Development of Fast Track Service System model for Stroke risk group at Laemsing Hospital, Chanthaburi Province

Abstract

According to Stinger's conceptual framework, the purposes of this action research are to 1) develop a model of the Fast Track Service System for Stroke risk group and 2) assess the effectiveness of the Fast Track Service System for Patients models for Stroke risk group at Laemsing Hospital. A total of 49 participants were purposively sampled including 30 stroke patients who came to Laemsing Hospital in Chanthaburi Province for services, 1 doctor in charge of the NCD clinic, 4 nurses in charge of the NCD clinic, and 14 village health volunteers. The research process is divided into three stages: Look, Think, and Action phases. Meeting issues, a stroke awareness guide, innovations, Fast Track Service System access activities, and questionnaires are among the research tools used. Content analysis was used to analyze the qualitative data, and statistical statistics and the paired t-test were used to analyze the quantitative data. 

The results revealed that the model of the Fast Track Service System for Stroke risk group was 2MP, consisting of 1) M (Man), indicating that the person involved was a health worker, and village health volunteers. 2) M (Material), which refers to materials, equipment, and tools; and 3) P (Process), which refers to the process of developing a model for implementation and evaluation.  After the development of the model, it was discovered that participants had statistically significant higher knowledge about stroke after participating in the activity than before (p-value < 0.001) and statistically significant higher self-management skills after participating in the activity than before (p-value < 0.001). With an average time of 63.33 minutes, the percentage of Door to Door time is 100%.

Laemsing Hospital should use the model to serve patients at Stroke risk group, and health care organizations with comparable issues should adopt a model for the Fast Track Service System for Stroke risk group to patients in their area.