How to build a seamless referral system: A case study of Tha Chang Community hospital, Sing Buri, Thailand
Main Article Content
Abstract
This was a qualitative research. Tool was in-depth interview. Twelve participants were purposively selected from four groups, including Tha Chang Community Hospital, Community Health Center, as well as community health volunteers and the patients’ family members. Data were analyzed by using content analysis. Then the results were triangulated between sectors.
Criteria of effectiveness of Tha Chang referral program were patients’ clinical outcome, reduction of readmission, frequency of communication errors (transmission of medical data and patient’s information), and time delay of care after discharge. Key success factor was the Smart Discharge strategy using Bed Side Conference process. Key persons significantly influencing the Tha Chang Seamless referral program were the family care givers, accompanied by coaching, supporting and empowering from the Buddy Dream Team. The seamless referral system can be built upon staff, information, drug, transportation, referral form, know-how technics, and care.
Downloads
Article Details
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
2. Nakakul N. Seamless referral system and patient safety. Lampang: Lampang Hospital; 2013.
3. Messina FC, McDaniel MA, Trammel AC, Ervin DR, Kozak MA, Weaver CS. Improving specialty care follow-up after an ED visit using a unique referral system. Am J Emerg Med [Internet]. 2013;31(10):1495–500. Available from: https://dx.doi.org/10.1016/j.ajem. 2013. 08. 007
4. Caldwell PH, Arthur HM. The influence of a “culture of referral” on access to care in rural settings after myocardial infarction. Heal Place. 2009;15(1):180–5.
5. Elson R, Cook H, Blenkinsopp A. Patients’ knowledge of new medicines after discharge from hospital: What are the effects of hospital-based discharge counseling and community-based medicines use reviews (MURs)? Res Soc Adm Pharm [Internet]. 2017;13(3):628–33. Available from: https://dx.doi.org/ 10.1016 /j. sapharm.2016.05.001
6. Celenza JF, Zayack D, Buus-Frank ME, Horbar JD. Family involvement in quality improvement: from bedside advocate to system advisor. Clin Perinatol. 2017;44(3):553–66.
7. Surmaitis RM, Amaducci A, Henry K, Jong M, Kiernan EA, Kincaid H, et al. Perception and practice among emergency medicine health care providers regarding discharging patients after opioid administration. Clin Ther [Internet]. 2018;40(2):214–23.e5 Available from: https://dx. doi.org/10.1016/j.clinthera.2018.01.001
8. Ritchie CS, Leff B. Population health and tailored medical care in the home: the roles of home-based primary care and home-based palliative care. J Pain Symptom Manage [Internet]. 2018;55(3): 1041–6. Available from: https://doi.org/10.1016/j.jpainsymman.2017.10.003
9. Kennelty KA, Chewning B, Wise M, Kind A, Roberts T, Kreling D. Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists’ perspectives. Res Soc Adm Pharm [Internet]. 2015;1–14. Available from:https://dx.doi.org/10.1016/j.sapharm.2014.10.008