Effect of the Development of Emergency Medical Services in Samut Sakhon Province

Abstract

Objective: This study aimed to study the development of emergency medical service system in Samut Sakhon Province.

Methods: This research and development was conducted between January–August 2022. The studied group consisted of 137 emergency medical service practitioners in the Public Health Service Units and local administrative organizations. The research tool was a questionnaire. Data were analyzed using descriptive statistics, the multiple linear regression and content analysis.

Results: Outcomes of emergency medical service providers from engagement; It was found that after development, the overall participation was at high level (mean = 3.73, SD = 0.62) which was significantly higher than before development (p < .001). The overall perceived performance  of emergency medical services was at high level (mean = 4.23, SD = 0.40) which was significantly higher than before development (p < .001). The overall operational satisfaction was at high level (mean = 3.45, SD = 0.61). Healthcare outcomes for patients who received services urgent action passed the criteria within 2 minutes by 92.7% and the accuracy of the service issuance passed the criteria 63.5%, which was higher than before the development. Overall material and tooling results were at high level (mean = 3.77, SD = 0.67) which were significantly higher than before development (p < .001). The predictive factor on overall performance motivation was statistically significant at 49% (constant: B= 1.915, adj.R²= 0.498, p < .001) 17 out of 23 factors, the most influential was age (adj.R²= 0.246).

Conclusion: After the development, personnel were involved in the emergency medical service system between the hospital and the local government organization. As a result, emergency medical services were more efficient.