Basic Info




联合国成员国 泰国
机构名称 Sirindhorn National Medical Rehabilitation Institute
部门类型 卫生部
行政层级 国家的
项目名称 Innovative Foot Orthotic Clinic
项目运行年份 3




该倡议与UNPSA类别之一相关吗? 1. 促进创新包括数字化转型以提供具包容性和公平的公共服务


" 3.8 实现全民健康保障,包括提供金融风险保护,人人享有优质的基本保健服务,人人获得安全、有效、优质和负担得起的基本药品和疫苗 "
10.2 到2030年,增强所有人的权能,促进他们融入社会、经济和政治生活,而不论其年龄、性别、残疾与否、种族、族裔、出身、宗教信仰、经济地位或其他任何区别


请提供实施日期。 03 6月 2019








如有,请详细说明。 Public Service Awards, Office of the Public Sector Development Commission, 2021

题 9: 您是如何得知联合国公共行政奖的?

您是如何得知联合国公共行政奖的? Office of the Public Sector Development Commission, OPDC, inspires our organization to improve and leverage our services and importantly, encourages us to submit this awards.

题 10: 问题九:确认同意


Nomination form


题 1

Feet are the important part of the body. The feet hold the whole-body weight. Foot structure abnormalities or long hours of weight bearing activities during the day could cause foot pain. According to Thomas et al(1) 39% of population have a foot problem that might disturb activities in their daily lives. Some foot problems may cause a devastating complication. For example, chronic diabetic foot ulcer could lead to amputation and disability. Moreover, Levelille et al, noted that foot pain truly affects capability in everyday life of female elderly.(2) Thus, healthy feet would definitely lead to good physical health. Benvenuti et al claimed that a proper assessment and treatment of foot problems could help prevent a foot injury and decrease disability.(3) Foot health has a great impact on people’s health. Lack of knowledge and inaccessibility to foot health checkup can cause serious problems. Therefore, foot health problems affect people at the national level. In Thailand, most patients received services when a foot injury affects daily lives, causing a loss of time and expense. Foot orthoses (FO) can prevent and decrease pain. This treatment uses the principle of correcting foot deformities, distributing weight, reducing heel shock, friction, and increasing comfort. FO for medical treatment is produced by a professional orthotist. This is a standardized treatment approach and can reduce the cost of surgical treatment by up to 200 times.(4) The custom foot orthoses are recognized as a treatment that prevents foot injuries and treats foot diseases such as bruises, flat feet, deformed feet, and diabetic feet.(5-7) Foot care is a multidisciplinary team effort. In the past, Thailand had very few orthotists who specialized in foot health. Many hospitals have a shortage of specialists and insufficient tools and equipment leading to long waiting time to receive foot orthoses.

题 2

“Innovative Foot Orthotic Clinic '' is an innovative service to increase access to foot health care service and is the first one-stop service in Thailand. It provides foot care and responds to individual foot problems at professional standard quality.Technology is applied to improve diagnostic precision and reduce production time and process to enable fast services. The innovation creates cooperation among multidisciplinary teams. The clinic environment is renovated for client’s convenience. Patient’s opinion is welcomed for the continual development process and to enable the rights to access to care for all.

题 3

a. 请具体说明该项目支持哪个/些可持续发展目标和具体目标,并详细说明该项目如何为这些目标的实施做出了贡献。(最多200字)
The initiation aligns with the third goal, "Good health and well-being" as it covers the whole dimensions of health promotion, prevention, treatment, and rehabilitation. The clinic provides knowledge on foot care such as selecting suitable shoes for each foot structure. It enables patients to receive appropriate and comprehensive services that are suitable to each patient's condition and needs following professional standards. It also helps prevent, reduce, and slow deterioration of severe injuries that may result in disability which creates long-term healthcare costs. It also supports Goal 10 in reducing inequalities. The clinic provides services for all genders and age groups, focusing on responding to patient problems and needs for foot health care, especially for those who have injuries or problems with foot health, and people with disabilities. Moreover, the services enclose all rights to treatment without the extra cost.
b. 请描述一下该项目如何在社会、经济和环境方面具有可持续性。(最多100字)
Foot care in Thailand is not a widespread health service. People have insufficient awareness of foot health. Therefore, promoting foot care education is an important measure for behavioral change. As the first model clinic in the country, the key success is transferred to our networks and alliances both in academic institute and general hospitals. The clinic is used as a platform for knowledge transfer by exchanging the students, on-site training, and sharing in the academic conferences.

题 4

a. 请解释该项目如何解决特定国家或地区范围内的政府管理、公共行政或公共服务方面的重大缺失。 (最多200字)
The development of the “Innovative Foot Orthotic Clinic (IFOC)” is an innovation of specialized services that increases access to government services at affordable cost. It serves people with all foot diseases such as foot abnormalities, diabetic feet, and foot pain. The cornerstone in developing the clinic is the patient-centered care. The new technology has been implemented to assist in the patient assessment process to analyze the problems, make an accurate diagnosis, and enhance the production of Foot Orthoses(FOs) within shorter period of time with the standard quality. Therefore, IFOC is outstanding and different in terms of uncomplicated service systems with customized FOs according to the individual problem. FOs is accepted as a conservative treatment that prevents foot injuries and foot diseases such as plantar fasciitis, flat feet, deformed feet, diabetic feet, and also decreases the severity of diseases. The clinic covers all foot diseases starting from birth to complicated diseases. The fast and easy system makes it convenient for all patients to receive a premier service and devices without extra-cost and reducing unnecessary waiting and traveling time and expenses.
b. 请描述该项目如何解决国家背景下的性别不平等问题。 (最多100字)
Innovative Foot Orthotic Clinic promotes foot healthcare services for all ages without distinction between gender and social status. The implemented technology making the Foot orthosis possible to fit in all shoe types, including high heels, eliminating the gender barrier. The cost of treatment is covered by every medical benefit scheme in the country without extra cost.
c. 请描述该项目的目标群体是谁,并解释该项目给目标群体带来的改善成果。 (最多200字)
Innovative Foot Orthotic Clinic provides services for all foot diseases. The continuous improvement process is applied to meet patient satisfaction. Modern technologies have been implemented in the clinic to enhance effective assessment and reduced the production process. The conventional production time takes 5-7 days to manufacture a pair of insoles while with applied modern technologies the time is cut down to 1 hour. Therefore, the clinic can serve more patients every year (shown in the graph attached, however due to the pandemic of COVID-19, the number of patients decreases in 2020-2021). Moreover, in order to support the growing demand of patients, staff skills and expertise need to be continuously developed. Health literacy is another mission of the clinic. The information about foot and related topics has been promoted through communication channels in various formats such as website, Facebook, YouTube, Line application, and public relations media. The clinic is a service model that both government and private agencies are interested in in order to transfer knowledge for further development.

题 5

a. 请描述该项目是如何实施的,包括关键发展和步骤、监测、评估活动以及年表。 (300字)
The development approach of the Innovative Foot Orthotic Clinic is as followed. 1.The first priority is to develop capable personnel. This includes planning, allocating, and increasing the number of specialized personnel by attending training in Thailand and other countries. The knowledge is shared among orthotists within the organization to promote community of practice. 2.The service system is then improved by readjusting the procedures, simplifying workflows, and increasing service effectiveness with cooperation of a multidisciplinary team, such as rehabilitation doctors, physical therapists, andorthotists. The clinic reduces the whole process into 1 day instead of 5-7 days by the implementation of the modern technologies. Moreover, the clinic establishes the follow-up system in every patient to ensure quality of use. 3.Advanced technology is introduced into the assessment and manufacturing of insoles, for example, designing insoles by CAD-CAM, which is a computer system that helps to collect data from foot scanning, design insole shapes, and manufacture insoles within 15-20 minutes. The patient’s data is also stored and can be accessed at any time in order to duplicate the device. This technology can manufacture four insoles in less than an hour. Besides, the foot scanner is portable, hence, it can be used to serve people at the mobile clinic. 4.The clinic environment is renovated in order to serve more clients at the same time.
b. 请清楚地解释所遇到的障碍以及这些障碍是如何被克服的。(100字)
1.The inadequacy of the staff is planned to be solved by encouraging the knowledge transfer within the organization. 2.The waste time in appointment process is managed by leaning the system, for example, using the phone appointment in order to lessen the time spent at the unit. 3.The general population’s health literacy on foot care is still quite low. They tend to access for service at the very late stage, making the foot problem more complicated, creating higher cost of care and poor outcome. Thus, this program also offers the foot health knowledge for general public.

题 6

a. 请说明在您所在国家或地区,该项目在哪些方面具有创新性。(最多100字)
The foot pressure scanning technology has been implemented in the Innovative Foot Orthotic Clinic to enhance the efficacy of foot assessment for individuals. The static and dynamic foot pressure will be analyzed individually and used in the designing process to improve device quality. Moreover, the CAD/CAM manufacturing technology has been utilized to simplify workflow and increase device quantity and quality. Such technologies are regarded as service innovation that serves individual footcare and allows access to quality services that meet the international standard in the context of Thailand.
b. 如果相关,请描述该项目是如何从其它国家和地区的成功项目中获得灵感的。(最多100字)
The technologies used in the clinic is the application of insole manufacturing technology that are already in use in various countries, especially European countries such as Italy, France and Germany. It has been implemented and applied to suit the context of Thailand in order to be able to provide services to cover all foot diseases for more people. The clinic redesigned the government service system by using a customer centered approach and became the modern foot clinic model in Thailand and served as a learning center for government and private agencies.
c. 如果使用新兴技术和前沿技术,请说明这些技术如何整合在倡议中以及如何包含数字政府。 (限制100个字)
1. P- walk is the pressure sensor that measures plantar pressure in static and dynamic phases. It helps diagnose the existence of postural and walking alterations. 2. Duna 3D digiplan is a scanning system developed to keep the digitalization of the foot plantar surface which will be used to design the custom insole in the special program. In combination with the CNC milling machine, a Computer Aided Manufacturing machine that is specially designed to manufacture insoles in a large quantity in less time. 3. Podiatech is the insole manufacturing technology that enables the delivery of custom insole in 1 hour.

题 7

a. 根据您的组织信息,该项目有没有转接或适用到其它情况(例如,其它城市、国家、或者地区)?如果有,请说明在哪里以及是如何进行的。(最多200字)
“Innovative Foot Orthotic Clinic '' provides services that cover all conditions and respond to individual foot problems. Knowledge is transferred through academic works and seminars, for example, the National academic conference and the 11thNational Academic Seminar on Persons with Disabilities Exhibition 2019. This is the platform for stakeholders in service provision for persons with disabilities. The acceptance to share in this conference indicated the quality service for the vulnerable. Moreover, the clinic received the Public Service Awards in Service Innovation branch at Good level in year 2021 by the Office of the Public Sector Development Commission (OPDC). This award is given to the organizations that commit in improving service quality and achieve the outcome of convenience, time-saving, transparency, fair and satisfaction of client. Furthermore, it cooperates with Mahidol university in Prosthetics and Orthotics training(distance learning course) . It also provides on-the-job training program for medical personnel all over the countries.
b. 如果尚未转移/适用到其它情况,请描述其转移的可能性。(最多200字
Innovative Foot Orthotic Clinic has always been the reference center on foot health problems for the relevant agencies. Here are some examples of training courses by IFOC. 1. Foot orthoses and shoes for diabetes course in 2012, 53 participants 2. Foot orthoses manufacturing course in 2014, 40 participants 3. Prosthetic and Orthotic technician course since 2016 until present, 56 participants 4. Cooperating with Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine, Siriraj Hospital, Mahidol university as training center in Prosthetics and Orthotics courses (distance learning) 5. Training Prosthetics and Orthotics students and medical personnel from regional hospitals every year such as Hat Yai hospitals, Yala Regional hospital, Pranangklao hospital etc. with more than 20 participants annually.

题 8

a.使用了哪些具体资源(例如财务、人力或其他资源)来实施该项目? (最多100字)
Innovative Foot Orthotic Clinic has implemented budget allocation, human resources, technology, and materials by annual government statements of expenditure, Department of Medical Services. Moreover, it received an enhanced facilities budget from private agencies. The clinic has created cooperation and integration among multidisciplinary teams such as physiatrists, nurses, physical therapists, and orthotists. In addition, clients and stakeholders from other institutions have played important roles in suggesting and giving feedback to develop the service system.
b. 请从财务和机构角度来解释,是什么确保该项目的长期可持续性?(最多100字)
IFOC is operated under the Sirindhorn National Medical Rehabilitation Institute (SNMRI) which is a technical division of the Department of Medical Services, Ministry of Public Health. It is sustainable over time because of the strong level of policy support. The annual work plan and budget of relevant government agencies are sufficiently and appropriately allocated according to the policy direction and operational guidelines. Therefore, SNMRI strongly commits to cooperate with all sectors in improving academic quality and services for PWD. The development is also in accordance with the national strategy in providing fair and equal access to health service.

题 9

a. 该项目是在内部还是外部正式评估的?
b. 请描述一下评估是如何进行的以及由谁评估的。 (最多100字)
Innovative Foot Orthotic Clinic has been externally evaluated by the Office of the Public Sector Development Commission (OPDC) and received the Public Service Awards, in Service Innovation branch at Good level in the year 2021. This award is given to the government agencies that have made significant improvements in service quality and have a high impact on the people in the country. Internally, the clinic has been evaluated and assessed according to Hospital Accreditation (HA) guidelines to ensure the service operation standards.
c. 请描述使用的指标和工具。(最多100字)
The Public Service Awards is evaluated based on 4 dimensions: 1. Problems analysis: Analyze the background and importance of the existing problems. 2. Problem solving and implementation: The concept of clinic innovation and step-by-step improvement that shows the empirical outcome. 3. Output or empirical outcome: showing the statistical outcome including the benefits received by clients. 4. Project sustainability: The key lessons are taken for further use and in accordance with the SDGs. Internally, the clinic is evaluated based on Hospital Accreditation and percentage of patient satisfaction with the service and percentage of patients accessing quality services according to professional standards.
d. 评估的主要发现是什么(例如,该项目筹集的资源充足、实施质量和面临的挑战、主要成果、倡议的可持续性,影响力等)以及如何利用这些信息为该项目的实施提供资讯 。(最多200字)
The award and evaluations received show that the development is on the right track. The service provided 100% patient satisfaction and the award guaranteed the efficiency of the clinic. This draws attention from many stakeholders and the public to aware of the importance of foot care. The Ministry of Public Health has launched the policy to establish a network of foot clinics at hospitals across the country using Innovative Foot Orthotic Clinic as a role model.

题 10

请描述该项目如何被列入相关的制度环境(例如,它与相关政府机构的关系如何,以及与已运行机构的关系如何)。 (最多200字)
Innovative Foot Orthotic Clinic has created a coordination network among relevant government agencies, international agencies, multidisciplinary teams and community by applying prosthetic and orthotic experiences from around the world adapted to Thailand’s context under available resources. During the initial stage, the problem identification was conducted in cooperation with the Department of Medical Services and the community. The results showed that specialists in foot health care in Thailand are extremely lacking. The existing clinics operated their services without specialization, coordination and integration. Therefore, the clinic collaborated with relevant agencies and communities to develop a one-stop service for all foot conditions to formulate an integrated foot health community development plan. Each agency has operated its activities. Foot health literacy and foot orthotic production is operated by SNMRI Prosthetic and Orthotic Unit. Enhancing community, budget allocation and strengthening personnel ability is implemented by the Department of Medical Services. Foot orthotic technology is consulted by Italian Duna Company. Orthotic laboratory specialization is advised by Otto bock Company. Under the operation of innovation foot orthotic clinic roles and responsibilities, all agencies at all levels have been successfully linked without any conflicts with shared purpose to continuously improve the patient’s foot health.

题 11

2030年可持续发展议程强调协作、参与、合作关系和包容性。请描述哪些利益相关方参与设计、实施和评估计划以及这些参与是如何实现的。 (最多200字)
Prosthetic and Orthotic Unit of Sirindhorn National Medical Rehabilitation Institute (SNMRI)is the main operating unit. The internal stakeholders include members of the medical service committee, physiotherapy unit, and nursing department. The executive committee of the institute supports the resource allocation, training and personnel development for the sustainability of the clinic. External stakeholders include clients, especially those with disabilities, and trainees who participate in the training programs. All have played important roles in the development and the clinic monitoring and evaluation.

题 12

There are three important issues that we have learned from this initiation. First, the successful development needs to be based on knowledge, experience in patient’s care, and the continual improvement process. Second, in order to achieve the common goal of multidisciplinary team, the patient-centered care concept is crucial. Third, technologies are the cornerstone of leaning the service system. The next step of the clinic consists of: The short term plan focuses on knowledge distribution to publicize and promote health literacy in foot health care. The aim is to anticipate people to realize the essential foot health care. The long term plan is promoting the foot health clinic service in the areas with limited number of Prosthetist and Orthotist personnel. Academic and service networks are to be supported in any hospital with inadequate instruments and technologies. The foot clinic will act as the facilitator and manufacture base in allocating devices to the network hospital. In this attempt, patients in the countryside would receive services close to home and reduce travel expenses.