The Result of the Study the Situation of the Referral Centers in Advanced Level Hospitals in the Fiscal Year 2019

Abstract

                 The purpose of this descriptive research was to study the situation and the service potential of the referral center in the advanced level hospitals. The sample consisted of 27 centers by purposive random selection. The research instrument was a situational survey of referral centers. Data were collected during Oct. 2018-Jun. 2019. The data were analyzed by frequency, percentage, mean, median and mode.

                  The results of a situational study revealed that the structure of the referral center in the advanced level hospitals was diverse. Most of them were consulted by a deputy director of medical affairs (51.58%) and a registered nurse in the ER is the head. (88.89%). Most had a defined scope of responsibility for the center staff (88.89%), but ambiguous and diverse. Most had personnel development (87.27%), but they were not systematic and did not cover the required skills. And most of them have referral guidelines (85.19%), but they are not complete. The results of the study on the service potential of the referral center were at a moderate level (56.45%). When analyzing the 8 components, it was found that the scores from low to high were as follows: Component 3 personnel management and development (44.10), Component 7 main activities (46.60%), Component 4 building structure environment and safety (51.80), Component 6 guidelines or operational manuals (56.60%), Component 8 information technology systems (56.00%), Component 1 intent and objectives (65.64%), Component 2 management. (66.53%), and Composition 5 equipment according to pick-up center standard (74.00%)

                 Suggestions: The operating policy and structure of the referral center should be clearly defined. Network cooperation outside the Ministry of Public Health should be developed for resource sharing. The use of information technology should be encouraged to manage the transmission of information. And there should be a development plan for the personnel of the inpatient referral center at all levels in order to ensure that patients are safe and receive care from quality health personnel.