The Evaluation of the Emergency Medical Service Plans in Hospitals in Surin During A.D. 1999-2001

Abstract

Background: Emergency Medical Service is an important part to prevent mortality, loss and defoimity. Since 1991, National statistical data revealed the increment of accident rate with great loss. Ministry of health therefore issued accident prevention policy in order to achieve the goal of public health development plan which involved with all heath care settings and hospitals.
Objective: To study the setting of Surin Emergency Medical Projects and evaluate its input, procedure and outcome of all 6 emergency medical projects. This study also identify the relationship between input, procedure, and outcome of each emergency medical project.
Study design: Evaluation Research
Research Methodology: The samples of this research are 1,842 totally. Research tools is included 7 questionnaires and statistical analysis presented in percentage, mean, standard deviation and Pearson's Product Moment Correlation. The relationship between outcome, input and process was identified by multiple regression and stepwise multiple regression. Suggestion from the opened end questionnaire was summarized in content analysis.
Result: Input and procedure of Emergency medical service plans of Surin hospital were appropriate in moderate level though did not meet the criteria. The outcome in staff satisfaction aspect and quality of emergency medical service aspect were in moderate level and did not meet the criteria. Outcome which achieved the desired criteria were customer's satisfaction aspect and traffic accident prevention plan. The relationship between outcome achievement and factors in operation and process (9 factors totally) were related with outcome achievement of each plan in high level (statistical significant, p = 0.05). All factors affected the success of on-site emergency medical service project, mass accident and casualty project, accident prevention project, trauma registry project, trauma audit project and trauma patient referral project at statistical level of 0.853, 0.829, 0.817, 0.837, 0.900 and 0.829 respectively (or 72.8%, 68.7%, 66.7%, 70.1%, 81.0% and 68.7% respectively).
Key words: Evaluation research, Emergency medical service, Project evaluation