Model Development for Emergency Medical Service Accessibility among Acute Stroke Patients at Nuefah Community, Phipun District, Nakhon Si Thammarat Province
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Abstract
Background: The research and development aimed to study the current situation, develop a model, and evaluate the outcomes of implementing an access model to emergency medical services for patients with acute stroke in Baan Nuea Fah Community, Phipun District, Nakhon Si Thammarat Province.
Methods: The sample consisted of 20 participants, including 10 individuals at risk of acute stroke or their family caregivers, and 10 community caregivers, selected through purposive sampling. The research instruments included: 1) a developed model for accessing emergency medical services for patients with acute stroke; 2) a knowledge test and satisfaction scale for patients/caregivers and community caregivers; and a record form for the time to access the Stroke Fast Track system in a simulated scenario. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics Wilcoxon signed-rank test were used for data analysis.
Results: The study found that: The access model to medical services for acute stroke patients in Baan Nuea Fah community, Phipun District, Nakhon Si Thammarat Province comprised five components: (1) identification of household or community location using GIS, (2) presence of community caregivers, (3) awareness of stroke warning signs, (4) availability of online consultation services via application or telemedicine, and (5) rapid transportation to the hospital. Additionally, knowledge and satisfaction levels among patients, family caregivers, and community caregivers were significantly improved after implementing the model (p< .05). The simulated access time to the Stroke Fast Track system was recorded at 38 minutes.
Conclusions: The study found that patients, family caregivers, and community caregivers were satisfied with the model for accessing medical services for acute stroke patients. Therefore, this model should be considered for implementation in patient care planning in other areas.
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