Journal of Preventive Medicine Association of Thailand

Prevalence and Impact of Animal-Related Road Traffic Accidents in Phichit Province: a Retrospective Descriptive Study

Teeravit Danrungrot, Pitipat Yamvilai — Tue, 30 Dec 2025 00:00:00 +0700

Objective: This study aimed to determine the prevalence of animal-related road traffic accidents (RTAs) in Phichit Province, analyze patterns and severity of injuries, treatment outcomes, and assess the burden on the Emergency Medical Services (EMS) system. Additionally, the study provides policy-relevant data to enhance road safety regarding this specific issue. Methods: This is a Retrospective Descriptive Study collecting data on patients involved in animal-related RTAs in Phichit Province between October 1, 2023, and September 30, 2024. Data were gathered from the EMS database and medical records of hospitals in the study area. Results: A total of 342 animal-related RTAs (9.13% of all EMS RTAs) were identified. Mean patient age was 38.2 ± 18.5 years. Motorcycles were involved in 98.8% of cases. Dogs caused most incidents (87.1%), followed by monitor lizards and cats. Direct collisions (81%) led to loss of control and falls. Common injuries included abrasions, lacerations, and contusions (82.2%), with 38.9% sustaining head injuries. Hospital admission occurred in 31.6%, ICU in 1.8%, and one death (0.3%). FR, BLS, and ALS handled 82.2%, 10.8%, and 7% respectively. Conclusion: Animal-related RTAs in Phichit Province are relatively prevalent, with motorcyclists being the primary at-risk group. Injuries range from minor to severe, placing a significant burden on EMS resources. The findings from this study can serve as a basis for public health policymaking, accident prevention strategies, and efficient allocation of EMS resources both pre-hospital and in-hospital to improve road safety.

Prevalence and Factors Associated with Burnout among Intern Physicians in Thailand

Pacharapon Poopitaya, Pornchai Sithisarankul — Tue, 30 Dec 2025 00:00:00 +0700

Objective: This research aimed to investigate the prevalence and associated factors of burnout among interns under the Ministry of Public Health in Thailand. Methods: A cross-sectional descriptive study was conducted among 432 intern physicians using cluster sampling from all 12 health regions across the country. Data were collected between February and April 2025. Burnout was evaluated using the Thai version of Maslach Burnout Inventory. Data analysis included both descriptive and inferential statistics. Bivariate analysis and multivariable logistic regression were performed. Results: The prevalence of burnout among participants was 53.7%. After adjusting for confounders, the factors significantly associated with burnout were sleeping less than 7 hours per day on average (aOR = 2.98, 95% CI: 1.49–5.99), working in a general hospital (aOR = 3.98, 95% CI: 1.76–9.01), seeing more than 45 outpatients per day (aOR = 3.98, 95% CI: 1.76–9.01), having difficulties working with nurses (aOR = 3.18, 95% CI: 1.02–9.93), having difficulties working with medical instructors (aOR = 8.26, 95% CI: 3.88–17.56), and having thoughts of resigning from their internship (aOR = 8.34, 95% CI: 4.17–16.67). Conclusion: The findings of this study point to the importance of surveillance and prevention of burnout in intern physicians. The relationship among intern physicians, nurses, and attending physicians should be promoted to help reduce burnout and sustainably retain resident physicians in the public health system.

Occupational Health Hazards and Work-Related Injuries among Informal Workers in Lat Lum Kaew District, Pathum Thani Province

Suparat Khata, Ekarat Sombatsawat, Teeraphun Kaewdok — Tue, 30 Dec 2025 00:00:00 +0700

Objective: To survey occupational health hazards and work-related injuries among informal workers in Lat Lum Kaew District, Pathum Thani Province. Methods: This descriptive study collected data from a sample of 306 informal workers. Data were gathered using a structured questionnaire that included information on occupational health hazards and the incidence of work-related injuries. Data analysis was performed using descriptive statistics. Results: The results revealed that 60.78% of participant were women with an average age of 48.10 years (SD=13.69); 34.64% had completed an elementary education. The majority of informal occupations were in the agricultural sector (38.88%), followed by employees (31.70%). The most significant occupational hazards were heat exposure (68.95 %), lighting intensity (66.99%), chemical exposure (50.65%), and dust exposure (27.12%). Biological hazards included exposure to zoonoses (58.50%), while ergonomic hazards included repetitive work (73.20%) and prolonged working (66.01%). Among informal workers, 40.52% experienced work-related accidents. Sprains and strains were the most common type of occupational injury (30.07%), while injuries to the hands, fingers, and wrists accounted for 21.57% of cases. The highest frequency of injuries occurred due to objects hitting or falling (25.82%). Conclusion: The findings of this study provide significant data for relevant authorities to develop occupational health and safety programs. They are particularly engaging for health and safety awareness in the workplace, thereby promoting the quality of work life among informal workers.

Changes in White Blood Cell Count Due to Formaldehyde Exposure in the Grinding Wheel Manufacturing Process among Workers in a Factory in Thailand

Punnarin Pattanasiritavin, Arroon Ketsakorn, Chaweewon Boonsuyar — Tue, 30 Dec 2025 00:00:00 +0700

Objective: This study aimed to evaluate changes in white blood cell count- (WBC) WBC count among workers in a grinding wheel manufacturing plant in Thailand who had a documented history of formaldehyde exposure in production processes. Methods: A total of 146 workers with complete health surveillance records from 2013 and 2023 were included in the analysis. Data were analyzed using descriptive statistics, Wilcoxon Signed Rank Test and the Generalized Estimating Equation (GEE) method. Results: The findings indicated that the mean white blood cell count in 2023 was significantly higher than that in 2013 (p < 0.05). This increase was observed despite workplace formaldehyde concentrations remaining within the legally permissible exposure limits. The elevated levels suggested a potential long-term cumulative effect of formaldehyde exposure on hematological parameters. Conclusion: The results underscore the necessity for continuous health surveillance systems for workers exposed to formaldehyde and support the promotion of further research into additional hematological and biological markers to assess long-term health effects in a more comprehensively.

Factors Contributing to Delayed Prenatal Care among Pregnant Women at Khlong Luang Hospital, Pathum Thani Province

Prame Chantabal, Monchai Suntipap — Tue, 30 Dec 2025 00:00:00 +0700

Objective: To determine the incidence of late antenatal care (ANC) initiation and identify factors associated with it among pregnant women receiving services at Khlong Luang Hospital, Pathum Thani Province. Methods: An analytical cross-sectional study was conducted on 75 pregnant women who attended their first ANC visit at Khlong Luang Hospital, Pathum Thani Province, between October 1, 2024, and March 31, 2025. Data were collected using a questionnaire with a reliability of Cronbach’s alpha = 0.87, which included general information, perceived benefits of and risks to pregnancy, social support, and depression (2Q–9Q screening tool), as well as ANC information. Data were analyzed using the Chi-square test and logistic regression. Results: The incidence of late ANC initiation (after 12 weeks of gestation) was 56.0%. The mean age of women with late ANC initiation was 25.8 ± 7.9 years, and their mean gestational age at the first visit was 16.08 ± 8.52 weeks. Multivariate logistic regression analysis revealed that factors significantly associated with late ANC initiation were unawareness of pregnancy before 12 weeks of gestation (Adjusted Odds Ratio [aOR] = 6.87, 95% CI 1.74–27.20, p = 0.006) and mild depression (aOR = 8.70, 95% CI 2.10–36.00, p = 0.004). Conclusion: This study demonstrates a relatively high incidence of late antenatal care initiation at Khlong Luang Hospital, Pathum Thani Province. Unawareness of pregnancy and mild depression were significant factors associated with delayed ANC. These findings can be utilized to plan and improve maternal and child health service systems in the area to ensure pregnant women have timely and appropriate access to care.

The Effectiveness of Diabetes Clinic Service at Sub-District Health Promoting Hospitals after The Transfer of Mission to Khon Kaen Provincial Administrative Organization

Tue, 30 Dec 2025 00:00:00 +0700

Objective: To evaluate the effectiveness of diabetic patient services and study problems, obstacles, and recommendations for diabetic patient services at the Subdistrict Health Promotion Hospital under the Khon Kaen Provincial Administrative Organization (PAO). Methods: This is an evaluation research using the CIPP Model, conducted between April and December 2024. Qualitative research using in-depth interviews and focus group discussions. Sample group 1) Non-communicable Disease Control Committee, Khon Kaen Provincial Administrative Organization, 8 people 2) Professional nurses responsible for the diabetes clinic and providing care to patients in the diabetes clinic of the Subdistrict Health Promotion Hospital under the Khon Kaen Provincial Administrative Organization, totaling 30 people. 3) Type 2 diabetes patients who were referred to receive services at the Subdistrict Health Promotion Hospital under the Khon Kaen Provincial Administrative Organization, totaling 30 people. Specific selection, quantitative research using questionnaires, sample group 1) Diabetic patients, sample size 322 people, stratified random sampling. 2) Professional nurses, sample size of 145 people, by simple random sampling, calculated sample size by estimating the population proportion in the case where the population size is known, using Daniel's (2010) formula. Results: 1) In terms of context, the service model in the diabetes clinic still operates according to the original guidelines before the transfer of duties, namely: It is the Chronic Care Model by the Khon Kaen Provincial Administrative Organization. It has established strategies for promoting, preventing and controlling diseases and health threats to be used as guidelines for operations. 2) Import factors There is a shortage of personnel working in diabetes clinics. This is resolved by hiring more and recruiting personnel to fill vacant positions. In terms of budget, the Subdistrict Health Promoting Hospital (Sor.PH) has received an increased budget allocation, resulting in a better financial situation than before the transfer of duties. Materials, equipment, tools, medicines, and medical supplies continue to be supported by the hospital as usual. If supplies are insufficient, they can be purchased from the Subdistrict Health Promoting Hospital budget. In terms of management systems, coordination with local hospitals is being carried out through the CUP BOARD, with a joint service plan being developed as before. 3) In terms of process, services are provided in diabetes clinics according to the Chronic Care Model and NCD Clinic Plus criteria, with hospitals serving as the main service network and sub-district health promotion hospitals as the operational network. 4) In terms of results, the service quality of the diabetes clinic before and after the transfer of duties was not significantly different (t= 2.51, p-value = 0.20). Health outcomes showed that the blood sugar levels of type 2 diabetic patients before and after the mission transfer, the majority had HbA1C levels less than 7.0, 52.00% and 70.50%, respectively. The health behaviors of type 2 diabetes patients, when compared before and after the mission transfer, were significantly different (t = 4.27, p-value < 0.05). Conclusion: The Diabetes Clinic continues to operate according to the Chronic Care Model under the disease control strategy of the Khon Kaen Provincial Administrative Organization. Although the number of personnel is insufficient, additional recruitment has been made, while the budget of the subdistrict health promotion hospital has increased, resulting in a more stable financial situation. Equipment and materials are still supported by the hospital and can be purchased additionally. There is also a coordination system through CUP BOARD to provide services according to the Chronic Care Model and NCD Clinic Plus standards, with the hospital acting as the host and the Subdistrict Health Promotion Hospital is a network operator, resulting in no significant difference in service quality, patients' HbA1C levels improving, and patients' health behaviors improving significantly.

The Effects of Cognitive Behavioral Therapy on Suicide Risk among Elderly Patients with Diabetes in Erawan District, Loei Province, Thailand: a Randomized Controlled Trial

Supattra Silaudomkit, Netiluck Silaudomkit — Tue, 30 Dec 2025 00:00:00 +0700

Objective: To determine the effects of cognitive behavioral therapy on suicide risk in elderly patients with diabetes mellitus. Methods: A randomized controlled trial was conducted among 102 elderly diabetic patients at risk of suicide in Erawan District, Loei Province. They were assigned into either (a) an experimental group receiving CBT program combined with usual care or (b) a control group receiving usual care only (each with 51 participants). Follow-up was conducted for 6 months. Outcomes were measured using the Suicidal Behaviors Questionnaire-Revised (SBQ-R), 9Q Depression Assessment Scale, Beck Hopelessness Scale (BHS), and Interpersonal Needs Questionnaire-Perceived Burdensomeness (INQ-PB). Results: Most participants were female (62.7%) with a mean age of 67.8 ± 5.2 years. The experimental group showed statistically significant reduction in suicide risk scores compared to the control group (9.8 ± 2.1 to 6.5 ± 1.7 versus 9.6 ± 2.3 to 8.9 ± 2.0, p < 0.001). The effect size (Cohen's d) was large (1.35). The experimental group showed statistically significant improvements in depression, hopelessness, and perceived burdensomeness compared to the control group (p < 0.001). The treatment response rate in the experimental group was as high as 83.3% at 6 months post-intervention. Conclusion: The cognitive behavioral therapy program was effective in significantly reducing suicide risk and improving mental health outcomes in elderly diabetic patients, both statistically and clinically. Treatment effects were sustained up to 6 months post-intervention.

Development of a Competency-Based Curriculum for Public Health Personnel on Disease and Health Threat Prevention and Control to Support the Decentralization to Local Administrative Organizations

Tue, 30 Dec 2025 00:00:00 +0700

Objectives: This study aimed to (1) examine the current situation, problems, and needs for developing a competency-enhancing curriculum on disease prevention, control, and health hazards for public health personnel under local administrative organizations; (2) design and validate an appropriate curriculum; and (3) evaluate the outcomes of implementing the curriculum. Methods: This research employed a research and development (R&D) design conducted between May and August 2025, comprising three phases: (1) an assessment of the current situation, problems, and needs using questionnaires and in-depth interviews; (2) curriculum development and validation through synthesis of Phase 1 data, workshops, and expert evaluation of appropriateness; and (3) pilot implementation of the curriculum in areas with 100% transferred responsibilities, namely Roi Et and Maha Sarakham provinces, involving 30 primary health care personnel as participants. Results: The survey indicated that personnel required knowledge in epidemiology, disease investigation, emerging and re-emerging diseases, and relevant laws and regulations. Desired skills included situational analysis, disease investigation report writing, and risk communication, while essential attributes comprised analytical thinking, continuous learning, and a positive attitude. The developed curriculum consisted of five learning modules: (1) Local administrative organizations and disease prevention, control, and health hazard management; (2) Applied epidemiology for local surveillance and control; (3) Effective local-level surveillance, prevention, and control; (4) Principles of monitoring and evaluating local-level operations; and (5) Risk communication and local-level operational management. Results from the pilot implementation among 30 participants showed that post-curriculum competency scores in knowledge, skills, and attributes were significantly higher than pre-curriculum scores (p < 0.001). Conclusion: The developed competency-enhancing curriculum effectively addressed the needs of public health personnel in local administrative organizations and strengthened their capacity for local-level disease surveillance, prevention, and control. For sustainable implementation, it is recommended to supplement the curriculum with mentoring systems and ongoing evaluation.

Comparison of Postoperative Nausea and Vomiting (PONV) Events Between Patients Received PONV Prophylaxis Corresponding with PONV Risk Factors and Patients Received PONV Prophylaxis Not Corresponding with PONV Risk Factors Under General Anesthesia in Phraphutthabat Hospital : Retrospective Study

kiattikoon Sutammaruk, Monchai Suntipap — Tue, 30 Dec 2025 00:00:00 +0700

Objective: To compare of postoperative nausea and vomiting (PONV) events between patients received PONV prophylaxis corresponding with PONV risk factors and patients received PONV prophylaxis not corresponding with PONV risk factors, and to identify associated factors of PONV Methods: A retrospective analytical study was performed in 517 patients undergoing general anesthesia in Phraphutthabat hospital from January 2023 to December 2023. These patients were divided into PONV prophylaxis corresponding with PONV risk factors group 264 patients, and PONV prophylaxis not corresponding with PONV risk factors group 253 patients. There were low risk patients, intermediate risk patients and high risk patients in both groups. Demographic data, anesthetic data, surgical data and PONV event in first 24 hours were obtained. Demographic data and clinical data were analyzed using descriptive statistics. Intergroup differences were assessed for significance using a chi-square test for categorical data, and using t-test or Mann-Whitney test for continuous data depend on the distribution of data. Factors associated PONV were analyzed using univariate logistic regression and multivariate logistic regression. Results: No incidence of PONV in low risk patients. On the other hand, in intermediate risk patients, the incidence was 1.69% in PONV prophylaxis corresponding with PONV risk factors group, and the incidence was 6.45% in PONV prophylaxis not corresponding with PONV risk factors group, there was statistically significant difference (p = 0.030). And in high risk patients, the incidence was 16.33% in PONV prophylaxis corresponding with PONV risk factors group, and the incidence was 40.31% in PONV prophylaxis not corresponding with PONV risk factors group, with statistically significant difference (p = 0.002). Associated factors of PONV were analyzed and found that female (aOR 2.91, 95% CI 1.16-7.26, p = 0.022), history of previous PONV/motion sickness (aOR 8.40, 95% CI 3.76-18.77, p < 0.001), general surgery (aOR 2.87, 95% CI 1.34-6.16, p = 0.007), gynecological surgery (aOR 2.28, 95% CI 1.08-4.82, p = 0.032) and postoperative opioids use (aOR 6.23, 95% CI 3.09-12.53, p < 0.001) were risk factor of PONV. Smoking was a protective factor of PONV (aOR 0.03, 95% CI 0.00-0.51, p < 0.027). Conclusion: Patients given PONV prophylaxis corresponding with PONV risk factors group can significantly decrease the incidence of PONV compare with the patients given PONV prophylaxis not corresponding with PONV risk factors group, especially intermediate risk patients and high risk patients. Risk factors of PONV in this study are female, non-smoker, history of PONV/motion sickness, general surgery, gynecological surgery, postoperative opioids use

Oral Health Care Utililization of Thai Elderly: Analysis of the 2023 Health and Welfare Survey Data

Nantaporn Ruenpol — Tue, 30 Dec 2025 00:00:00 +0700

Objective: This study examines the utilization of oral health services among the Thai elderly, the relationship between the utilization of services by the Thai elderly and socio-demographic factors and the factors influencing the access to dental services among the elderly and household heads. Methods: Data were obtained from the 2023 Health and Welfare Survey, which employed a nationally representative, weighted sample. This cross-sectional survey was conducted by the National Statistical Office and interviewed 28,960 households across Thailand between March 1–31, 2023. The dataset was analyzed using descriptive statistics, logistic regression, and multiple linear regression. Results: Dental service utilization among Thai elderly was found to be low, with only 6.48% of respondents reporting use of dental services within the 12 months prior to the interview. The data indicated that individuals aged 60–79 years had higher service utilization rates compared to those aged 80–98 years, both in terms of frequency and types of services received. The most common dental services were tooth extraction, scaling, and fillings. Private clinics were the most frequently utilized healthcare facilities, followed by general hospitals and community hospitals. Regarding costs, most elderly incurred either no out-of-pocket expenses or low costs, with the majority using the National Health Security Scheme. However, many insured individuals did not utilize services due to long waiting times, service delays, and limited benefit coverage. Conclusion: Logistic regression analysis indicated that sex, region of residence, relationship to the household head, welfare entitlements, and prior utilization of oral health promotion and prevention services were significantly associated with dental service use. Elderly individuals with social security or civil servant welfare benefits were more likely to access dental services compared to those covered by the Universal Coverage Scheme or those without any coverage.

The Coincidental Findings of Lung Nodules with AI-assisted Chest X-Rays in the Tuberculosis Screening Project at Phra Nakhon Si Ayutthaya District

Prakaitip Susilparat — Tue, 30 Dec 2025 00:00:00 +0700

Objective: Thailand implements a policy for pulmonary tuberculosis screening among patients with chronic diseases, but lung cancer screening is not included in the national policy. Since chest X-ray can reveal a variety of abnormalities. In addition to tuberculosis, lung nodules may also be found. This study determined the cancer detection rate and describe outcomes of an AI-assisted chest X-ray screening program integrated within community-based pulmonary tuberculosis screening. Methods: A retrospective descriptive study was conducted among individuals with chronic diseases who attended the pulmonary tuberculosis screening project in Phra Nakhon Si Ayutthaya District, which was implemented from February to May 2024. When chest X-ray images were obtained from the mobile X-ray unit-vehicle, the analysis process was performed: the first step involved a family physician using an AI-assisted Chest X-ray. If any abnormalities are found, the second step is to refer the results to a radiologist for official interpretation. In case of a suspected malignant lung nodule, the radiologist will recommend a CT scan or a follow-up. Results: A total of 2,597 individuals with chronic diseases were screened for tuberculosis, comprising 816 males (31.4%) and 1,781 females (68.6%), with an average age of 62.87 years (male average, 62.11 years; female average, 63.22 years). Indeterminate Pulmonary Nodules (IPN) and granulomatous nodules were detected in various sizes and types, totaling 77 (2.96%). The radiologist recommended a chest CT scan for 39 (1.50%). After a 1-year follow-up, 23 (0.89%) underwent chest CT scans as recommended, and 4 participants were diagnosed with lung cancer, yielding a Cancer Detection Rate of 1.54 per 1,000. Conclusion: Integrating AI-assisted chest X-ray interpretation into the existing community-based pulmonary tuberculosis screening program is feasible.

Factors Related to the Risk of Stroke among Factories Shift Workers

Kansuda Rungkon, Chaweewon Boonshuyar, Soisuda Kesornthong — Tue, 30 Dec 2025 00:00:00 +0700

Objective: To assess the level of stroke risk and examine the relationships between personal factors, work-related factors, stroke-related knowledge, and health behaviors with stroke risk among shift workers in industrial factories. Methods: The sample consisted of 1,375 employees working on production lines in establishments operating on a shift basis, each with at least one year of work experience. Data was collected self-administered questionnaires and health examinations. Descriptive statistics, simple and multiple binary logistic regression were applied at a significant 5% level. Results: The findings indicated that 6.0% of employees had a high risk of stroke, 3.7% were at a monitoring level, and 90.3% were at a low risk. Most employees (87.3%) were female, with an average age of 35 years; 63.3% were single, 54.8% had family members to support, and 87.1% had no underlying diseases. Most participants worked on production lines and had average work experience of 9.2 years. A total of 90.5% worked overtime, and 42.1% reported relatively low work stress. Only 25.0% had good knowledge about stroke. Consumption of sweet, fatty, and salty foods was at a moderately high-risk level. Additionally, 36.1% slept an average of 7–8 hours per day, and 51.9% had never consumed alcohol. Gender, age, and underlying diseases were significantly associated with stroke risk (p-value<0.010). Male employees, older workers, and those with longer work duration were at higher risk of stroke than others. Conclusion: To reduce stroke risk among shift workers, health promotion and educational programs on stroke including health screening, increasing physical activity, and improving dietary habits, particularly reducing sweet, fatty, and salty foods are strongly recommended.

The Development of a Self-Care Behavior–Promoting Model for Type 2 Diabetic Patients to Control Blood Sugar at Rajpracha Samasai Institute

Phiyanun Prachumpun, Anna Tongarun — Tue, 30 Dec 2025 00:00:00 +0700

Objective: 1] assessed conditions and needs of the self-care behavior promoting model. 2] Draft and test the self-care behavior promoting model for type 2 diabetic patients to control Blood Sugar. And 3] evaluated the outcome of the developed model. Method: This study employed a research and development model used mixed methodologies of quantitative and qualitative research, from June 2024 to November 2024. Key informants were 10 type 2 diabetic patients, who had uncontrolled blood sugar with a duration over two months, 3 medical nurses and 7 multidisciplinary. Data qualitative were collected from In-depth Interview and work shop, and analyzed by content analysis. In the quantitative research, the samples group comprised 33 type 2 diabetic patients selected via purposive sampling. Data quantitative were collected from record forms and questionnaires, and analyzed by descriptive statistics. Results: 1] The old health promotion model was unclear and type 2 diabetic patients exhibited inappropriate behaviors concerning food, exercise, appointment, medicine and required self-care model. 2] The developed model was the self-care behavior promoting model for type 2 diabetic patients to control blood sugar consisted of 3 categories: Screening and classification for risk level of diabetes mellitus, self-care activities and team coordination. 3] The outcome of the developed model were: the satisfaction of diabetic patients was in high level ( =4.47, S.D. =0.45) good control blood sugar and improved (50.00 %). Conclusion: The self-care behavior promoting model for type 2 diabetic patients to control blood sugar can be used effectively and support activities by Diabetic care team.

Diaster Management : การจัดการความเสี่ยงจากภัยพิบัติ

Surachai Chokkhanchidchai — Tue, 30 Dec 2025 00:00:00 +0700

จากเหตุเกิดภาวะน้ำท่วมใหญ่ที่หาดใหญ่ และหลายพื้นที่ในภาคใต้ เมื่อปลายเดือน พฤศจิกายน 2568 จากการที่มีฝนตกอย่างหนัก และสภาพภูมิประเทศที่เปลี่ยนแปลงไป ทำให้เกิดน้ำท่วมรุนแรง กระทบประชาชนจำนวนมากก่อให้เกิดกระแส การทบทวนการจัดการสาธารณภัยให้มีประสิทธิภาพในประเทศไทยการจัดการสาธารณภัยเป็นภาวะฉุกเฉิน เร่งด่วนเป็นเรื่องที่ต้องมีการเตรียมการอย่างดี เพื่อให้ลดความเสี่ยงจากสาธารณภัยการดำเนินการให้เกิดประสิทธิภาพนั้นมีหลายขั้นตอน ได้แก่ การป้องกัน (Prevention) การลดผลกระทบ (Mitigation) การเตรียมความพร้อม (Preparedness) ควบคู่กับการจัดการในภาวะฉุกเฉิน (Emergency Management) ได้แก่ การเผชิญเหตุ (Response) การบรรเทาทุกข์ (Relief) รวมถึงการฟื้นฟู (Recovery) ซึ่งกระบวนการดังกล่าว ต้องอาศัยการเตรียมการ และความร่วมมืออย่างเป็นระบบ ของภาครัฐ ทั้งส่วนกลางและองค์กรปกครองส่วนท้องถิ่นและภาคเอกชน ที่จะบูรณาการการทำงานร่วมกันภายใต้ ระบบบัญชาการเหตุการณ์ (Incident Command System) ที่มีประสิทธิภาพเพื่อที่จะรับมือ และช่วยเหลือผู้ประสบภัย และเมื่อหลังเกิดสาธารณภัย จะได้เร่งฟื้นฟู เพื่อให้กลับมาเข้าสู่ภาวะปกติโดยเร็ว ดังนั้นการบูรณาการแนวคิดและการดำเนินการร่วมกันอย่างเป็นระบบจะทำให้ในอนาคต การรับมือสาธารณภัยรุนแรงจะมีประสิทธิภาพมากขึ้น