Development of an Occupational Health and Environmental Medicine Service Delivery Model to Support the Control of Occupational Diseases and Environmental Diseases Act B.E. 2562 for Community Hospitals in Health Region 7
Keywords:
Model development, Occupational Health and Environmental Medicine Service Delivery, Keyword: Model development, Occupational health and environmental medicine service delivery, Problem-based learning, Occupational and Environmental Diseases Act B.E. 2562 (2019), Community hospitals, Control of Occupational Diseases and Environmental Diseases Act B.E. 2562, Community HospitalsAbstract
This action research aimed to develop an occupational health and environmental medicine service delivery model for community hospitals in Health Region 7, Thailand, to support the implementation of the Control of Occupational Diseases and Environmental Diseases Act B.E. 2562 (2019). The study was conducted from March 2022 to March 2025 and consisted of four phases: 1) situation analysis and needs assessment, 2) model development, 3) implementation and refinement, and 4) evaluation. The participants included public health personnel responsible for occupational health services and four model community hospitals. The developed model comprised operational mechanisms, organizational structure, implementation based on five standard components, and capacity building through a 60-hour short-course training program on fundamental occupational health nursing using problem-based learning. The results showed that the proportion of community hospitals achieving a good standard level increased from 40% in 2022 to 73.33% in 2025. Knowledge scores of nurses improved significantly after completing the training program, and satisfaction with the course was reported at the highest level. Trained nurses were able to apply their knowledge in four key areas: risk assessment and management, occupational health service provision, healthcare and disease screening, and service development planning. All four model hospitals successfully implemented services according to the five standard components; however, environmental medicine services remained a limitation for all hospitals. The findings suggest policy recommendations: the Department of Disease Control should assess the readiness and limitations of community hospitals to support compliance with Section 24. Furthermore, at the health regional level, a strategic service system development plan should be established, encompassing resource allocation, personnel development, and support mechanisms to enable community hospitals to implement Section 25 effectively.
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