Development of Information Technology to Take Care of Stroke Patients In Khon Kaen Province

Abstract

This research and development study aimed to create an information technology system for stroke patient care and analyze the situation of stroke patients in Khon Kaen Province. The study was implemented from January to December 2021 and involved seven development steps: 1) problem recognition 2) feasibility study 3) system analysis 4) system design 5) initial prototype development and testing, in which the system was tested in 82 service units and further improvements were made according to usage 6) actual use of the prototype in 271 service units, in which there were random satisfaction assessments of a sample group of 137 people and 7) organizing a system to help users. The qualitative data were analyzed by content analysis. The quantitative data were analyzed by statistics, percentage, mean and standard deviation.

               The result showed that the information technology system for stroke patient care is a web application that connects to a server containing stroke information. It consists of 1) a data set according to the structure of 43 standard files in version 2.4, which includes patient personal information, diagnosis data, and medical procedure data 2) Barthel ADL index assessment data and Modified Rankin Scale (MRS) data and 3) patient disability assessment data. The data was recorded via a web browser and processed quickly in real-time manner. Users can access individual patient data by logging in with a username and password. For the important information that can be used to improve the quality of patient service system and follow-up care, it was found that there were 541 referred-back stroke patients in the community. Five hundred and seventeen or 95.56 % of the patients were new patients and 24 ones or 4.44 % of the patients were re-admitted patients. Three hundred eighty- five patients whom were followed up accounted for 71.16 %. The MRS assessment showed that 81 or 21.04 % of patients had normal scores, 200 ones or 51.95 % had abnormal scores, and 104 ones or 27.01 % had unspecified MRS scores. The satisfaction assessment after usage showed a high overall satisfaction level.