Situational Analysis of Pre-hospital Care System for Emergency Patients in Selected Community
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Abstract
Objective: To analyze the situations of a pre-hospital care system for emergency patients.
Method: The samples were health care providers and clients of the pre-hospital care system at Rabum Sub-district, Lansak District, Uthaithani Province. There were ten samples per group. Each group was then randomly selected into two sub-group. Data were collected twice, three weeks apart, for 60 minutes each using focus group discussions and guiding questions based on Donabedian’s Quality of Care Model. The data were analyzed by content analysis.
Results: The finding revealed that the emerged themes of clients and health care providers were congruent. The themes of this structured situation were to increase the number of health care providers and their knowledge and skills. Emergency medical care guidelines and working systems are complicated and often change as well as more details of medical records and small letters cause errors. The participants also suggested increasing public relations of the pre-hospital care system, providing a proper reward for health care providers, and increasing more equipment. Beside, the long distance sitting and the inexpert direction of health care providers led to postponed care. The themes of process were to direct communication and provide complete information to health care providers who would assist the process of the transportation, first aid, and referral, resulting in good relationships between health care providers and clients, including the providers’ willingness to provide care for their clients. Regarding the outcome themes, health problem and health complication prevention, promptness of first aid provisions, and good impressions on the care of health care providers were important. The problems and obstacles of pre-hospital care system involved health care providers, a changeable working system, equipment and communication.
Conclusion: The study suggested that the pre-hospital care system for emergency patients should effectively improve personnel, working system, equipment, communication and further study in other setting.
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References
Chadbunchachai W. Solving Traffic Accidents Strategy. Khon Kaen: Khonkaen Printing; 2002. (in Thai)
Bureau of Emergency Medical Services, National Institute for Emergency Medicine. Guidelines for Emergency Medical Services Systems. Bangkok: L.T. Press; 2007. (in Thai)
Sennunt K, Tosingha O, Sindhu S. Emergency resuscitation in trauma patients: a literature analysis. Thai Journal of Nursing Council. 2008;23(3):26-39. Available from: https://www.tci-thaijo.org/index.php/TJONC/article/view/2531/2360.
Moli P, Tosingha O, Sindhu S. Pre-hospital emergency care system for trauma patients: a Literature analysis. Thai Journal of Nursing Council. 2008;23(1):22-34. Available from: https://www.tci-thaijo.org/index.php/TJONC/article/view/2470.
Saranrittichai K, Buranakij D, Kulleab S, Jearapong S, Yamtree S, Wattananon W. Community Perception on Emergency Medical Service of Khon Kaen Regional Hospital. Khon Kaen: Khon Kaen Regional Hospital; 2003. (in Thai)
Siripanich T. Emergency medical service. Thai Journal of Trauma. 1999;18:9-16. (in Thai)
Srithamma S. Strategic Plan for the Development in Emergency Medical Service Systems in Thailand, 2006 - 2010. The 7th Traffic Accident Report Conference on June 20 - 22, 2006. Nonthaburi: Ministry of Public Health. (in Thai)
Hatthirat S. Emergency Health care System Reform. Nonthaburi: Health Systems Research Institute; 2001. (in Thai)
Accidental and Emergency Unit. Performance Indicatorin of Emergency Medical Services in Lan Sak Hospital. Uthai Thani: Lan Sak Hospital; 2008. (in Thai)
Kanchanasut S. Guideline of pre-hospital trauma-care system. 4th ed. Bangkok: Thai Association Emergency Medicine; 2007. (in Thai)
Verdile VP, Krohmer JR, Swor RA, Spaite DW. Model curriculum in emergency medical services for emergency medicine residency programs. SAEM Emergency Medical Services Committee. Acad Emerg Med. 1996;3(7):716-22. doi:10.1111/j.1553-2712.1996.tb03497.x.
Ministry of Public Health. Emergency Medical Act B.E. 2008. Nonthaburi: Siriyod Printing; 2008. Available from: https://www.niems.go.th/1/upload/migrate/file/255601101636362435_c2ps85DUy7tpW0yp.pdf.
Saisud P. Factors Influencing Prehospital Outcome of Traumatic Patients. Bangkok; Lerdsin Hospital; 2004. Available from: https://mulinet11.li.mahidol.ac.th/thesis/2547/cd370/4437195.pdf.
Sharma BR. Development of pre-hospital trauma-care system--an overview. Injury. 2005;36(5):579-87. doi:10.1016/j.injury.2004.09.009.
Accidental and Emergency Unit. Medical service system practices in Lan Sak Hospital. Uthai Thani: Lan Sak Hospital; 2004. (in Thai)
Amornpetchsathaporn A. Guide for Information and Communication System Development. In: Bureau of Emergency Medical Services, ed. Principles of Emergency Medical Service System Development. Khon Kaen: Khonkaen Printing; 2008. (in Thai)
Bureau of Emergency Medical Services. Principles of Emergency Medical Service System Development. Khon Kaen: Khonkaen Printing; 2008. (in Thai)
Sawanpanyalert N. Standard in Emergency Department: Standard in Emergency Medicine Conference Rajavithi Hospital on July 7-11, 2008. Bangkok: N.T. Press; 2008. (in Thai)
Satitniramai S. The Role of Emergency Medical Act. In: Bureau of Emergency Medical Services, ed. Principles of Emergency Medical Service System Development. Khon Kaen: Khonkaen Printing; 2008. (in Thai)
Ngowsiri J. Guide to Financial Management. In: Bureau of Emergency Medical Services, ed. Principles of Emergency Medical Service System Development. Khon Kaen: Khonkaen Printing; 2008. (in Thai)
Lalitwongsa S. Public Relations and Taking Knowledgement to Public. In: Bureau of Emergency Medical Services, ed. Principles of Emergency Medical Service System Development. Khon Kaen: Khonkaen Printing; 2008. (in Thai)
Chirawatkul A, Kosuwon W, Prabnasak B, Patanasri K. Evaluation of Emergency Service System at the Scene of Khon Kaen Province. Nonthaburi: Health Systems Research Institute; 1998. Available from: https://164.115.27.97/digital/files/original/701bef621a53177a9dc67101497196c8.pdf.
Nittayarampong S, Pannarunothai S, Srithamrongsawat S. Evolution of Universal Health Coverage in Thailand. 2nd ed. Nonthaburi: Superior Printing; 2000.
Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743-8. doi:10.1001/jama.260.12.1743.
Robertson-Steel I, Edwards S, Gough M. Clinical governance in pre-hospital care. J R Soc Med. 2001;94 Suppl 39:38-42.
Prarom S. A Study of Documentation of Nursing Performance in the Emergency Room, Police Hospital [master’s thesis]. Bangkok: Mahidol University; 1998.
Rabam of Tambon Health Promoting Hospital. Universal Health Coverage Data. Uthai Thani: Rabam of Tambon Health Promoting Hospital; 2009.
Boonrug P. Team Work Performance of Rescue Volunteers from Poh Teck Tung and Ruamkatanyu Foundation and Narenthorn Medical Service of Rajavithi Hospital [master’s thesis]. Bangkok: Mahidol University; 2000.
Aurjirapongpan S. First Aid Practice On Road Traffic Accident Victims in Prehospital Phase by Policemen and Rescue Volunteers [master’s thesis]. Bangkok: Mahidol University; 1999.
Wattanachot S. A Study of Traffic Victim Rescue Efforts by Police of Uthai Thani Province [master’s thesis]. Bangkok: Mahidol University; 1999.
Krafft T, García Castrillo-Riesgo L, Edwards S, Fischer M, Overton J, Robertson-Steel I, et al. European Emergency Data Project (EED Project): EMS data-based health surveillance system. Eur J Public Health. 2003;13(3 Suppl):85-90. doi:10.1093/eurpub/13.suppl_1.85.
Uthai Thani Provincial Public Health Office. Manual for Emergency Notification, Emergency Medical Service System in Command Center. Uthai Thani: Uthai Thani Provincial Public Health Office; 2009.
Gentil RC, Ramos LH, Whitaker IY. Nurses' training in prehospital care. Rev Lat Am Enfermagem. 2008;16(2):192-7. doi:10.1590/s0104-11692008000200004.
Olasveengen TM, Vik E, Kuzovlev A, Sunde K. Effect of implementation of new resuscitation guidelines on quality of cardiopulmonary resuscitation and survival. Resuscitation. 2009;80(4):407-11. doi:10.1016/j.resuscitation.2008.12.005.
Poolsiri P. Rescuing the Victims of Road Traffic Accidents by Por Tek Tueng Foundations Officials in Bangkok; Research Report [master’s thesis]. Bangkok: Mahidol University; 1999.
Lakuparp P. The Nursing Service Pattern Study of the Structure, Process, and Outcome of the Emergency Department Saraburi Hospital Case Study [master’s thesis]. Bangkok: Mahidol University; 2001.
Tongdee I. Satisfaction of Emergency Medical Service Staff in Hospital Community Service Unit. Nonthaburi: Health Systems Research Institute; 2006. (in Thai)
Mansak K. Development of Emergency Nursing Service in Bangkok Christian Hospital, Church of Christ in Thailand, 2003 [master’s thesis]. Bangkok: Mahidol University; 2003. Available from: https://10.24.101.11/e-thesis/4536369.pdf.
Phongnapharak P. Development of Emergency Medical Service System Model at the Scene: Case Report in Khon Kaen Province [master’s thesis]. Khon Kaen: Khon Kaen University; 2004. Available from: https://doi.nrct.go.th/ListDoi/Download/115716/ad5f3df116de936b4ffbca9efd78ac91?Resolve_DOI=10.14457/KKU.the.2004.151.
Paisansilp S. Pre-hospital care in Hadyai Municipality: preliminary report. Songkla Med J .2001;9(1): 3-7. Available from: https://www.geocities.ws/jarajorn_hadyai/onsiteer.html.