The Development of Health Service Model for Flood Disaster Victims at Bangsaphan Hospital, Bang Saphan District, Prachuap Khiri Khan Province

Abstract

          Objective :  This research aimed to develop the health service model for flood disaster victims at Bangsaphan Hospital, Bang Saphan District, Prachuap Khiri Khan Province as well as, to evaluate the effectiveness of health service model to assist the victims of the flood disaster at Bangsaphan Hospital, Bang Saphan District, Prachuap Khiri Khan Province (January, 2017).

          Materials and methods:  This study was based on action research technique. There were 4 steps of research process consisted of 1) study of situation and impact for health service needs of flood disaster victims 2) action plan and developing health service model 3) implementation and adaptation of health service model by PAOR process (Plan-Act-Observe-Reflect) and 4) effectiveness evaluating. The researcher used a mixed method. Data were collected using document review, observation, and deep interview of 23 persons, consisted of health personnel, community leaders, health volunteers and disaster victims. The Appreciation Influence Control (AIC) process was used in the study. About quantitative study samples were 400 flood disaster victims. Data were analyzed using content analysis, frequency, percentage, average and standard deviation.

          Results:  The results showed that the development of health service model for flood disaster victims at Bangsaphan Hospital, Bang Saphan District, Prachuap Khiri Khan Province consisted of, setup of field hospital and mobile medical units, the comprehensive home approach of the emergency medical care teams, and providing healthcare services for flood disaster victims on recovery phase. The key processes of the health service model for flood disaster victims were 1) participation team building 2) requirements analysis 3) coordination of medical and public health teams 4) home healthcare continuing on recovery phase. The result found that, overall opinion towards the health service model, was at high level (X= 2.91, S.D. = 0.475). Satisfaction of the health service model, was also at high level (X= 3.18, S.D. = 0.549). Potential of medical teams had the most average in high levels (X= 3.31, S.D. = 0.631).

          Summary and suggestion:  People expected that the hospitals might be the best shelter for healthcare in both normal and disaster situations. In case of disruption of function of local hospitals, agencies, government and partner networks should cooperate and support. The appropriate health service model for the crisis period should be established of a field hospital, mobile medical unit, organizing medical teams to target groups. In recovery phase, disease control, sanitation, epidemic disease prevention and mental health care of the victims shouldbe performed. At the present, the flood disaster is more frequent and virulent. The hospital where in the risk areas should be set up a field hospital, make a health service model, plan and practice to be able to implement in the real situation.