Effectiveness of Emergency Medical Service System Development for Stroke patient in Nakhon Ratchasima Province

Abstract

This is research and development aims to developed emergency medical service system (EMSs) for stroke patient in Nakhon Ratchasima province. The target group had been divided for two clusters as: (1) The sample to developed EMSs, and (2) Another sample to assessed the effectiveness of the EMSs. Collective data tool composed (1) emergency medical service standard evaluation form, (2) emergency medical service questionnaire for stroke patient. The main three processes of research had been conducted on (1) Problem survey (2) Development and (3) Effectiveness assessment. Data were analyzed by descriptive statistic.

The results found that EMSs for stroke patient had been developed on “CARE model”, was both in proactive service in community, and reactive with clinical service in the hospital. While, on standard service availability of all had been prepared, included, a good knowledge and skill level to stroke service of ALS, BLS, and FR team. After EMSs had been developed, found 81.7% of the stroke patient and relative can called the rescue or ambulance on 15 minutes, after a conformable stroke symptom had occurred. Likewise, 89.6% of the rescue or ambulance had been arrived site on 30 minutes, and rapidly picked them up to hospital on 1 hour as 100%. On stroke clinical service, when arrived emergency room, found 100% of the patient had been interrogated their illness history by nurse within 5 minutes, as the same time, there was the physician had been coming up to incessantly treated them before referred to other room. The results of EMSs development, the stroke service had been preferred from patient on highest satisfaction scale as 71.3%, as well 15.7%, and 13.0 were in high and medium, respectively. The effectiveness of EMSs development for stroke patient is “CARE model”, which affect more service access of people, especially stroke patient who need rapid medical service.