The Development of Linking Service System Between Emergency Care and Continuum Care at District Level Phonsai District Roi-Et Province

Abstract

Purposes : To develop system and compare the knowledge scores and satisfaction of  working staff. In terms of patient referral before and after organizing training in the use of screening and assessment tools in integrated emergency patient triage.

Study design : This  research and development

Material and Methods : Phase 1 : Situation Analysis Phase The sample group consisted of relevant officials. By receiving and transferring patients from hospitals in the Phon Sai District area. Selected using a Purposive Sampling, 15 cases. Phases 2 and 3 were the implementation and evaluation phases of the sample group. Staff working to refer patients to hospitals in Phon Sai District, 10 cases. Collected data using questionnaire, test and Evaluation of the feasibility. Data were analyzed using frequency, percentage, mean, standard deviation and Wilcoxon signed rank test.

Main findings : This research had resulted in a seamless service linkage system for caring for emergency patients. Medical and public health and continuing care at the district level It consists of 2 main parts: 1) developing a district-level medical and public health emergency patient referral program and 2) organizing training in the use of screening and evaluation tools in integrated care and triage of emergency patients. Results from using the developed program, it was found that the sample group was visually satisfied with using the program. Included at a high level Accounted for 90 percent and were of the opinion that the emergency patient referral program medical and public health at district level have overall feasibility of use at a high level, accounting for 100 %. And the sample group had high knowledge scores in assessing the critical level of emergency patients. than before receiving training with statistical significance (p<.01)

Conclusion and recommendations : The developed referral project was linked and able to care for patients with emergency services quickly,effective had accurate and complete medical records.