Assessment of nationwide emergency systems in <scp>T</scp>hailand, a middle‐income country setting with <scp>UHC</scp>

Suriyawongpaisal, Paibul; Srithamrongsawad, Samrit; Thongtan, Thanita

doi:10.1002/hpm.2783

Cited by 3 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 Numerous countries are experiencing rising patient demand for emergency services and concomitant shortages of doctors in emergency medicine. [3][4][5][6][7] This situation has led to the development of NPC roles in emergency…”

Section: Introductionmentioning

confidence: 99%

Comparing physician associates and foundation year two doctors-in-training undertaking emergency medicine consultations in England: a mixed-methods study of processes and outcomes

et al. 2020

View full text Add to dashboard Cite

ObjectivesTo compare the contribution of physician associates to the processes and outcomes of emergency medicine consultations with that of foundation year two doctors-in-training.DesignMixed-methods study: retrospective chart review using 4 months’ anonymised clinical record data of all patients seen by physician associates or foundation year two doctors-in-training in 2016; review of a subsample of 40 records for clinical adequacy; semi-structured interviews with staff and patients; observations of physician associates.SettingThree emergency departments in England.ParticipantsThe records of 8816 patients attended by 6 physician associates and 40 foundation year two doctors-in-training; of these n=3197 had the primary outcome recorded (n=1129 physician associates, n=2068 doctor); 14 clinicians and managers and 6 patients or relatives for interview; 5 physician associates for observation.Primary and secondary outcome measuresThe primary outcome was unplanned re-attendance at the same emergency department within 7 days. Secondary outcomes: consultation processes, clinical adequacy of care, and staff and patient experience.ResultsRe-attendances within 7 days (n=194 (6.1%)) showed no difference between physician associates and foundation year two doctors-in-training (OR 0.87, 95% CI 0.61 to 1.24, p=0.437). If seen by a physician associate, patients were more likely receive an X-ray investigation (OR 2.10, 95% CI 1.72 to 4.24), p<0.001), after adjustment for patient characteristics, triage severity of condition and statistically significant clinician intraclass correlation. Clinical reviewers found almost all patients’ charts clinically adequate. Physician associates were evaluated as assessing patients in a similar way to foundation year two doctors-in-training and providing continuity in the team. Patients were positive about the care they had received from a physician associate, but had poor understanding of the role.ConclusionsPhysician associates in emergency departments in England treated patients with a range of conditions safely, and at a similar level to foundation year two doctors-in-training, providing clinical operational efficiencies.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparing physician associates and foundation year two doctors-in-training undertaking emergency medicine consultations in England: a mixed-methods study of processes and outcomes

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Thailand's EMS categorized the personnel into four levels of operation:Paramedic, Advanced Emergency Medical Technicians (AEMTs), Emergency Medical Technicians (EMTs) and Emergency Medical Responders (EMRs) who each had a level capable of operating differently [24], [25], [26], [27], [28]. The command center is the heart of the EMS and receives information from the people and commands nearby and appropriate operating units [29], [30], [31], [32].…”

Section: Discussionmentioning

confidence: 99%

Understanding of Development Emergency Medical Services in Laos Emergency Medicine Residents

Apiratwarakul

Çelebi

Tiamkao

et al. 2021

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Rising death tolls from traffic accidents are quickly becoming an inescapable problem in almost all countries around the world. That being said, the World Health Organization has launched an ambitious campaign aimed at reducing the death rate from traffic accidents by 50% in the next 10 years. Development of emergency medical services (EMSs) was the tool to success the goals, especially in low- to middle-income countries including Laos. However, no studies regard perspective of training EMS in Laos emergency medicine residents. AIM: The aim of our work is to demonstrate the effect of EMS training for Laos emergency medicine residents to the development of the national policy in Lao’s EMS. METHODS: A cross-sectional study was conducted in two countries (Laos and Thailand) from January 2020. The project activities were establishment of a command-and-control center, development of EMS support system, and training for emergency care professionals. RESULTS: The eight Laos emergency medicine residents were enrolled between January and March 2020. After practicing as a dispatcher and emergency medical consultant in Thailand at Khon Kaen University, the participants from Laos found that all personnel gained experience and improved their knowledge of technology in EMS and organization management. This had a direct impact on improving confidence in their return to practice in Laos. CONCLUSIONS: The human resource development through international collaboration between Thailand and Laos is contributing the effective knowledge and expertise learning in Laos. Moreover, the result of this training may provide the most effective care system resulting in the much-needed drop in the mortality rate of traffic accidents in Laos.

show abstract

“…In Thailand, some of the reasons for the rise in mortality rates from emergency ailments is due to the fact that patients are not getting adequate help, professionally, or in a timely manner with EMS not covering all areas. 2 Therefore, an emergency medical unit was established in the Bangkok area. The Medical Service Department (MSD) established the Erawan center to help strengthen EMS in Bangkok.…”

mentioning

confidence: 99%

“…Although two universities provide medical courses, in 2009, many positions for emergency medical practitioners were unfilled, resulting in an insufficient amount to meet the demand. 2 Today, there is still a significant shortage of medical emergency workers. Some of them have moved to work in public health due to the lack of foreseeable development and advancement that can be reached within their job, the lack of civil servant status, the lack of provision of a professional license, and the lack of sufficient compensation.…”

mentioning

confidence: 99%

Employee Motivation and Retention in the Emergency Medical Service System

Turapan¹,

Geerapong²,

Sitakalin³

2022

bkkmedj

View full text Add to dashboard Cite

This study aimed to evaluate factors associated with employee motivation and retention in the emergency medical service (EMS) system. MATERIALS AND METHODS: All of the participants were enrolled from 6 EMS centers. Participants were healthcare providers aged 20-59 years old working in an emergency department. The reliability of employee motivation and retention in the EMS system questionnaire had a Cronbach's alpha of 0.93. RESULTS: A total of 141 participants were recruited to participate in this study. The average age was 34.75 ± 7.67 years old. 69.5% were male, and 30.5% were female, respectively. 80.1% of participants worked at the emergency department for less than 10 years, and 22.7% had health problems. Age, marital status, educations, occupation, working hours per week, health problems, and medical scheme were associated with employee motivation and retention in the EMS system. CONCLUSION: Age, marital status, educations, occupations, working hours per week, health problems, and medical schemes were related to employee motivation and retention in the EMS system.

show abstract

Assessment of nationwide emergency systems in Thailand, a middle‐income country setting with UHC

Cited by 3 publications

References 19 publications

Comparing physician associates and foundation year two doctors-in-training undertaking emergency medicine consultations in England: a mixed-methods study of processes and outcomes

Comparing physician associates and foundation year two doctors-in-training undertaking emergency medicine consultations in England: a mixed-methods study of processes and outcomes

Understanding of Development Emergency Medical Services in Laos Emergency Medicine Residents

Employee Motivation and Retention in the Emergency Medical Service System

Contact Info

Product

Resources

About