Effectiveness of emergency medical services networks
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2020
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2563
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eng
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738 leaves
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b212193
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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Chatchanok Karnasuta (2020). Effectiveness of emergency medical services networks. Retrieved from: https://repository.nida.ac.th/handle/662723737/6837.
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Effectiveness of emergency medical services networks
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Abstract
This study is a network of emergency medical services outside of
hospitals in the three provinces of Khon Kaen, Nonthaburi, Ubon Ratchathani and Sa
Kaeo provinces that has three objectives: 1) to study the operational processes of the
network organization in Emergency Medical Services, 2) to study the effectiveness of
the network organization in Emergency Medical Services, and 3) to present the
models of the network organization in Emergency Medical Services right with
Thailand that operated by Qualitative Research Methodology, In-Depth Interview,
Focus Group Discussion, Non-Participant Observation and Document Analysis.
Khon Kaen provincial's Emergency Medical Service began with team and
organization network building by a physician team in Khon Kaen hospital to develop
an emergency referral system. They were supported by the International Cooperation
Organization and the local administrative organization to join in the establishment of
paramedics. That was the beginning of the systematic emergency medical services in
Thailand and helped push forward the law to support the emergency medical system.
After that, When the incident and disaster plan was later included in the National
Economic and Social Development Plan, provincial medical centres and general
hospitals started to establish paramedic units; and the local administrative
organization started to participate by endorsement to establish district paramedic
units. Ubon Ratchathani province began to establish an emergency response and
command call centre in the Provincial Health Office. Nonthaburi and Sa Kaeo
provinces established emergency response and command call centres at Phranangklao
Hospital and Sa Kaeo Crown Prince Hospital. In addition, Ubon Ratchathani and Sa
Kaeo province decentralized the management of emergency response and command
call centres to perform outside of hospitals to the local administrative organization. The network building of emergency medical service was successful in Khon Kaen,
Ubon Ratchathani, and Sa Kaeo province carried out by unity of purposes of
leadership initiatives: to save people in emergencies through emergency medical
services outside of hospitals. For this reason, emergency medical networks were
established by building relationships and trust with other organizations to persuade to
apply existing potential and resource in each organization to the establishment of
emergency medical services to people. However, Nonthaburi provincial administrator
has not contacted yet agreed to conjointly participate in establishing emergency
medical service networks in the area yet.
The Khon Kaen provincial network administration of Emergency Medical
Service was the most effective due to sufficiently building and expanding the number
of network members to cover the entire province area, resulting in the performances
can be accessed to emergency patients in time. Whereas the Nonthaburi provincial
network administration of Emergency Medical Service was the least effective due to
an insufficient number of network members, there were no equipment and tools
enough to communicate. Sa Kaeo and Ubon Ratchathani provinces affect
communicating with people. Local administrative organizations can disseminate the
knowledge and understanding to people to decide to call for emergency medical
services through appropriate channels.
Suggestion: the government should earnestly hasten to transfer the public
health missions to the LAO, EMC should provide an understanding of the legitimacy
for the performances of emergency medical services outside of hospitals to the LAO;
transfer their missions to the Provincial Public Health Office in each region to
represent; provide the cooperation with civil society to organize the standardized of
emergency medical services; should integrate the emergency medical management of
all organizations in the network; including the integration to combine all types of
emergency numbers into a number for the convenience of the users' recognition.
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Thesis (D.P.A.)--National Institute of Development Administration, 2020