Process of Collaboration in Treatment of End-stage Liver Cancer Patients Using Thai Traditional Medicine and Interdisciplinary Teams in Thai Traditional Medicine Hospitals

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Preecha Nootim
Nattiya Kapol
Waranee Bunchuailua


This descriptive research aimed to examine and identify process and obstacles of collaboration in the treatment of end-stage liver cancer patients using Thai traditional medicine and interdisciplinary teams in five Thai Traditional medicine (TTM) hospitals. Each team at each hospital comprised 12 members (totaling 60) including physicians, pharmacists, nurses and TTM doctors or practitioners, selected using simple random sampling from those with specified qualities. The instrument used in this study was questionnaire that covered (1) general information and (2) process and obstacles of working collaboration. The questionnaire’s quality was verified for item-objective congruence and validity; and its Cronbach’s alpha coefficients for the entire questionnaire and the cooperation development section were 0.87 and 0.95 respectively. Data were collected and then analyzed to determine frequency, percentage, mean and standard deviation. The results showed that the overall working collaboration process was at a moderate level. For each dimension, (1) the level of administrators’ cooperation support was high, (2) the level of cooperation preparedness was moderate, (3) the provision of resources including personnel was adequate, (4) there was commitment to cooperate, and (5) the level of relationship and cooperation steps designation was low. The problem related to overall cooperation development process was at a moderate level. As for the five dimensions, the level of adequate resources and personnel provision was high, and the levels of other four (supportive leadership, cooperation preparedness, cooperation relationship/steps, and cooperation commitment) were moderate. The findings of this study should be useful in developing collaboration in the treatment of end-stage liver cancer patients using Thai traditional medicine and an interdisciplinary approach so as to achieve the good outcomes of such care and enhance patient satisfaction.


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