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🇹🇭 Bangkok

Dusit Model: Shared Records & Video Clinics Across Four Districts

Bangkok's health department and Vajira Hospital run the Dusit Model, a prototype area linking seven of the city's public health service centres and four community clinics in Dusit, Phra Nakhon, Bang Sue and Bang Phlat to the hospital. NECTEC's e-Referral system lets staff at both ends read the same treatment record in real time, and stable chronic patients keep appointments by video through the Vajira@Home app, with medicine posted to them. At the July 2022 launch, NECTEC said e-Referral was ready to use at all 11 city hospitals.

Live 📅 since 2022 ✔ Editor-reviewed

✔ Reviewed by the 1001 Smart Cities editorial desk · 🔎 Last verified

👥 SocietyDigital government

📊 Impact

A peer-reviewed survey of 389 Vajira Hospital outpatients in the Dusit area (Scientific Reports, 2025; fielded December 2024 to January 2025) found 271 (69.7%) accepted telemedicine, but acceptance dropped sharply with age: 78.2% of millennials, 46.7% of Generation X, and just 1 of 13 respondents aged 60 or over. A companion study of the same sample found 81.2% satisfied and 72.5% intending to keep using the service.

🎓 Lesson

Registration is not use: Vajira's deputy director reported over 30,000 app sign-ups, yet only about 381 of the roughly 2,000 regular endocrinology patients, near 20%, were actually consulting by video.

Evidence🔬 Peer-reviewed
Scale🏘️ District

Sources

↗ NECTEC — e-Referral as part of the Dusit Model (system developer, Thai)Launch event 29 July 2022 presided over by a deputy governor; seven public health service centres plus four community clinics in Dusit, Phra Nakhon, Bang Sue and Bang Phlat linked to Vajira Hospital; a real-time shared treatment record on both sides; the system stated as ready at all 11 city hospitals.
↗ Factors associated with the acceptance of telemedicine services in the Dusit model prototype area — Scientific Reports (peer-reviewed, 2025)Source of every impact figure: n=389, data collected December 2024 to January 2025, 271 (69.7%) accepted; Generation Z 77.6%, millennials 78.2%, Generation X 46.7%, and 1 of 13 respondents aged 60 or over. Also identifies Vajira@Home as the Dusit Model's telemedicine platform.
↗ User satisfaction and its impact on the intention to utilize telemedicine services in the Dusit model prototype area — Vajira Medical Journal (peer-reviewed, 2025)Companion study on the same 389 respondents: 81.2% satisfied, 72.5% intend to continue, with satisfaction the strongest predictor of continued use.
↗ CIMjournal — interview with Vajira Hospital's deputy director on Vajira@Home (Thai)Vajira@Home launched 7 July 2021 with 13 modules, medicine delivered by post and remote vitals monitoring across about 26 hospital units. Source of the registration-versus-use gap: more than 30,000 registrations against about 381 of 2,000-plus endocrinology patients actually consulting remotely.
↗ Prachatai — the city trials the Dusit Model and the Ratchaphiphat Sandbox (August 2022)Independent Thai press confirmation that the city was trialling the Dusit Model alongside a second sandbox to restructure referrals through its 69 public health service centres and community clinics. Direct fetch returned 403; outlet, headline and coverage confirmed via search.
📎 Cite this project

1001 Smart Cities (2026). “Dusit Model: Shared Records & Video Clinics Across Four Districts” — Bangkok, Thailand. The Smart City Atlas. https://1001smartcities.org/projects/bangkok-dusit-model-primary-care/ (last verified 2026-07-26). Data: CC BY 4.0.

The underlying data is free to reuse with attribution — see the open data page.

🔗 Related projects

🇪🇸 VinclesBCN — Tablets Against Unwanted Loneliness · Barcelona Barcelona built its tablet network for isolated elders; Bangkok's video clinics reached just 1 of 13 patients aged over 60. 🇮🇳 Doorstep Delivery of Public Services · New Delhi Two ways to close the last mile to a service: Delhi sent a clerk with a tablet to the house; Dusit posts medicine after a video call. 🇸🇬 National Steps Challenge & HealthHub Digital Health · Singapore Singapore measured what its registrants actually did; Bangkok's 30,000 sign-ups produced about 381 patients consulting by video. 🇹🇭 Bangkok PM2.5 Monitoring & Graduated Response · Bangkok Another verified project from Bangkok.

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