ Ú¯ ÙÛ¯ ı. Ò.ˆı .Ùı ˜.Ò

‚√§∑“ßÀ“¬„® ÚıÒ ÒÙ ÒÒ Ûˆˆ Ù.˜ Ò.ˆ˘ .Ò¯ ı.˘Ù

°≈ÿà¡‚√§µ‘¥‡™◊ÈÕ Ò¯¯ Ù¯ ÒÒ ÚÙ˜ Û.ı .˜¯ .Ò¯ Ù.Ò

‘Ëßº‘¥ª√°µ‘µ√«®æ∫∑“ßÀâÕßªØ‘∫—µ‘°“√ ÒÚ¯ ˆˆ ÒÒ Úı Ú.¯ Ò.˜ .Ò¯ Û.ÛÛ

‰¡à¡’¢âÕ¡Ÿ≈°≈ÿà¡‚√§ ÒÚ˜ ıÚ Òˆ Ò˘ı Ú.ˆ .¯Ù .Úˆ Û.Òˆ

°“√µ—Èß§√√¿å °“√§≈Õ¥ √–¬–À≈—ß§≈Õ¥ ÒÛÙ Ûˆ ˆ Ò˜ˆ Ú.Ò˜ .ı¯ .Ò Ú.¯ı

‚√§√–∫∫ ◊∫æ—π∏ÿå ˘Ò ÛÛ ˆ ÒÛ Ò.Ù¯ .ıÙ .Ò Ú.ÒÒ

‚√§√–∫∫°≈â“¡‡π◊ÈÕ ı¯ Û ı ˘Û .˘Ù .Ù˘ .¯ Ò.ıÒ

‚√§º‘«Àπ—ß ı¯ Ò¯ Û ˜˘ .˘Ù .Ú˘ .ı Ò.Ú¯

‚√§µ“ Ùı ¯ Ú ıı .˜Û .ÒÛ .Û .¯˘

‚√§®‘µ‡«™ Ú¯ Û Û ÛÙ .Ùı .ı .ı .ıı

‚√§ÀŸ ÒÚ ÒÛ ˆ ÛÒ .Ò˘ .ÚÒ .Ò .ı

‚√§µàÕ¡‰√â∑àÕ ˘ ÚÒ  Û .Òı .ÛÙ  .Ù˘

‚√§√–∫∫ª√– “∑ ÚÒ ˘  Û .ÛÙ .Òı  .Ù˘

‚√§√–∫∫‰À≈‡«’¬π‡≈◊Õ¥ Òı ı Ù ÚÙ .ÚÙ .¯ .ˆ .Û˘

“‡Àµÿ¿“¬πÕ° ÒÚ Ù Û Ò˘ .Ò˘ .ˆ .ı .ÛÒ

¿“«–∫“ßÕ¬à“ß∑’Ë‡°‘¥„π√–¬–ª√‘°”‡π‘¥ ÒÛ Û  Òˆ .ÚÒ .ı  .Úˆ

‚√§‡≈◊Õ¥ ¯ Ù  ÒÚ .ÒÛ .ˆ  .Ò˘

‚√§‡π◊ÈÕßÕ° Ù ı  ˘ .ˆ .¯  .Òı

§«“¡º‘¥ª√°µ‘ §«“¡æ‘°“√·µà°”‡π‘¥ Ò Ù  ı .Ú .ˆ  .¯

(5)

Òˆı

µ—Èß§√√¿å√âÕ¬≈– Û.˜ı. ‚√§µ‘¥µàÕæ∫∑’Ë·ºπ°ºŸâªÉ«¬πÕ° ‰¥â·°à

‚√§Õÿ®®“√–√à«ß, «—≥‚√§, ´‘øî≈‘ , ‡Õ™‰Õ«’ ·≈–Õ“À“√‡ªìπæ‘…

√âÕ¬≈– Ò.Ò˘, .ÚÚ, .Ò˘, .Ò ·≈– .˜ µ“¡≈”¥—∫.

‚√§∑’Ëæ∫∑’ËÀÕºŸâªÉ«¬„π ‰¥â·°à Õÿ®®“√–√à«ß, ‰¢â‡≈◊Õ¥ÕÕ°,

‡Õ™‰Õ«’, ‚√§≈”‰ âµ‘¥‡™◊ÈÕ ·≈–µ—∫Õ—°‡ ∫‰«√— ∫’ √âÕ¬≈– Ú.¯ˆ, Ò.˜, Ò.˜, .ıÙ, .Ú˜ µ“¡≈”¥—∫.

§à“„™â®à“¬¥â“π√—°…“æ¬“∫“≈¢Õß°≈ÿà¡µ—«Õ¬à“ß„™â°“√

™”√–‡ªìπ‡ß‘π ‚¥¬ºŸâªÉ«¬πÕ°™”√–§à“√—°…“æ¬“∫“≈‰¥â√âÕ¬≈–

˘Ù.˜˘ ·≈–ºŸâªÉ«¬„π™”√–§à“„™â®à“¬‰¥â√âÕ¬≈– Òı.¯ˆ. ‚¥¬

√«¡·≈â« “¡“√∂™”√–§à“„™â®à“¬‰¥â√âÕ¬≈– ıÙ.Ù˘.

«‘®“√≥å

®“°°“√»÷°…“æ∫«à“°≈ÿà¡µ—«Õ¬à“ß à«π„À≠à‡ªìπ™“«°—¡æŸ™“,

√Õß≈ß¡“‡ªìπ™“«æ¡à“ ·≈–≈“«, ™“¬·≈–À≠‘ß®”π«π„°≈â

‡§’¬ß°—π, Õ“¬ÿ ÚÒ-Û ªï¡“°∑’Ë ÿ¥, ‘∑∏‘°“√™”√–‡ªìπ‡ß‘π¡“°

°«à“ ‘∑∏‘ª√–°—π ÿ¢¿“æ ´÷Ëß¢âÕ¡Ÿ≈‡À≈à“π’È Õ¥§≈âÕß°—∫°“√

¥”‡π‘πß“π„π™ÿ¡™π∑’Ëæ∫·√ßß“πµà“ß¥â“«·≈–ºŸâµ‘¥µ“¡®”π«π

¡“°∑’Ë‰¡à‰¥â¢÷Èπ∑–‡∫’¬π·≈–µ√«® ÿ¢¿“æ ®÷ß ¡§«√¡’°“√

ª√–™“ —¡æ—π∏å„Àâ¡’°“√¢÷Èπ∑–‡∫’¬πÕ¬à“ß∂Ÿ°°ÆÀ¡“¬, ¢Õ∫—µ√

Õπÿ≠“µ∑”ß“π, µ√«® ÿ¢¿“æ ·≈–∑”∫—µ√ª√–°—π ÿ¢¿“æ

‡æ◊ËÕ§—¥°√Õß‚√§µ‘¥µàÕ, ‚√§ª√–®”µ—« ·≈–°“√‡¢â“∂÷ß∫√‘°“√

“∏“√≥ ÿ¢ œ≈œ.

°≈ÿà¡‚√§∑’Ëæ∫„π·√ßß“πµà“ß¥â“«∑’Ë¡“√—∫∫√‘°“√∑—ÈßÀ¡¥

æ∫¡“¥â«¬°“√∫“¥‡®Á∫, ‚√§√–∫∫¬àÕ¬Õ“À“√, ‚√§∑“ßÀ“¬„®

·≈–√“¬‚√§µà“ß Ê ∑’Ëæ∫∑’Ë·ºπ°ºŸâªÉ«¬πÕ°·≈–·ºπ°ºŸâªÉ«¬„π.

‡π◊ËÕß®“°æ∫ºŸâ√—∫∫√‘°“√¡’§√√¿å·≈–¡“§≈Õ¥¡“°∑’Ë ÿ¥´÷Ëß Õ¥§≈âÕß°—∫°“√»÷°…“·≈–¢âÕ¡Ÿ≈∑’Ëºà“π¡“^(ı-˜) ®÷ß ¡§«√

√≥√ß§å¥â“π°“√«“ß·ºπ§√Õ∫§√—« ·≈–„Àâ§«“¡√Ÿâ¥â“πæƒµ‘°√√¡

ÿ¢¿“æ.

§à“„™â®à“¬„π°“√√—°…“æ¬“∫“≈¢Õß·√ßß“πµà“ß¥â“«∑’Ë‰¡à¡’

ª√–°—π ÿ¢¿“æ ºŸâªÉ«¬πÕ° “¡“√∂™”√–§à“√—°…“æ¬“∫“≈‰¥â

¡“°°«à“ºŸâªÉ«¬„π Õ“®‡ªìπ‡æ√“–®”π«π§à“„™â®à“¬ºŸâªÉ«¬πÕ°

‰¡à Ÿß‡∑à“§à“„™â®à“¬ºŸâªÉ«¬„π ∑”„Àâ‚√ßæ¬“∫“≈µâÕß√—∫¿“√–§à“

„™â®à“¬ªï≈–®”π«π¡“°. ‚√ßæ¬“∫“≈§«√¡’°“√«“ß√–∫∫„π°“√

µ‘¥µ“¡§à“√—°…“æ¬“∫“≈ ·≈–§«√¡’µ—Èßß∫ª√–¡“≥ ‡æ◊ËÕ π—∫ πÿπ„π°≈ÿà¡·√ßß“πµà“ß¥â“«∑’Ë‰¡à‰¥â¢÷Èπ∑–‡∫’¬π ·≈–‰¡à “¡“√∂√—∫º‘¥™Õ∫§à“„™â®à“¬¥â“π√—°…“æ¬“∫“≈‰¥â.

‡Õ° “√Õâ“ßÕ‘ß

Ò. ”π—°æ—≤π“√–∫∫∫√‘°“√ ÿ¢¿“æ °√¡ π—∫ πÿπ∫√‘°“√ ÿ¢¿“æ

°√–∑√«ß “∏“√≥ ÿ¢. ·π«∑“ß°“√¥”‡π‘πß“π√–∫∫∫√‘°“√

¿“¬„µâ‚§√ß°“√øÑ“¡‘µ√. æ‘¡æå§√—Èß∑’Ë Ò. °√ÿß‡∑æ¡À“π§√: ∫√‘…—∑

π‘«∏√√¡¥“°“√æ‘¡æå (ª√–‡∑»‰∑¬) ®”°—¥; ÚıÙ¯. ˘˘ Àπâ“.

Ú. °√¡ª√–™“ —¡æ—π∏å ΩÉ“¬«‘‡§√“–Àå·≈–ª√–¡«≈¢à“« “√ ”π—° “√π‘‡∑».

√–¬Õß ®—¥ —¡¡π“‚√ßæ¬“∫“≈™ÿ¡™π ¥Ÿ·≈·√ßß“πµà“ß¥â“«. ÒÚ-ÒÙ

°—π¬“¬π Úıı.

Û. §¡™—¥≈÷°. çÀ≈ÿ¡¥”...·√ßß“π‡∂◊ËÕπ°ÆÀ¡“¬‰∑¬‰√âæ‘… ßé; Úˆ

°—π¬“¬π Úıı.

Ù. °Õß “∏“√≥ ÿ¢¿Ÿ¡‘¿“§. ‡Õ° “√ª√–°Õ∫°“√ª√–™ÿ¡µ‘¥µ“¡°“√

¥”‡π‘πß“π¥â“π “∏“√≥ ÿ¢„π·√ßß“πµà“ß¥â“«. ”π—°ß“πª≈—¥

°√–∑√«ß “∏“√≥ ÿ¢. ÚıÙÙ. (‡Õ° “√‚√‡π’¬«‡¬Á∫‡≈à¡).

µ“√“ß∑’Ë Û §à“„™â®à“¬„π°“√√—°…“æ¬“∫“≈¢Õß°≈ÿà¡µ—«Õ¬à“ß ‘∑∏‘™”√–‡ß‘πªïß∫ª√–¡“≥ Úıı

§à“√—°…“æ¬“∫“≈∑—ÈßÀ¡¥ §à“√—°…“æ¬“∫“≈∑’Ë®à“¬‰¥â §à“√—°…“æ¬“∫“≈∑’Ë§â“ß™”√–

(∫“∑) (∫“∑) (∫“∑)

®”π«π (∫“∑) √âÕ¬≈– ®”π«π (∫“∑) √âÕ¬≈–

ºŸâªÉ«¬πÕ° Ò,ıı¯,ÛıÒ Ò,Ù˜˜,ÚÒÚ ˘Ù.˜˘ ¯Ò,ÒÛ˘ ı.ÚÒ

ºŸâªÉ«¬„π Ò,ˆÚı,˜˜ˆ Úı˜,¯˘ Òı.¯ˆ Ò,Ûˆ˜,˘ˆ˜ ¯Ù.ÒÙ

√«¡ Û,Ò¯Ù,ÒÚ˜ Ò,˜Ûı,ÚÒ ıÙ.Ù˘ Ò,ÙÙ˘,Òˆ Ùı.ıÒ

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Òˆˆ

ı. ¥π¬“ ∏π–Õÿ¥¡. °“√»÷°…“ ¿“«–°“√‡®Á∫ªÉ«¬·≈–Õπ“¡—¬°“√‡®√‘≠

æ—π∏ÿå„π°≈ÿà¡·√ßß“πµà“ß¥â“«·≈–§√Õ∫§√—«∑’Ë¡“√—∫∫√‘°“√„π ∂“π

∫√‘°“√ “∏“√≥ ÿ¢¿“§√—∞ æ◊Èπ∑’Ë‡¢µ Ò, ÚıÙ˘.

ˆ. ®√—≈ µƒ≥«ÿ≤‘æß…å. ∂“π°“√≥å¥â“π “∏“√≥ ÿ¢„π·√ßß“πµà“ß¥â“«.

‡Õ° “√ª√–°Õ∫°“√ª√–™ÿ¡ —¡¡π“‡√◊ËÕßπ‚¬∫“¬·≈–·π«∑“ß¥”‡π‘π

ß“π¥â“π “∏“√≥ ÿ¢„π·√ßß“πµà“ß¥â“«. (‡Õ° “√‚√‡π’¬«‡¬Á∫‡≈à¡). Ú˘

- ÛÒ ¡°√“§¡ ÚıÙı.

˜. ™—¬¬ÿµ‘ ¢ÿπ‡®√‘≠, ™Ÿ»—°¥‘Ï ‚¡≈‘‚µ, À¡ÿ¥ À¡–À¡—¥, ¥«ß°¡≈ √—µπ-

»√’∑—¬. °“√»÷°…“‚√§µ‘¥µàÕ„π·√ßß“πµà“ß¥â“«∑’ËÀ≈∫Àπ’‡¢â“‡¡◊Õß.

”π—°ß“πªÑÕß°—π§«∫§ÿ¡‚√§∑’Ë ÒÚ ®—ßÀ«—¥ ß¢≈“; ÚıÙ¯.