Health Care Services System of COVID-19 Patients in field hospital Yangsisurat District Mahasarakham Province

Abstract

This action research aimed to develop and evaluate the COVID-19 patient care service system in Yangsisurat District Field Hospital Mahasarakham Province. The adopted health care services system was developed by multidisciplinary team by application of the WHO’s Six Building Blocks of A Health System principle. Research period: June 2021 - May 2022. The tools used to collect data include in-depth interview questions. group chat Field hospital preparedness assessment form Satisfaction assessment form Risk incident reporting program Evaluate the system development results from the results of care for 660 patients treated in field hospitals. Quantitative data were analyzed using descriptive statistics. Qualitative data used content analysis method.

The results of the study found that the development of the developed service system consisted of 1) organizing a system to support the provision of care services by driving operations through a joint integration committee between the hospital and community network partners. The facility is managed according to standards and infection control principles. Organize a support system for medical resources and materials. Prepare a work manual for field hospital personnel. 2) Managing an efficient care system with Case Management and Project Manager, preparing CPGs according to severity levels. Organize a care system from admitting patients, treatment Follow up on patients Patient referral along with bringing technological media to support the assessment Follow up on patients' symptoms and self-management. 3) Joint workforce management between professional nurses and the multidisciplinary team has clearly defined roles. Including developing human resources according to the competencies of each profession and practices to prevent infection, rotating work, evaluating results. It was found that every patient received treatment within 24 hours and was discharged according to the treatment plan, achieving the target criteria. 95.81% of patients whose symptoms changed received appropriate care, such as being transferred to a host hospital. 100% of cases were not found to have died while receiving treatment. The multidisciplinary team is at a high level of satisfaction.