The Development of One Stop Service in Emergency Referral System, Nakhon Phanom Hospital

Abstract

Objective : One stop service development of in emergency referral system, Nakhon Phanom Hospital.

Materials and methods : This study was a participatory action research. 74 doctors and nurses were included in this research. There were 3 phases: 1) to identify referral problems 2) to develop a referral system plan 3) to assess the satisfaction. The tools were used include a survey on conditions of problems and obstacles of the forwarding system. The referral transport system evaluation form and the satisfaction assessment form. Content validity was checked by 3 experts (IOC=0.67–1.00). Reliability of the referral transport system assessment form was 0.79. Satisfaction rating form was 0.86. Data were analyzed using frequency, percentage, mean and standard deviation Qualitative data use content analysis.

Results : It was found that the one stop service in emergency referral system consist of 1) The emergency medical management system, have a high level of satisfaction at score 4.39. 2) The referral transport system has a high level of satisfaction at score 4.37. 3) The emergency room service of primary and secondary care hospital has a high of satisfaction at score 4.39. 4) Community referral network: Developing a community resuscitation network structure surveillance of important diseases and data entry in ITEMS have a high level of satisfaction at score 4.40.

Conclusion : Operators are satisfied with the development of referral system at the high level and highest level of satisfaction.