Ethics, Social Media and E-Health in Thailand

Suttisak Jantavongso


This paper represents the intersection of ethics, social media, and electronic health (e-health) research domains. Following the papers titled “Ethics and E-Health in Thailand” and “Ethics and Social Media” published in 2013; this paper is one of the research working papers on ethics in Thailand by the researcher.  This study introduced the roles of e-health and discussed certain ethical related issues aiming at those who were not familiar with e-health and the roles of Information Communications Technology (ICT) in healthcare.  The research method was based on the Information Systems (IS) research approach, which employed a positivist research framework. The framework proposed a research cycle consisting of three stages. This paper presented the results of the theory building stage. The influence of ICT and the Internet including social media was an important factor in how healthcare services in Thailand are being offered and practiced. Whereas e-health relies on digital technologies to improve the efficiency of services, enhance service and product quality, empower patients and healthcare consumers, foster relationships between healthcare providers and patients, and promote education; the impact of e-health on patients and issues relating to the online practice of health services, privacy, informed consent, and health equity must be examined. These posed issues for greater attention on “e-health ethics”.

Full Text:



Jantavongso S. Ethics and e-health in Thailand. Proceedings of the Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics 2013; 2013; Bangkok.

Tangcharoensathien V, Limwattananon S, Prakongsai P. Improving health-related information systems to monitor equity in health: lessons from Thailand. The Economics of Health Equity. Cambridge: Cambridge University Press; 2007. p. 222-46.

Limwattananon S, Tangcharoensathien V, Prakongsai P. Equity in financing healthcare: impact of universal access to healthcare in Thailand Nonthaburi: Ministry of Public Health; 2005 [cited 2013 17 September]. Available from: /publications/docs/EquitapWP16.pdf.

Kaye R, Kokia E, Shalev V, Idar D, Chinitz D. Barriers and success factors in health information technology: A practitioner's perspective. Journal of Management & Marketing in Healthcare. 2010;3(2):163-75.

Moghadasi H, Asadi F, Hosseini A, Hossein ZE. A model for measuring e-health status around the world. Pajoohandeh Journal. 2012;16(7):347-57.

Kemp S. Digital, social & mobile in 2015: we are social's compedium of global digital statistics 2015 [cited 2015 19 March]. Available from:

Nantiruj T, Maneerat N, Varakulsiripunth R, Izumi S, Shiratori N, Kato T, et al. An e-health advice system with Thai herb and an ontology. Proceedings of the 3rd International Symposium on Niomedical Engineering; 2008.

Ventola CL. Social media and health care professionals: benefits, risks, and best practices. Pharmacy and Therapeutics. 2014;39(7):491.

De Choudhury M, Morris MR, White RW. Seeking and sharing health information online: comparing search engines and social media. Proceedings of the 32nd annual ACM conference on Human factors in computing systems; 2014; New York: ACM.

Kahn S, Sheshadri V. Medical record privacy and security in a digital environment. IT professional. 2008;10(2):46-52.

Khalifehsoltani SN, Gerami MR. E-Health challenges, opportunities and experiences of developing countries. Proceedings of the IC4E'10 e-Education, e-Business, e-Management, and e-Learning; 2010: IEEE.

Charmonman S. Country Report 2007 on eEverything from Thailand. Proceedings of the 24th South East Asia Regional Computer Conference; 2007; Bangkok.

Goldman J, Hudson Z. Virtually exposed: privacy and e-health. Health Affairs. 2000;19(6):140-8.

Norton L, Al-Assaf A. Ethics of E-Health. American Academy of Medical Administrators. 2006;Summer:3.

Shanks G, Arnott D, Rouse A. A review of approaches to research and scholarship in information systems. Proceedings of the 4th Australian Conference on Information Systems; 1993; Brisbane.

Poston B. Maslow’s hierarchy of needs. The Surgical Technologist. 2009 (August):347-53.

Rhodes RP. Health care politics, policy, and distributive justice: the ironic triumph. Albany: State University of New York Press; 1992.

Harrison JP, Lee A. The role of e-health in the changing health care environment. Nursing Economics. 2006;24(6):283-8.

Kijsanayotin B, Kasitipradith N, Pannarunothai S. eHealth in Thailand: the current status. Studies in health technology and informatics. 2010;160(1):376-80.

General Electric Company. GE healthcare’s eHealth solutions 2013 [cited 2013 18 June]. Available from:

Wongkaew T, Thammakoranonta N. Factors effecting consumers’ attitudes toward using of e-Healthcare. Proceedings of the International DSI / Asia and Pacific DSI 2007; Bangkok.

Boyd D, Ellison N. Social network sites: definition, history, and scholarship. Journal of Computer‐Mediated Communication. 2007;13(1):210-30.

Paireepairit I. Free space of expression: new media and Thailand’s politics. Berlin: Friedrich-Ebert-Stiftung, 2012.

Cambridge University Press. The Cambridge dictionary 2014 [cited 2014 March 3]. Available from:

Oxford University Press. The Oxford dictionary 2014 [cited 2014 March 3]. Available from:

Eid M, Ward SJ. Ethics, new media, and social networks. Global Media Journal-Canadian Edition. 2009;2(1):1-4.

Jacobs DJ. E-health diabetes self management system. Rondebosch: University of Cape Town; 2011.

Thairathonline. Minister of public health advises patient who live in the high area to consult their doctors with LINE application 2013 [cited 2015 15 February]. Available from:

Lokapattana P. Social media: the critical risk in medical informatics. Pathumthani: Rangsit University; 2014.

Prakongsai P. The impact of the universal coverage policy on equity of the Thai health care system. London: University of London; 2008.

Mahidol University. Declaration of patient's rights 2015 [cited 2015 20 March]. Available from:

Office of the Prime Minister. National health act B.E. 2550. Royal Thai Government Gazette. 2007;124:3.

United Nations Office on Drugs and Crime (UNODC). Thailand criminal code 2015 [cited 2015 20 March]. Available from: /tha/criminal-code-as-of-2008_html/Thailand_Criminal_Code.pdf.

Ministry of Information and Communication Technology. Computer Crime Act B.E. 2550. Bangkok: Ministry of Information and Communication Technology; 2015.

World Health Organization. Building Foundations for eHealth Geneva: World Health Organization, 2006.

Mahidol University. What is health informatics? 2013 [cited 2013 19 September]. Available from: informatics.htm.

Rangsit University. Bachelor of science program in medical informatics 2013 [cited 2013 19 September]. Available from:

Mahidol University. Master of science in health informatics (international programme) 2013 [cited 2013 19 September]. Available from: th/MUPHBSweb/degrees/index.html.

Silpakorn University. Master of pharmacy program in health informatics 2013 [cited 2013 19 September]. Available from: programs.

Kok A. Thailand: successful e-health system lauded. FutureGov. 2009.

Bumrungrad International Hospital. Advanced Technologies: Bumrungrad International Hospital; 2013 [cited 2013 18 June]. Available from:

World Health Organization. Atlas eHealth country profiles. Geneva: World Health Organization, 2011.

Anderson JG. Social, ethical and legal barriers to e-health. International journal of medical informatics. 2007;76(5):480-3.

Simkevitz H. The business of privacy in healthcare delivery. Bell, 2010.

Bodkin C, Miaoulis G. eHealth information quality and ethics issues: an exploratory study of consumer perceptions. International Journal of Pharmaceutical and Healthcare Marketing. 2007;1(1):27-42.

Kelly B. E-health: ethical and data privacy challenges in the EU. London,: Clinica Medtech Intelligence, 2011.

Liang BA, Mackey TK, Lovett KM. eHealth ethics: the online medical marketplace and emerging ethical issues. Ethics in Biology, Engineering and Medicine. 2011;2(3):253-65.

Himma KE, Tavani HT. The handbook of information and computer ethics. Hoboken: John Wiley & Sons; 2008.

Johnson DG. Computer ethics. Upper Saddle River: Prentice Hall; 2009.

Garrety K, McLoughlin I, Wilson R, Zelle G, Martin M. National electronic health records and the digital disruption of moral orders. Social Science & Medicine. 2014;101:70-7.

Mack J. Beyond HIPAA: ethics in the e-health arena. Healthcare executive. 2004;19(5):32-3.

Jantavongso S, Li R. A new age e-business model for SME. Proceedings of the AusWeb03: the 9th Australian World Wide Web Conference; 2003; Gold Coast.

Lynn MR. Determination and quantification of content validity. Nursing research. 1986;35(6):382-6.

Ngansathil W. Market orientation and business performance: empirical evidence from Thailand. Melbourne: The University of Melbourne. ; 2001.

Jantavongso S. Ethics and social media. Rangsit Journal of Information Technology. 2013;1(2):42-6.

Jantavongso S, Kasemsan K. Assessing e-business deployment framework for Thai SMEs: the case of Thai restaurants in Melbourne, Australia. Proceedings of the 2nd Asian Conference on Information Systems (ACIS 2013); 2013; Phuket.

Jantavongso S, Li R, Tootell B. Culture and e-business in Thailand. In: Kamel S, editor. Managing globally with information technology. Hershey: IRM Press; 2003.

Jantavongso S, Napasorn P. The adoption of e-business among small and medium enterprises in northern Thailand. Proceedings of the Knowledge Management International Conference (KMICe 2014); 2014; Langkawi.

Jantavongso S, Sugianto L-F, Syaub Y-R. E-business deployment framework for Thai SMEs. Proceedings of the 2007 International joint Conference of e-CASE, e-Commerce, e-Administration, e-Society, and e-Education; 2007; Hong Kong.

Oh H, Jantavongso S, Li R. A critique: factors contributed to the dotcom failures. Proceedings of the 2004 Information Resources Management Association International Conference; 2004; New Orleans.


  • There are currently no refbacks.