The Development of a Geographic Information System for Improving the Accessibility of Emergency Care for Stroke Patients in Khlong Khlung District, Kamphaeng Phet Province, Thailand


  • Somsak Thojampa
  • Phudit Tejativaddhana
  • Kanida Narattharaksa
  • Suthi Hantrakul


Geographic Information System, Stroke, Accessibility, Emergency Medical Services


This action research aimed to develop a geographic information system to assist stroke patients and families in seeking emergency medical services (EMS) provided by hospitals and health care facilities. The geographic information system (GIS) in this studywas designed by practitioners, healthcare providers, community leaders, and village health volunteers. The developedsemi-structured questionnairewas verified by an expert panel before the effectiveness of this toolwas tested. Ten at-risk stroke patients simulated a pilot study by calling the EMS hotline to report a stroke emergency, and the nearby hospital dispatched ambulance to pick up the at-risk patient from their home. Outcomes were measured including practitioners' satisfaction towards using the developed GIS. The results showed that the pilot study that was simulated met the Khlong Khlung Hospital's goal. The ten at-risk- strokepatients that were delivered by EMS ambulance from their house to Khlong Khlung Hospital took less than two hours ( = 1.25 hour), starting from the time the hotline received calls. It was found that the community was satisfied with the GIS (Very good). The data collectionprocesses undertaken by the team included: analysis, planning and designing,reporting and presenting data. The system was found to be efficient inestablishing the implementation of a Stroke Patient EMS. It could be used as a guideline to establish the emergency medical services in addressing stroke as well as to increase participating medical facilities that are covered by Kamphaeng Phet province.


Download data is not yet available.


Bonita, R., Mendis, S., Truelsen, T., Bogousslavsky, J.,

Toole, J., & Yatsu, F. (2004).The global stroke

initiative. The Lancet Neurology,3(7), 391-393.

Boonchieng, E., Boonchieng, W., Senaratana, W., &

Singkaew, J. (2014).Development of mHealth

for public health information collection, with

GIS, using private cloud: A case study of Saraphi

district, Chiang Mai, Thailand. International

Computer Science and Engineering Conference

(ICSEC),350-353. [In Thai].

Ciliberti-Vargas, M. A., Gardener, H., Wang, K., Dong,

C., Yi, L., Romano, J. G., …Rundek, T. (2017).

Stroke Hospital characteristics in the Florida-

Puerto Rico collaboration to reduce stroke

disparities study. Southern medical journal, 110(7),


Di Carlo, A. (2009). Human and economic burden of

stroke. Age and Ageing,38(1), 4-5.

Feigin, V. L., Roth, G. A., Naghavi, M., Parmar, P.,

Krishnamurthi, R., Chugh, S.,...Estep, K. (2016).

Global burden of stroke and risk factors in 188

countries, during 1990-2013: a systematic

analysis for the Global Burden of Disease

Study 2013. The Lancet Neurology, 15(9), 913-924.

Giraldo, E. A. (2011).Overview of stroke (cerebrovas

cular accident).The Merck manual for health

care professionals.Retrieved 1 December



Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S.

(2005). Frequency of depression after stroke: a

systematic review of observational studies.

Stroke, 36(6), 1330-1340.

Jirakajornkul, S. (2009).Learn Geometry with Arc

GIS Desktop 9.3.1: Textbook of Geography

Information 1. Nonthaburi: S.R. Printing Mass

Products Limited.[In Thai].

Kemmis, S., & McTaggart, R. (1992).The Action

Research Planner (3rd ed.). Geelong: Deakin

University Press.

Khlong Khlung Hospital. (2018). Statistic report of

Stroke: 2014-2016.Khong Khlung Hospital,

Kampaengphet Province. Kampaengphet:

Khlong Khlung Hospital. [In Thai].

Klawwikan, P., & Jirakajohnkool, S. (2014). Application

of Geographic Information Systems for Service

Area Analysis of Emergency Medical Service

Centers in Loei Province,Thai Journal of Science

and Technology, 3(3), 137-147. [In Thai].

National Highway Traffic Safety Administration.(2014).

Ministry of information and communication

technology communication. Bangkok: National

Highway Traffic Safety Administration.[In Thai].

Phinyo, K., Limtragool, P., Tiamkao, S., Worawong, C.,

Chuasuan, W., Aphiphatkan, W., … Sripromsa, W.

(2015). Care improvement for patients with stroke

through community participation. Songklanagarind

Journal of Nursing,35(2), 93-112.[In Thai].

Poungvarin,N. (2007). Burden of stroke in Thailand.

International Journal of Stroke,2(2),127-128.

Sacco, R. L., Benjamin, E. J., Broderick, J. P., Dyken,

M., Easton, J. D., Feinberg, W. M, …Wolf, P. A.

(1997). Risk factors.Stroke, 28(7), 1507-1517.

Saijo, Y., Yoshioka, E., Kawanishi, Y., Nakagi, Y.,

Hanley, S. J. & Yoshida, T. (2018). Relationships

between roaddistance to primary care facilities

and ischemic heart disease and stroke mortality

in Hokkaido, Japan: A Bayesian hierarchical

approach to ecological count data. Journal of

general and family medicine, 19(1), 4-8.

Sirilak, S.,Okanurak,K.,Wattanagoon,Y.,Chatchaiyalerk,

S.,Tornee, S.,Siri, S. (2013). Community participation

of cross border migrants for primary health

carein Thailand.Healthpolicyandplanning,28(6),


Suwanwela, N. C. (2014). Stroke Epidemiology in

Thailand, Journal of Stroke, 16(1), 1-7.

Venketasubramanian, N., Yoon, B. W., Pandian, J. &

Navarro, J. C. (2017).Stroke Epidemiology in

south, east, and south-east Asia: a review.Journal

of stroke, 19(3), 286-289.

Williams, D. R., Costa, M. V., Odunlami, A. O., &

Mohammed, S. A. (2008). Moving upstream:

how interventions that address the social

determinants of health can improve health

and reduce disparities.Journal of public health

management and practice: JPHMP, 14(8), 158-

World Health Organization. (2014).Community involvement

in Health.Retrieved 30 September 2015






How to Cite

Thojampa, S., Tejativaddhana, P., Narattharaksa, K., & Hantrakul, S. (2019). The Development of a Geographic Information System for Improving the Accessibility of Emergency Care for Stroke Patients in Khlong Khlung District, Kamphaeng Phet Province, Thailand. Journal of Nursing and Health Sciences, 13(2), 113–123. Retrieved from