The Development of Comprehensive Care Model for One Day Surgery of Thai-Myanmar Border Hospital

Abstract

One-day surgery (ODS) involves admitting patients for a planned procedure or surgery, with a hospital stay of less than 24 hours. This action research aimed to: 1) develop the ODS service model for a community hospital along the Thai-Myanmar border, and 2) study the effectiveness of the ODS service model. The research was divided into 4 phases: 1) context analysis, creating the one-day surgery service model, 2) implementation of the one-day surgery service model, 3) observation, and 4) reflection on the results. Thirty-two participants were Mae Ramat hospital staff and fifty-seven of one-day surgery clients. The research was conducted from June 23, 2023, to February 28, 2024. Descriptive statistics and thematic analysis were applied. The results of the study on developing a one-day surgery service model with the 3 P approach are as follows: 1) Personnel: ODS board, care team, code team, claim team, and coordinator team 2) Place: pre-anesthesia clinic, operation and recovery room, and ambulation unit and 3) Process: Determining the working style of surgical procedures and those with clear responsibilities at every level. The specialized medical personnel select patients eligible for ODS services. The Procedures include 1) forty-one colonoscopies, 2) eight hernioplasties, 3) six wide excision breasts, and 4) two male circumcisions. The average length of stay in the hospital was 10.9 hours, the post-operation follow-up did not reveal any surgical wound infections or readmissions. The service recipients and the providers are at a high level of satisfaction in every aspect. In summary, the ODS service model is effective for this community hospital and can be adapted for other uncomplicated disease groups or similar community hospitals with similar contexts