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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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