The Development for system of Trauma Care in Mahasarakham Province

Abstract

Objective : To develop the Trauma Care System in Mahasarakham Province

Methods : This research and development study consists of four phases: 1) Analyzing the current situation, problems, and needs 2) Developing the trauma care system 3) Implementing the system to assess its effectiveness among 130 healthcare personnel and stakeholders, as well as 120 injured patients, and 4) Evaluating, improving, and validating the system’s quality. The research instruments include data recording forms, focus group discussion guidelines, trauma care system quality assessment forms, injured patient care competency assessment forms, and satisfaction evaluation forms for the system. Data collection was conducted from October 2022 to September 2024. Data were analyzed using frequency, percentage, mean, standard deviation, multiple regression analysis, Fisher's Exact test, paired t-test, and content analysis.

Result : 1) The development of the Trauma Care System in Mahasarakham Province consists of three components: (1) Inputs – including policies, administrative structure, trauma care competency, and support mechanisms. (2) Processes – utilizing the CF3T-NAP Framework. (3) Outcomes – defining quality indicators of the healthcare system in three dimensions: structure, process, and outcome. 2) After implementing the system, the mean injured patient care competency score was significantly higher than before implementation (p<0.01). The quality of injured patient care outcomes also significantly improved after implementing the system (p<0.01). Additionally, 92.31% of the involved personnel rated the system quality as excellent, and 93.33% expressed the highest level of satisfaction with the system ( =3.96 SD=0.76)

Conclusion : Other healthcare facilities should adopt the development of the Trauma Care System to enhance the efficiency and understanding of injured patient care processes.