Effectiveness of emergency medical services networks

This study is a network of emergency medical services outside of hospitals in the three provinces of Khon Kaen, Nonthaburi, Ubon Ratchathani and Sa Kaeo provinces that has three objectives: 1) to study the operational processes of the network organization in Emergency Medical Services, 2) to study the effectiveness of the network organization in Emergency Medical Services, and 3) to present the models of the network organization in Emergency Medical Services right with Thailand that operated by Qualitative Research Methodology, In-Depth Interview, Focus Group Discussion, Non-Participant Observation and Document Analysis.Khon Kaen provincial's Emergency Medical Service began with team and organization network building by a physician team in Khon Kaen hospital to develop an emergency referral system. They were supported by the International Cooperation Organization and the local administrative organization to join in the establishment of paramedics. That was the beginning of the systematic emergency medical services in Thailand and helped push forward the law to support the emergency medical system. After that, When the incident and disaster plan was later included in the National Economic and Social Development Plan, provincial medical centres and general hospitals started to establish paramedic units

本研究针对孔敬府、暖武里府、乌汶叻差他尼府与沙缴府的院外紧急医疗服务网络展开研究，共设定三大目标：1）探究该紧急医疗服务网络组织的运作流程；2）评估该紧急医疗服务网络组织的运行效能；3）结合泰国本土实践呈现紧急医疗服务网络组织的构建模型。本研究采用质性研究方法，具体涵盖深度访谈、焦点小组讨论、非参与式观察与文件分析法。
孔敬府的紧急医疗服务最初由孔敬医院的医师团队牵头搭建团队与组织网络，以开发急诊转诊体系。该项目获得国际合作组织与地方行政机构的支持，助力急救医护人员队伍的组建，这也成为泰国系统化紧急医疗服务的开端，并推动了支持紧急医疗体系的相关立法进程。此后，当突发事件与灾害应急预案被纳入国家经济与社会发展规划后，各省级医疗中心与综合医院纷纷开始设立急救医护单元。