รายงานสุขภาพคนไทย ปี 2557

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  • spine 8 mm. 8.5 x 11.5 inc.

    57-03-022_COVER New2-4_Y Kim =cs6 mac 08

    COVER New2-4_Y Kim.pdf 1 4/2/14 10:39 PM

  • Nipokna

    NIPOKNA N2-4_Y KIM.pdf 1 4/2/14 11:07 PM

  • 8.5 x 11.5 inc.

    57-03-022_INPOKNA-001 New2-4_Y Kim =cs6 mac 08 001

    001 New2-4_Y KIM.pdf 2 4/2/14 11:08 PM

  • 002-003 KIM=4C_Y.pdf 1 4/2/14 9:26 PM

  • 002-003 KIM=4C_Y.pdf 2 4/2/14 9:26 PM

  • 004-005 KIM=4C_Y.pdf 1 4/2/14 9:27 PM

  • 004-005 KIM=4C_Y.pdf 2 4/2/14 9:27 PM

  • 006-007 KIM=4C_Y.pdf 1 4/2/14 9:29 PM

  • 006-007 KIM=4C_Y.pdf 2 4/2/14 9:29 PM

  • 8 2557

    :

    , , ,

    ()

    -

    - - , - , , - , , -

    - - -

    () (Non-communicable Diseases: NCDs) .. 2552 1 6

    2552 15

    1 3 (

    BMI 25 ./2 ) 2

    2534

    10

    4

    2

    11

    57-03-022_008-032 New2-4_Y kim4c .indd 8 4/2/14 9:32 PM

  • 911

    ( 8.4 )

    13.3

    2555

    71.7 62.4

    (availability)

    (accessibility)

    2557 11

    3

    1-3

    4-9

    10 11

    ....

    57-03-022_008-032 New2-4_Y kim4c .indd 9 4/2/14 9:32 PM

  • < 18.5 < 18.5 18.5-24.99 18.5-22.99 25 23 () 25-29.99 23-24.99 30 25 () () 101 90 (- ) 88 80

    : (.), 4 2551-2552

    - BMI (./2)

    10 2557

    1 3 1 10 2 ( 2534-2552) 15 2 ( 17.2% 34.7%) 3 ( 3.2% 9.1%)

    Body Mass Index (BMI)

    (.) (2) 25 ./2

    30 ./2 90 .

    80 .

    : Age-standardized estimation: WHO, World Health Statistics 2013

    10

    4

    2

    20 (BMI 25 ./2) 2551

    60 7040 5020 300 1010 030 2050 4070 6047.0

    36.429.1

    25.324.623.723.6

    17.813.8

    10.8

    30.561.2

    51.224.8

    15.750.5

    35.1

    42.425.824.5

    16.135.8

    32.313.811.611.4

    9.4

    22.962.6

    25.911.7

    41.733.8

    58.3

    17.2 3.2

    22.6 5.4

    29.5 7.1

    34.7 9.1

    2534-2552

    1) 18

    2 3

    2) 2552: 1 3

    1 10

    : (.), , 2554 4 2551-2552

    2534

    2547

    2552

    BMI25

    BMI30

    2540

    15

    57-03-022_008-032 New2-4_Y kim4c .indd 10 4/2/14 9:32 PM

  • 1111

    2 10

    4 2

    2552

    ( 1-5 ) ( 6-14 ) 1 10

    2552 - BMI (./2) 23.1 24.4 23.8 (%) 28.4 40.7 34.7 (%) 6.0 11.6 9.1 (.) 79.9 79.1 79.5 (%) 18.6 45.0 32.1( 90 . 80 .)

    : 15 : (.),

    4 2551-2552

    7

    : BMI 23 ./2): , 2554

    26 (91%)

    /

    3 (9%)

    /

    71

    /

    29

    100 100

    2534 2540 2547 2552

    50454035302520151050

    2534-2552

    21.9

    30.823.9

    36.530.8

    43.5

    19.4

    12.2

    : 18-59 : (.),

    1-4

    (BMI25) 2.5 2

    2538 2540 2542 2544 2546 2548 2550 2552

    .. 2538-2552121086420

    : 1-5 6-14 : 4

    .. 2551-2552, ""

    5.8 5.8

    7.96.7

    3.3

    5.4

    8.59.7

    57-03-022_008-032 New2-4_Y kim4c .indd 11 4/2/14 9:32 PM

  • 12 2557

    15

    (

    50%)

    5

    20%

    20% 1.5

    ()

    /

    : BMI25 ( 20 2551) Global Health Observatory Data Repository, WHO; Income GINI coecient ( 2553-2555) Human Development Report 2013

    60.6%

    19 ( OECD)

    45.0

    50.0

    55.0

    60.0

    65.0

    70.0

    75.0

    23.0 28.0 33.0 38.0 43.0

    20

    BMI

    25

    Income GINI coecient (0-100)()

    70.8%

    62.0%63.2%63.4%

    60.5%57.6% 61.5%58.0%

    54.1%

    49.2%

    53.7%56.4%

    58.6%54.1%53.7%

    60.9%61.9%

    53.3%

    68 ()

    0.010.020.030.0

    40.050.060.070.080.090.0100.0

    23.0 33.0 43.0 53.0 63.0 73.0

    20

    BMI

    25

    Income GINI coecient (0-100)()

    10.2%

    26.5%

    44.2%56.8%

    65.4%68.3%90.5%

    32.2%

    25.4%

    57-03-022_008-032 New2-4_Y kim4c .indd 12 4/2/14 9:32 PM

  • 1311

    10 (.. 2545-2554) 2.45 2.27

    1.99 1.42 1.40

    2532

    ( )

    ( ) 2532

    5-18

    : , 2553, (), 2553 0 5 10 15 20 25 30 35 40

    BMI

    30BM

    I25

    : 1) Wealth Index 2) +2 S.D.

    : , 2550, .. 2548 .. 2549

    : , 4 2551-2552

    10.89.2

    7.48.6

    6.7

    39.0

    6.9

    11.3

    10.1

    7.2

    4.4

    3.0

    35.832.132.5

    26.2

    5 ( 20%)

    4

    3

    2

    1 ( 20%)

    0-59

    0 2 4 6 8 10 12

    5 ( 20%)

    4

    3

    2

    1 ( 20%)

    -

    .. 2555 ()

    27.4040.6634.22

    20,645

    27.4836.3031.99

    14,010

    33.3342.5438.10

    19,762

    : 15 ; : 4 2551-2552

    2555

    ()(BMI>=25./2) ( .. 2551-2552)

    38.7649.4444.20

    31,971

    22.4839.1030.94

    14,277 36.1 44.9 40.7 23,873 ()

    25.1 38.8 32.1 15,870 ()

    ...

    57-03-022_008-032 New2-4_Y kim4c .indd 13 4/2/14 9:32 PM

  • 14 2557

    (BMI) 2551-2552

    BMI30 25BMI

  • 1511

    2555

    15.2

    * *

    18-60

    12.0 12.313.8 13.4

    18.1

    0

    4

    8

    12

    16

    20

    * (BMI25 ./2) 2552: , 2554

    BMI

  • 16 2557

    Disability-Adjusted Life Years

    (DALYs)

    20 (2533-2553)

    2547

    2533 2553

    2533 2553

    0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000

    100,000

    DALY

    s (x1,

    000

    )

    (

    )

    25,391

    4,000,0003,500,0003,000,0002,500,0002,000,0001,500,0001,000,000500,000

    0

    48,310

    887,047

    1,632,766 1,076,502

    1,738,4661,963,549

    3,371,232

    -

    -

    45,30051,565

    93,609

    26,174

    25332553

    25332553

    : DALYs : Stephen S Lim, et al, 2012

    : Stephen S Lim, et al, 2012

    57-03-022_008-032 New2-4_Y kim4c .indd 16 4/2/14 9:32 PM

  • 1711

    913 659 359 319 179 174 157 146 58 41 33 28 177

    337 265 238 143 97 96 82 79 74 27 20 744

    2552

    /

    5

    /

    5

    : (DALYs) x 1,000 : , 2556, .. 2552

    : (DALYs) x 1,000

    6

    1

    2552

    12,142

    5,584

    6,558

    :

    : , 2554

    130

    240

    370

    143

    267

    410

    174

    337

    511

    0100200

    300400

    500

    600

    2542 2547 2552

    DALY

    s (x1,

    000

    )

    12,142

    5,584

    ()

    850

    ()4,734

    5,864

    694

    6,558

    2542, 2547 2552

    : , .. 2547 .. 2552

    : 2552

    - (DALYs) = -

    (YLL) (YLD)

    57-03-022_008-032 New2-4_Y kim4c .indd 17 4/2/14 9:32 PM

  • 18 2557

    : , , 2555

    2 13.3 8.4

    1

    : , 2555,

    71.7 62.4 5-14

    15-29

    30-49

    50-59

    60

    74.4

    75.3

    69.9

    74.5

    62.3

    60.6

    57.7

    64.5

    70.5

    56.2

    8-9

    13

    2 62

    20 1

    57-03-022_008-032 New2-4_Y kim4c .indd 18 4/2/14 9:32 PM

  • 1911

    : 2550: The Economist Inteligence Unit,

    2011, Asian Green City Index

    3

    88

    1911

    105

    44

    5

    23

    66

    11

    50

    39

    2../

    9 ../

    8-9

    3

    39

    9

    .. 2554-2555

    : , 2554-2555

    / 198 177 166

    0

    10

    20

    30

    40

    50

    60

    70

    05

    1015202530

    2554

    : , 2555, .. 2554

    2548-2549

    : Banks et al., 2011

    60.1 6

    4.055.

    9

    40.0

    46.3

    33.3

    19.0

    18.1 19.8

    21.0 22

    .6

    22.7 24.

    5 25.4

    13.7

    10.9

    10.8

    9.49.223.6 23.6

    23.5

    11-14

    -

    15-24 25-59 60

    0-1 2-3 4-5 6-7 8

    -

    57-03-022_008-032 New2-4_Y kim4c .indd 19 4/2/14 9:32 PM

  • 20 2557

    9% 24% 40 1 3

    9 2503 24

    2546

    2503-2546

    : : , 1-5 2503-2546

    (%)

    (%)

    (%)

    2503 2518 2529 2538 2546

    10.8 11.5 11.5 13.2 13.9

    8.9 13.1 21.8 22.2 23.9

    78.9 71.0 66.7 64.3 62.1

    5

    10

    0

    15

    20

    2525452555

    2545 2555

    : .. 2545 2555,

    2545 2555

    57-03-022_008-032 New2-4_Y kim4c .indd 20 4/2/14 9:32 PM

  • 2111

    2 3

    6-14

    41

    1 3

    2555

    : .. 2555,

    26.89%

    32.20%

    18.51%

    19.82%

    13.55%

    12.64%

    11.53%

    17.68%

    15.75%

    15.57%

    : : , 2553, .. 2552

    /

    47.8

    55.8 6

    0.4 61.3

    58.0

    10.7

    9.2 7.8 5.4 8.1

    36.8

    12.3

    2.8 1.39.1

    13.2

    20.9

    31.3

    18.1

    25.3

    6-14

    15-24

    25-59

    60

    : //: BMI

    2554

    3.1 5.3 17.1 26.6 31.3 41.3

    57-03-022_008-032 New2-4_Y kim4c .indd 21 4/2/14 9:33 PM

  • 22 2557

    97.3 20%

    2556

    97.43

    20

    12.6

    2556

    : : 29 2556

    75.685.5

    97.43.1

    5.2

    5.6

    7.2

    8.2

    10.2

    17.2

    20.0

    20.82553 2554 2555 2556

    64.6

    * * *

    12.6

    9.9

    4.5

    1.42.3

    1.3

    : * 2553: BMI, IMF

    100,000 2554

    57-03-022_008-032 New2-4_Y kim4c .indd 22 4/2/14 9:34 PM

  • 2311

    : , 2555

    : : Media Spending () 2554

    2549-2552

    1.5-2 /

    2,000 /

    10,000

    2 /

    200-300 / ()

    .. 2549 .. 2550 .. 2551 .. 2552

    2.1 2.2 2.1 2.4

    2.7 2.5 2.4 2.4

    1.6 1.5 1.5 1.6

    0.7 0.7 0.7 0.4

    0.4 0.3 0.3 0.3

    4.8 4.8 4.5 4.8

    16.7 16.4 16.4 17.8

    (%) 28.8 28.9 27.4 27.2

    100,000

    ,

    /

    : (FHP), 2556, 2556

    7.7

    32.9

    8.5

    34.4

    65.5

    35.339.3

    27.7

    54.0

    31.8

    43.3

    25.5

    58.9

    4.5

    61.1 61.4

    32.725.7

    9.0

    : , 2555

    : : Media Spending () 2554

    2549-2552

    1.5-2 /

    2,000 /

    10,000

    2 /

    200-300 / ()

    .. 2549 .. 2550 .. 2551 .. 2552

    2.1 2.2 2.1 2.4

    2.7 2.5 2.4 2.4

    1.6 1.5 1.5 1.6

    0.7 0.7 0.7 0.4

    0.4 0.3 0.3 0.3

    4.8 4.8 4.5 4.8

    16.7 16.4 16.4 17.8

    (%) 28.8 28.9 27.4 27.2

    2552

    17.8

    1 4

    57-03-022_008-032 New2-4_Y kim4c .indd 23 4/2/14 9:34 PM

  • 24 2557

    1 5

    6 2556

    4.7%

    54.9%

    4%

    25.4%

    11%

    : 2556, ..2556

    27.9%

    28.4%

    48.3%

    43.9%

    30.9%36.4%

    57-03-022_008-032 New2-4_Y kim4c .indd 24 4/2/14 9:34 PM

  • 2511

    60% /

    / 6

    18.0%

    36.3%

    45.5%

    : 6

    : 2556, .. 2556

    79.3%

    20.7%

    0.2%

    19.4% 17.7%

    14.9%

    24.5%

    0.2%

    6.1%

    12.8%

    4.4%

    0-5

    48.7%

    53.8%

    59%

    56-62%

    25.6%

    : , 2552

    ()

    : , 2552

    80%

    40%

    14%

    : , 2553

    57-03-022_008-032 New2-4_Y kim4c .indd 25 4/2/14 9:34 PM

  • 26 2557

    2555-2556 .

    15-29

    (.)

    6

    5

    4

    3

    2

    1

    0

    15 30

    : (.), 4 2551 - 2552

    15 ( 1 )

    : (.), 4 2551 - 2552

    15-29 30-44 45-59 60-69 70-79 80

    0.1

    4.9

    2.41.9

    0.3

    1.10.4

    1.1 0.80.4 0.2 0.2 0.3 0.1 0.2 0.2 0.2 0.2 0.3

    1.9

    1.1

    -

    27.8

    27.0

    19.4

    11.4

    9.5

    3.7

    1.4

    6

    5

    4

    3

    2

    1

    0

    15 30

    : (.), 4 2551 - 2552

    15 ( 1 )

    : (.), 4 2551 - 2552

    -

    27.8

    27.0

    19.4

    11.4

    9.5

    3.7

    1.4

    57-03-022_008-032 New2-4_Y kim4c .indd 26 4/2/14 9:34 PM

  • 2711

    2555-2556 .

    6

    5

    4

    3

    2

    1

    0

    15 30

    : (.), 4 2551 - 2552

    15 ( 1 )

    : (.), 4 2551 - 2552

    -

    27.8

    27.0

    19.4

    11.4

    9.5

    3.7

    1.4

    2555-2556 (.)

    2555 2556

    44%

    56%

    51%

    49%

    1

    30,000

    2 6 10 5,000100,000

    3 2

    20,000

    : , 2556

    //

    1

    1

    /

    57-03-022_008-032 New2-4_Y kim4c .indd 27 4/2/14 9:34 PM

  • 28 2557

    80 1 5

    3. + 2.

    0

    5

    10

    15

    20

    1

    0

    2

    3

    4

    5

    : 1 = 4.2 1 1 1 6-8

    : ( 2550, 2546, 2550) 4 .. 2551-2552

    (

    /)

    (

    )

    6

    20(3.3

    )

    12(2

    )

    / /

    61 2

    3

    5

    0

    5

    10

    15

    20

    1

    0

    2

    3

    4

    5

    : 1 = 4.2 1 1 1 6-8

    : ( 2550, 2546, 2550) 4 .. 2551-2552

    (

    /)

    (

    )

    6

    20(3.3

    )

    12(2

    )

    / /

    61 2

    3

    5

    3. 2.

    9

    .3 . . .

    ..

    .

    30 5 /

    2 :

    1 : ,

    1 : 1 ( )

    :

    .. +

    2.

    3.

    57-03-022_008-032 New2-4_Y kim4c .indd 28 4/2/14 9:34 PM

  • 2911

    49.8

    : 1,330 4 (): .

    . , 2551.

    . Guideline Daily Amounts (GDA)

    . ()

    GDA 5

    1)

    2)

    3)

    4)

    5)

    GDA 5

    1)

    2)

    3)

    4)

    5)

    : ........................ (....................) .......................................

    ............. ( ........... )

    * ..... . .....% ..... . .....% ..... . .....% ..... . .....% ..... . .....% ..... . .....% ..... . .....% ..... . .....%

    *

    .....% 1 .....% 2 .....% .....% .....% * 6 (Thai RDI) 2,000

    2,000 65 . 20 . 300 . 300 . 25 . 2,400 ..

    () -9 : -4 : -4

    1 ( , , )

    .

    ( )

    %

    % % %

    1 ( )

    ( % )

    ()

    ()

    85.7

    - 3 4 - 20

    ()

    85.7

    - 3 4 - 20

    49.8 48.5 61.166.9

    GDA

    (

    ) 2-3 3 5

    57-03-022_008-032 New2-4_Y kim4c .indd 29 4/2/14 9:35 PM

  • 30 2557

    2568

    ( 2551-2555)

    130.9

    () 1,765.1

    () 1,765.1

    1

    13.49 *

    130.9

    1

    13.49 *

    : * (discount rate) 3% : , 2555

    (

    ) 1 9

    2568

    2 2552

    (.. 2554-

    2558)

    4

    57-03-022_008-032 New2-4_Y kim4c .indd 30 4/2/14 9:35 PM

  • 3111

    2553-2568

    9 *

    **

    1

    1. 25

    25 (* 30-70 )

    2

    2. /

    3. 25 25

    4. 30 ( 15 ) 30

    5. 10

    10

    6. 10

    10

    7. 30 / 30

    3

    8. 50

    40 () 50

    9. 80

    / 80

    * 10 ( ) 50

    ** 6 ( 6 1)

    (Best Buys) (Good Buys)

    Best Buys Good Buys

    (Unhealthy diet)

    - -

    - ()

    - - - /- - -

    (Physical inactivity)

    -

    - - - - -

    : 1. 4 : 2. 4 -

    (scale-up)

    : World Health Organization, 2011.

    57-03-022_008-032 New2-4_Y kim4c .indd 31 4/2/14 9:35 PM

  • 32 2557

    .. 2554-2558

    4

    1.

    , , , ,

    2.

    (

    ), , //,

    3.

    , , (DPAC), , ,

    4.

    /,

    , ,

    : , 2556

    1. (

    ) (

    )

    // /

    2. (

    )

    3. 2

    : , ,

    1. ( 1 )

    2.

    (1-5 )

    (6-14 )

    3. (15-59 )

    4. (60 )

    5.

    4

    1.

    2.

    3.

    ( )

    4. lipid profile

    : (FHP), 2556

    57-03-022_008-032 New2-4_Y kim4c .indd 32 4/2/14 9:35 PM

  • 57-03-022_033_new7-4_J-KIM

    8.5 x 11.5 inc033_new7-4_J-Kim.pdf 2 4/7/14 10:04 AM

  • 034-035 N2-4_Y kim4c .pdf 1 4/2/14 9:40 PM

  • 034-035 N2-4_Y kim4c .pdf 2 4/2/14 9:40 PM

  • 36 2557

    2556 ... . .

    . . . .

    2556

    8

    19 2549

    2

    2556

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 36 4/2/14 9:42 PM

  • 3710

    2556

    .. ... ...

    .. 2550

    2556

    ...

    2555

    5

    5

    2556

    2556

    (.)

    ... ..

    . ..

    . ...

    ...

    1

    4 2556 .

    6

    6 2556

    . 8

    10

    11-13

    (.)

    ... 2556

    .. ...

    ...

    ...

    1 2556

    ...

    ...

    ... 31 2556

    ... ...

    (.)

    2553

    57-03-022_036-087 New2-4_Y kim=4c.indd 37 4/2/14 9:42 PM

  • 38 2557

    ...

    ...

    141 11 2556

    ... 180 2

    ...

    ...

    ...

    .. 2550

    (..)

    ..

    ..

    20

    2556

    2550 68

    3

    ...

    4 1)

    13-15 2)

    3)

    4)

    4

    5

    .

    24

    1 2556

    2556

    4

    57 6

    6 7

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    2.

    3.

    4.

    5.

    6.

    .

    8

    .

    .

    29 25569

    57-03-022_036-087 New2-4_Y kim=4c.indd 38 4/2/14 9:42 PM

  • 3910

    (30 2556) .

    ()

    3

    10

    9 2556 .

    .

    .

    2 2557

    2

    11

    12

    .

    730 20 6

    43 3

    : 17 2557

    2 .. 2557

    2 2557 .

    2326 .

    ..

    (-)

    1 1

    148 13

    .

    .

    14

    45-60

    .

    15

    16 .

    ..

    17

    26 255718

    .

    .

    93,952

    2 2557 83,813

    89.2% 47.72%

    71.34% 11.97%

    16.69% 77

    59 (306 ..)

    9 ( 37 ..

    57-03-022_036-087 New2-4_Y kim=4c.indd 39 4/2/14 9:42 PM

  • 40 2557

    19

    30 .. 2556 31 ...

    31 ..

    4 ..

    11 .. 4 , 9

    19-20 .. . 1

    20 ..

    24-30 ../1 .. . 2

    24 ..

    25 .. - 13

    - ...

    27 .. 80 5 2550

    29 .. .

    30 ../1 .. 64

    1-3 .. 221

    9 .. -

    - 2 2557

    22 .. 6

    26 .. (-) 160

    1 .. 2557 13

    13 .. 9

    15 .. . 5 . . .

    17 .. 41 1

    19 .. 29 8

    21 .. , ., . .

    . .

    24 .. 8:0 7:1 . .

    26 .. - .

    - . 1 12

    28 .. . 2 .. 2557

    1 .. - .

    6

    - . 158 ,

    2 ..

    - .

    - 83,813 93,952

    5 .. . 19

    9 .. -79 . 2

    57-03-022_036-087 New2-4_Y kim=4c.indd 40 4/2/14 9:42 PM

  • 4110

    10 .. .

    14 .. . 79

    7

    17-18 .. . .

    . 1-2 5

    18 .. 71

    5

    21 .. 5 . 6

    23 .. - . . .

    41 3

    - 79 40 .

    . 24 3

    28 ..

    ()

    7 .. - 79 . 5

    -

    45

    11 .. 79 . 3 1

    12 ..

    14 ..

    .

    21 .. 6 3 2 2557

    108 2

    )

    ..

    ..

    .

    .

    20 27 2557

    2 2557

    .

    57-03-022_036-087 New2-4_Y kim=4c.indd 41 4/2/14 9:42 PM

  • 42 2557

    :?

    2556

    2556

    2557

    .

    .. 2555/56

    (pricing policy)

    15,000 .

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 42 4/2/14 9:42 PM

  • 4310

    (...)

    (.)

    .. 2556/57

    .. 2552-2554

    1

    - 2544 2.5

    8.7

    2,938

    .. 2540/41 18,930

    .. 2545/46

    ()

    .. 2544/45 .. 2556/57

    .. 2555/56

    2556

    .. 2555/56

    2 //

    1 2555 31 2557 (

    1 2555-15 2556)

    500,000

    .. 2555/56

    22

    9.5 8.5

    4

    3.3 .

    869

    627 2556

    22

    ...

    2554

    2556

    12,000

    ( 15%) 350,000 /

    57-03-022_036-087 New2-4_Y kim=4c.indd 43 4/2/14 9:42 PM

  • 44 2557

    ( 15%)

    300,000 /2

    2556

    4

    TDRI

    3

    ..

    4

    .

    .

    2.6

    5

    .

    ( )

    1

    5 6

    30-40%

    7

    100,001-600,000 /

    74.6%

    73.1%

    ...

    .. 2555/56

    230,000

    110,000 4%

    48,000 10%

    52,000

    () () () ()

    (1-100,000 ) 439,919 (52.3) 24,122 (20.4) 196,804 (32.0) 11,108 (7.8)

    (100,001-600,000 ) 393,590 (46.8) 88,352 (74.6) 384,286 (62.5) 103,690 (73.1)

    ( 600,000 ) 7,882 (0.9) 6,030 (5.1) 33,309 (5.4) 27,034 (19.1)

    841,391 118,504 614,399 141,833 : . 2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 44 4/2/14 9:42 PM

  • 4510

    20,000 8

    .. 2556/57

    ...

    2,000

    . 3-4

    5

    4 (9 2557)

    5

    117 -

    (17 2557)

    6

    2

    (1 2557)

    -

    - (5 2557)

    .

    (20 2557)

    .

    1.3

    .

    .

    .9

    (...)

    ... 20,000 5,000

    10

    3 17-19 2557

    92,000

    32,800 11

    57-03-022_036-087 New2-4_Y kim=4c.indd 45 4/2/14 9:42 PM

  • 46 2557

    ... 12

    ... ...

    2

    3 2557

    121

    ... 10

    1 543,000 13

    5 2557 ...

    7 2557 509,387,382.04 14

    :

    1)

    2)

    3)

    : .

    9 2557. 10 2557, ASTV

    : http://www.manager.co.th/Home/ViewNews.

    aspx?NewsID=9570000011258

    57-03-022_036-087 New2-4_Y kim=4c.indd 46 4/2/14 9:42 PM

  • 4710

    2558

    (.) ..

    (... 2 )

    . 27 2556

    . 3 1

    (.)

    2

    7 (2557-2563)

    ...

    ...

    .

    TDRI

    ...

    3

    2

    ... 2

    2 ... 2

    57-03-022_036-087 New2-4_Y kim=4c.indd 47 4/2/14 9:42 PM

  • 48 2557

    ... 2 (Mega Project)

    80

    7

    .. . ... 2

    2

    2556-2563 (7 )

    6

    ...

    81

    .

    (

    Motorway )

    41

    GDP7

    The Global Competitiveness Report 2013-2014,

    ...

    Blank cheque

    4

    50 50

    10

    115

    : 2 ... 50

    . 24 2556. 5 2557,

    : http://www.matichon.co.th/news_

    detail .php?newsid=1364123165&grpid=00&catid=01&

    subcatid=0100

    57-03-022_036-087 New2-4_Y kim=4c.indd 48 4/2/14 9:42 PM

  • 4910

    World Economic Forum

    47 148

    46

    . ... .

    (.) .

    ...

    7-10

    .

    . 8

    (.)

    . ...

    7

    .

    .

    9

    96.6%

    : ., NDRC CSCMOs 22nd Annual State of Logistics Report

    2551-2553

    2551 2552 2553

    19.5

    17.1

    9.4

    17.8

    15.2

    8.3

    18.1

    15.1

    7.8

    57-03-022_036-087 New2-4_Y kim=4c.indd 49 4/2/14 9:42 PM

  • 50 2557

    AEC 56.7%

    ...

    25.0%

    ...

    ()

    10

    TDRI

    (TDRI) ...

    TDRI

    King Power Duty

    Free

    ...

    .

    . 11,889 11

    ..

    12 TDRI

    (Feasibility Study: FS)

    13

    ... 02.50 . 20 2556

    ...

    63 13 3

    14

    ...

    2

    ... ..

    ..

    15

    ...

    9 2556 ...

    ...

    57-03-022_036-087 New2-4_Y kim=4c.indd 50 4/2/14 9:42 PM

  • 5110

    ... 2 8 2557

    28

    12 2557

    ...

    2

    169

    170 9 0

    ...

    6 2

    ( 1 )

    169

    ...

    ... 2

    29

    AEC

    16

    17

    ...

    18

    19

    6

    169

    ...

    20

    50

    21

    ... 7 22

    /

    7

    23 60%

    24

    /25

    7

    /26

    50

    27

    57-03-022_036-087 New2-4_Y kim=4c.indd 51 4/2/14 9:42 PM

  • 52 2557

    27 2556

    15 1

    . ()

    16

    20 Malan

    Plato

    50,000 2

    ()

    2556 . ()

    57-03-022_036-087 New2-4_Y kim=4c.indd 52 4/2/14 9:42 PM

  • 5310

    3

    (absorbent sheet)

    .

    . ()

    1 2556

    . PTTGC

    (SSHEMS)

    4

    54,341

    5

    () PTTGC .

    ..

    (5 2556) 25

    2

    6

    PTTGC

    .

    2 V

    57-03-022_036-087 New2-4_Y kim=4c.indd 53 4/2/14 9:42 PM

  • 54 2557

    .7

    Montara Oil Spill

    21 2552

    29,600

    90,000

    (PTTEPAA/)

    .

    () ..

    8

    Montara Commission of

    Inquiry

    (DSEWPaC)

    PTTEPAA

    2-5

    PTTEPAA

    (NOPSEMA)

    PTTEPAA 4

    510,000

    ( 14,280,000 )9

    ..

    9,724 10 2552-2555

    32,422

    11

    .

    http://daypic.ru/wp-content/uploads/2013/08/120-900x576.jpg

    57-03-022_036-087 New2-4_Y kim=4c.indd 54 4/2/14 9:42 PM

  • 5510

    12

    10 7

    13

    Change.org 32,000

    .

    (EARTH) (EnLAW)

    (Greenpeace Southeast

    Asia)

    (GSEI)

    27 2556

    14

    .

    6 2538

    .. 2538 .

    (

    )

    15

    1.

    (oil boom)

    2.

    (dispersant)

    3.

    57-03-022_036-087 New2-4_Y kim=4c.indd 55 4/2/14 9:42 PM

  • 56 2557

    4. (absorbent)

    5.

    6.

    7.

    16

    1 2556

    3

    PTTGC 3

    7

    1

    Better

    Samed

    17

    2556

    ()

    .

    18

    57-03-022_036-087 New2-4_Y kim=4c.indd 56 4/2/14 9:42 PM

  • 5710

    prachatai

    388

    45

    1

    3.5 2554 3.5

    ... 3

    EHIA 10

    2556

    22 2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 57 4/2/14 9:42 PM

  • 58 2557

    4

    26 25562

    21 2555

    25573

    NO DAM

    4

    Change.org

    1.2 5

    (.)

    3

    6

    1% 9

    21

    7

    3.5 2 2556

    --

    Green Move Thailand

    3.5

    20 8

    3.5

    3.5

    57-03-022_036-087 New2-4_Y kim=4c.indd 58 4/2/14 9:42 PM

  • 5910

    2554

    2554

    2555

    3.5

    4

    10

    (module) ( 1)

    (.)

    5

    10-12 9

    3.5

    3.5 (

    1)

    .

    36 15 -

    6 2556

    1

    1 10 Module

    : 3.5 . 30 2556. 15 2557, OK Nation Blog

    : http://www.oknation.net/blog/pasalarksee/2013/09/30/entry-1

    57-03-022_036-087 New2-4_Y kim=4c.indd 59 4/2/14 9:42 PM

  • 60 2557

    1

    730 10 57

    13,000 . .

    250 10 2555 13,000

    (EIA)

    EIA 4 2538, 2541, 2545 2547

    23

    2555

    : 9 , . @ siamensis.org

    65

    2554

    EHIA

    EHIA 5

    2

    2

    10

    5

    9 2557

    9 2556

    3 2557

    3.5

    ,

    , -,

    ,

    57-03-022_036-087 New2-4_Y kim=4c.indd 60 4/2/14 9:42 PM

  • 6110

    2

    26 2555

    3.5 11

    5 2556

    6

    3 2556

    17 2556 ...

    12

    10 2556

    3.5 ITD POWER CHINA JV

    5 1.09

    2 1.62 13

    19 2556

    .. 2555

    314,337.87 14

    27 2556 . 3

    324,606.27 4

    , ,

    17 2556

    (.)

    36

    40,000 184,643,920

    26 2556 .

    3 ,

    2 2556

    45

    3.5

    27 2556

    57 2 67

    2

    (Module)

    10 2556

    45

    36

    27

    2556

    15 - 2556

    15

    22

    .

    27

    15

    9 2557

    57-03-022_036-087 New2-4_Y kim=4c.indd 61 4/2/14 9:42 PM

  • 62 2557

    P4P

    P4P P4P

    P4P ...?

    2556

    .

    P4P

    P4P P4P Pay for Performance

    1 P4P

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 62 4/2/14 9:42 PM

  • 6310

    2

    P4P

    .

    . .

    . .

    4

    P4P

    5

    2556

    P4P2

    P4P

    (Pay for Performance)

    20

    (Entitlement Culture)

    P4P 30

    3

    1 (.)

    1 4

    1 2 2

    1 2556-31 2557 2 1 2557

    2 2

    1

    2 P4P

    2

    1

    3 P4P

    1 2556 1 1 2557

    2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 63 4/2/14 9:42 PM

  • 64 2557

    .

    Pay for Service

    6

    . ..

    P4P

    7

    2 8

    P4P

    P4P

    (.)

    P4P .

    . 1-2,

    . 1-2

    . .,

    1-2 ., .

    .

    . 737

    .

    591

    33

    1 2

    . 3

    . . . .

    . 113

    2

    1 2556 .

    1-2

    .

    2 1

    2557 1-2 .

    P4P

    P4P

    2

    ..

    26

    2556 P4P

    9

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 64 4/2/14 9:42 PM

  • 6510

    . P4P

    .

    11

    8 2556 P4P

    10

    ?

    600-700

    19

    2556 2550-2555 792, 736, 650,

    622, 711, 675

    P4P

    P4P

    Pay-for-Performance (P4P)

    2546

    . .

    2551

    .

    .

    .

    .

    P4P

    22-24 .. 2551

    11

    : https://www.facebook.com/pages/#sthash.q56no8Vz.dpuf

    2-3

    /

    ? ?

    ?

    .

    ?

    .

    P4P

    57-03-022_036-087 New2-4_Y kim=4c.indd 65 4/2/14 9:42 PM

  • 66 2557

    P4P

    P4P

    P4P

    P4P

    2551

    P4P

    Bruin

    2554

    P4P

    12

    (Entitlement)

    (Pay-for-Performance)

    1.

    2.

    3.

    4.

    5.

    1.

    2.

    3.

    /

    4.

    13 P4P

    (Project) (Process)

    ...

    !

    P4P

    P4P

    57-03-022_036-087 New2-4_Y kim=4c.indd 66 4/2/14 9:42 PM

  • 6710

    1

    .. 2550 67 2

    :

    15

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 67 4/2/14 9:42 PM

  • 68 2557

    67

    11 3

    3 .

    . 4 . . .

    4 400 5

    2440 116 6

    7

    2510

    8

    30

    8

    2541

    57-03-022_036-087 New2-4_Y kim=4c.indd 68 4/2/14 9:42 PM

  • 6910

    2542

    9

    2545

    10

    8

    8

    11

    8

    254612

    2550 7 ()

    8 29,551,000 13

    151

    255014 2554

    7 ()

    36,050,000

    15

    prachatai

    57-03-022_036-087 New2-4_Y kim=4c.indd 69 4/2/14 9:42 PM

  • 70 2557

    2556

    16

    254717

    2556

    1

    22 177,199.55

    18

    15

    2556-2557

    19

    , 20

    ( 2542)

    : (ENLAWTHAI Foundation)

    57-03-022_036-087 New2-4_Y kim=4c.indd 70 4/2/14 9:42 PM

  • 30 ..46 (-1) 8 . .

    119,036,400

    2555

    2546

    2545

    2541

    2464

    2510

    .

    2498 ()

    2523-2524

    3 3

    2531 .

    ..41 .

    23 ..41

    .

    27 ..41 1 8 .

    19 ..41 . ( .) 1

    .

    24 ..-21 ..42 . KC2-KC3 3,753

    (rock check dam)

    22 ..43 . KC2-KC3

    ..-..45 . 2

    4.5 . 8 .

    2545

    ..47 .

    3 ..49 .

    21 ..51 .

    .

    2552- . 2543-45

    ..54 .

    . (-2)

    2

    : / : / : / : / 1 ( 2555)

    29 ..54 (-2) 7 ()

    36,050,000 ... 2535

    20 ..53 (-2) . 36,050,000

    ... 2535

    18 ..50 (-1) 7 ()

    29,551,000

    6 ..51 ()

    743,226

    19 ..50 (-2) 151 .

    15 ..49 (-1) .. 4.26

    .

    23 ..47 () 22

    22 ..41 .

    21 ..41

    2532-41

    2521 6

    2518

    20 ..41

    2542

    .

    2544-2545

    29 ..45

    8 ..42

    6 ..41 .

    57-03-022_036-087 New2-4_Y kim=4c.indd 71 4/2/14 9:42 PM

  • 72 2557

    21

    22

    16

    57-03-022_036-087 New2-4_Y kim=4c.indd 72 4/2/14 9:42 PM

  • 7310

    2556

    2556

    344

    (.)

    1

    http://www.obec.go.th/sites/obec.go.th/files/photos/21906/227527.JPG,

    57-03-022_036-087 New2-4_Y kim=4c.indd 73 4/2/14 9:42 PM

  • 74 2557

    .

    ( 2555) .

    -

    2556 .

    20 2556

    13

    2556

    SMS

    486

    9,242

    2,161

    4

    2

    1) .

    2)

    3)

    4) ( 6-12 2555

    )

    5)

    6) () 2 ( 10 2556)

    7) 1 ( 12 2556)

    8) 1 ( 12 2556)

    9) ( 13 2556)

    4-7 .

    .

    48 43

    5 3

    344

    344

    .

    57-03-022_036-087 New2-4_Y kim=4c.indd 74 4/2/14 9:42 PM

  • 7510

    90%

    90% 500 (

    3 )

    344

    34 1

    (

    71% 100 71 )

    . 34

    4

    5

    .

    ....

    7

    6

    82%

    27%

    /

    50%

    41%

    7

    .

    () 16%

    30%

    8

    8 9

    57-03-022_036-087 New2-4_Y kim=4c.indd 75 4/2/14 9:42 PM

  • 76 2557

    148 World

    Economic Forum (WEF) 2013

    (Quality of Primary

    Education) 86 82

    7 10

    (Higher education

    and training) 66 60

    5

    10

    2556 60%

    1,536 21,773

    7%

    3

    11

    12

    (..)

    5

    155,225

    51,462

    13

    14

    15

    57-03-022_036-087 New2-4_Y kim=4c.indd 76 4/2/14 9:42 PM

  • 7710

    ( 2)

    2505

    2551

    2554

    2505

    2505

    2556

    1

    2556 11 2556

    2505

    2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 77 4/2/14 9:42 PM

  • 78 2557

    60

    .. 1962

    (.. 2505)

    98

    ()

    2

    3

    4

    5 ..

    13 2556

    2505

    11 2556

    6

    28

    2554 60

    2505

    7

    .

    2554

    2505

    (vicinity)

    8

    2505

    2554

    18 2554

    9

    15-19 2556

    (vicinity) 10

    3 2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 78 4/2/14 9:43 PM

  • 7910

    4

    1) 2505

    2550

    2) 2505

    0.25

    3)

    1

    1:200,000

    4)

    1

    11

    6

    2556

    11

    2556

    (promontory)

    1) ( 98) promontory

    2)

    1

    1

    99

    12

    4.6

    1:200000

    2505

    13

    2505

    2505

    57-03-022_036-087 New2-4_Y kim=4c.indd 79 4/2/14 9:43 PM

  • 80 2557

    2556

    2505

    (vicinity)

    promontory (

    )

    4.6

    1 1: 200,000

    -

    4

    1) 2)

    3)

    4)

    14

    2556

    190

    (Joint Commission)

    15

    9

    2556

    57-03-022_036-087 New2-4_Y kim=4c.indd 80 4/2/14 9:43 PM

  • 8110

    . . .

    34 2556

    1

    -

    2

    3

    ...

    57-03-022_036-087 New2-4_Y kim=4c.indd 81 4/2/14 9:43 PM

  • 82 2557

    8

    ( ...

    14

    )

    (

    277 317 3)

    ( ... )

    (

    ) 4

    13 2556

    5

    26 6

    7

    (.)

    .

    200 8

    (.)

    (.)

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    57-03-022_115-122 New2-4_Y thai kim.indd 115 4/2/14 9:51 PM

  • 116 2557

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  • 117

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  • 118 2557

    13 2.6 65 .16 2556. . 14 "". 27 2557, Go to know :http://www.gotoknow.org/posts/302731 15 . 2.6 65 . 9. ( 2) 1 ..1 2556. . 2 International Court of Justice.Judgment on the Request for Interpretation of the Judgment of 15 June 1962 in the Case Concerning the Temple of PreahVihear (Cambodia vs Thailand). 11 November 2013 p. 36 3 .12 2556. . 4 SupalakGanjanakhundee. (2013). Govt satisfies with ICJ verdict. On-line access. RetrievedMarch, 3, 2014, from The Nation at http://www. nationmultimedia.com/politics/Govt-satisfied-with-ICJ-verdict-30219334.html 5 SupalakGanjanakhundee. 2013. We both win: HorNamhong. on-line access. Retrieved March, 3, 2014, from The Nation at http://www.nationmulti media.com/national/We-both-win-Hor-Nam-Hong-30219337.html 6 . 13 2556. 1 2557, Youtube : http://www.youtube.com/watch?v=Qa4uOxaTHzo 7 (Buffer Zone) 2551 8 International Court of Justice. 2011. Application Instituting Proceedings filed in the registry of the court on April 28, Request for Interpretation of the Judgment of the 15 June 1962 in the Case Concerning the Temple of PreahVihear. (Cambodia v Thailand). p. 37 9 International Court of Justice. 2011. Request for the Indication of Provisional Measures. Report of Judgment, Advisory and Orders.Request for Interpretation of the Judgment of the 15 June 1962 in the Case Concerning the Temple of PreahVihear. (Cambodia v Thailand). p. 22-23 10 SupalakGanjanakhundee, 2013.ICJ judge asks Thailand, Cambodia to define 'vicinity'. On-line version could be accessed Retrieved March, 3, 2014, fromThe Nation at http://www.nationmultimedia.com/national/ ICJ-judge-asks-Thailand-Cambodia-to-define-vicinit-30204312.html 11 .2556. . : , 34 12 .Request for Interpretation of the Judgment of 15 June 1962 in the Case Concerning the Temple of PreahVihear (Cambodia vs Thailand).p.33-34 13 14 2556. 1 2557, Youtube : http://www.youtube.com/ watch?v=_67qZZo-fzA 14 : 2505. 16 2556. 1 2557, : http://www.mfa.go.th/main/th/media-center/14/40929- 15 - .14 2556. . 10 1 () 1. 22 2556. 10 2557, Youtube : http://www.youtube.com/ watch?v=sANFgwoJeic. 2 . 10 2556. . 3 .22 2556. . 4 DSI ''8.9 2556. 5 -.13 2556. . 6 .30 2556. . 7 . ()... ?.11 2557, . 8 ''''.4 2556. . 9 . 11 2556. . 10 -. 21 2556. . 11 . 25 2551. . 20 2557, : http:// www.openbase.in.th/http:/%252Fwww.panyathai.or.th/wiki/index.php/ 12 (. . ). 2537. : . : 13 Jackson, Peter A. 2003.Buddhadasa:Theravada Buddhism and Modernist Reform in Thailand. Second Edition. Chiang Mai: Silkworm Books. 14 .. ...... 11 2545, : http://www.larndham.net/ cgi-bin/kratoo.pl/004957.htm 4 '. ' . 26 2556. 10 2556, Voice TV : http://news.voicetv.co.th/thailand/83132.html . . 22 2556. 30 2556, : http://www.trf.

    or.th/index.php?option=com_content&view=category&id=34&Itemid=358 """" . 4 2556. 10 2556, : http://www.matichon. co.th/news_detail.php?newsid=1383552733&grpid&catid=19&subcatid=1904 ''''. 5 2556. 10 2556, Hfocus : http://www.hfocus.org/content/2013/11/5323 5. 15 2556, Siamtown US : http://www.siamtownus.com/New-1206000178-1.aspx '''5..'''. 7 2556. 11 2556, : http://www.komchadluek.net/detail/20131207/174386. html 10 ..2556. 31 2556. 10 2557, : http://www.matichon.co.th/news_detail.php?news id=1388485378&grpid=03&catid=07&subcatid=0702 -. 24 2556. 6 2557, Siamsport : http://www.siamsport.co.th/Column/131224_103. html ... . 2547. . : . . 2547. . : . . 2544. . : , . . 2548. : , 2. : . . 2541. , 2. : . . (2540). ( 4). : . . 2545. , 3. : . . () . 2539. : . : . (). 2555. . : . . 2556. . , 25 2556. . 2549. : . : . . 2556. 8 . , 18 2556. . 2542. . : . . 2557. : . : . . . 2550. (). 6 () . 2550. : . : . . 2539. : . 1-2 2539. . 2555. . : . . . 10 2557 http://www.thaiichr.org/autopagev4/show_page php?topic_id=505&auto_id=3&TopicPk=11 . 2554. . : . 14 2557 http://www.gotoknow.org/posts/394311 . . . GotoKnow 10 2557 http:// www.gotoknow.org/posts/394311 , , . 2553. (.). : . 2555. : . (), : . : . (). : . : . Bell, Daniel. 1989. "American Exceptionalism Revisited: The Role of Civil Society. The Public Interest, 38-56. Jacob, Norman. 1971. Modernization without Development: Thailand as an Asian Case Study. New York: Praeger Publishers.

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  • spine 8 mm. 8.5 x 11.5 inc.

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