Effectiveness of Seamless Service System Development in the Care of Rehabilitation for Intermediate Care in Roi Et Province Network
Keywords:
seamless service system, intermediate care, rehabilitation careAbstract
Background and Objectives: Rehabilitation could improves quality of life for intermediate care patients. This research was to study the situation, improve the service model and the effectiveness of the development of a seamless service system.
Methods: This was an Action research consisting of 3 phases: 1) the situation study phase, 2) the model development phase, and 3) the model outcome evaluation phase. Two sample groups were studied at Roi Et hospital and 20 community hospitals: 1) multidisciplinary teams and 2) 789 intermediate care patients. Data were collected from October 2020 to December 2021 using the mixed methods; evidence-based documentation, group discussions, recordings, behavioral observations and questionnaires. Qualitative data were analyzed by content analysis and quantitative data by distribution, frequency, percentage, mean, standard deviation and independent t-test statistics.
Results: It was found that 1) the situation of intermediate care was unclear. The staff lacked patient information. Patients and their families do not see the importance of rehabilitation and have financial problems. 2) The seamless service system consists of the following elements: problem determination, organize a service system to have practical guidelines, referral system with NEMOCARE program and, monitoring outcome. And 3) the effectiveness of the development was found that 1) the staff were satisfied at a high level (Mean=4.70, SD=.78). 2) There is an increase in the number of intermediate care patients. (=12.98, S.D.=7.88, p<0.001) 3) 88.46% of patients were satisfied with the quality of service at a high level (
=25.78, S.D.=1.50, p<0.001) and enhance the quality of clinical outcomes.
Conclusion: The effectiveness of the development to create clear system, to increase service quality, to increase quality of life and to be satisfied with the service system.
References
Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health. National 5-year NCDs Prevention and Control Strategic Plan (2017-2021). Bangkok: Emotion Art Co., Ltd, 2017.
Division of Public Health Administration Office of the Permanent Secretary, Ministry of Public Health. Driving the Health Service Development Plan (Service Plan) 2017 – 2021. Bangkok: Agricultural Cooperative Society of Thailand Printing House Co., Ltd, 2017.
Ministry of Public Health. Public health uses 3 strategies to reduce congestion at large hospitals “Reduce Illness – Increase Efficiency – Improve Potential”.[Online]. 2018 [Cited November 10, 2018]; Retrieved from https://www.hfocus.org/content/2018/10/16450. 2018.
Nursing Division, Office of the Permanent Secretary, Ministry of Public Health. Guidelines for providing nursing services for middle-aged patients. First printing, printed at Tawan Media Publishing Company Limited, 2019.
Suksathien R. Access to Inpatient Acute Stroke Rehabilitation Services Maharat Nakhon Ratchasima Hospital :Relevant factors and results. J Thai Rehabil Med 2014; 24(2):37-43.
Rehabilitation Medicine Group Roi Et Hospital Statistics of illnesses admitted to the medical department of Roi Et Hospital, 2020.
Wiwatvanich S, Chitaphankul S Ketpichayawatana J. Research report, “Study on the readiness and needs of patients receiving Discharge from hospitals in general hospitals and hospital center under the Ministry of Health One day survey”. Foundation of Thai Gerontology Research and Development Institute (Mor.Por.): Bangkok, 2012.
Ministry of Public Health (draft) Intermediate care service plan, Ministry of Public Health, 2018.
The Working Group for the Subacute Rehabilitation Project 2015-2016, the Development of Subacute Rehabilitation and the lessons learned from the Ministry of Public Health. and removing lessons learned from operations under the Ministry of Public Health. Rehabilitation Medicine Association of Thailand: Bangkok, 2016.
Bonita R. Beaglehole, R. Recovery of motor function after stroke. Stroke 1988;19(12):1497-500.
Ministry of Public Health. Public health uses 3 strategies to reduce congestion at large hospitals “Reduce Illness – Increase Efficiency – Improve Potential”. 2018. [Cited November 10, 2018]; Available from:https://www.hfocus.org/content/2018/10/16450
Ministry of Public Health. From the Millennium Development Goals to the Sustainable Development Goals (SDGs) under the UN framework. [Online]. 2015 [Cited November 2, 2020]; Available from: https://www.bps.moph.go.th/new_bps/sites/default/files/SDG.
Puengcharoen P, Chokpunyaphong U. (2020) on guidelines for the development of health rehabilitation management systems for middle-term patients in communities in Saraburi Province. Journal of preventive medicine association of Thailand 2022;12 (2):230-249.
Winstein J. Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American heart association/American stroke association. Stroke 2016; 47(6):98-169.
Miller L. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke 2010;41(10):38-48.
Subcommittee on Medical Practice and Knowledge Management Royal College of Physicians of Thailand Agenda 2018-2020. Guidelines for the preparation of guidelines for medical practice. The Royal College of Physicians of Thailand, 2018.
Joanna Briggs. Institute for Evidence Based Nursing & Midwifery. 2019. Reviewers' manual. [Cited Aug 3, 2020]. Available from: http://www.joannabriggs.edu.au.
Mahidol University Faculty of Medicine Siriraj Hospital. Annual report 2021: Knowledge Management Siriraj 130 years: Seamless treatment. 2018. [Cited Aug 3, 2021].Available from: https://www.si.mahidol.ac.th/th/siriraj130years/project.php?id=30.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Srinagarind Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
