Development of Telemedicine Service System for Specialized Clinic in Kalasin Hospital

Abstract

This action research study was to study the situation of patients with specific diseases and the need for telemedicine services. Including the development and study of the results of the development of the tele-clinical medical service system of Kalasin Hospital, Kalasin Province. The operation was divided into 4 phases : 1) data collection and analysis phase, 2) development of the specific telemedicine service system, 3) the implementation of the specific telemedicine service system, and 4) monitoring and evaluation phase from November 2021 - December 2022. Purposive sampling in older patients with asthma/emphysema and neurological & cerebrovascular disease. that receiving treatment at the Special Department, Outpatient Department of Kalasin Hospital. The instrument used were telemedicine service system programs and system manuals and collect data were general information records of participant, Assessment questionnaire for knowledge of technology and perception of benefits in using a specific tele-clinic medical service system, System Skill Assessment Form and a satisfaction assessment for the remote medical service system for specific diseases. The statistics used to analyzed the data were descriptive statistics to find the frequency, percentage, mean, standard deviation in describing the data, personal attributes, comparative analysis of mean and standard deviation, comparison of pre-test  and post-test differences in cognitive levels, programming skills and satisfaction with the service system of the service recipients. The finding of the research found that there were 186 sample population, classified as 36.56% male, 63.44% female. 55.91% Live outside the city district, 44.09% live in the city district most of them have underlying diseases 33.33% of ischemic stroke, Followed by asthma/emphysema 29.57%, most of the patients were system users 57.53%, some were relatives and volunteers were system users. For cognitive study results it was found that the perceived scores in technology and the perceived benefits of using the remote clinic medical service system for specific diseases after the experiment was higher than before ( = 16.67, SD = 1.29) the results of the assessment of the skills in using the program revealed that the scores of the skills in using the two telemedicine service programs after the experiment were higher than before the experiment ( = 9.28, SD = 0.86) and The service recipients had satisfaction scores on the remote medical service system for specific diseases. Kalasin Hospital at the highest level ( = 4.67, SD = 0.57)