ผลกระทบจากการระบาดของโควิด-19 และรูปแบบการให้บริการกิจกรรมบําบัดทางไกลในยุคชีวิตวิถีใหม่

Maliwan Rueankam; Watthanaree Ammawat; Supalak Khemthong; Pornpen Sirisatayawong; Pornthippa Thimayom

Authors

Maliwan Rueankam Faculty of Physical Therapy, Mahidol University
Watthanaree Ammawat Faculty of Physical Therapy, Mahidol University
Supalak Khemthong Faculty of Physical Therapy, Mahidol University
Pornpen Sirisatayawong Faculty of Associated Medical Science, Chiang Mai University
Pornthippa Thimayom Neurological Institute of Thailand, Department of Medical Services

Keywords:

COVID 19, occupational therapy, telehealth, new normal

Abstract

This mixed-method study aimed to investigate the impacts of the coronavirus pandemic on occupational therapy (OT) services in Thailand and to explore the feasibility of adapting international service models into the Thai context from OT’s perspective. One hundred fifty-three occupational therapists were asked to complete the questionnaires, and 45 OTs were invited to participate in focus group discussions. The lockdown measures and the increasing number of COVID-19 patients in Thailand meant that rehabilitation services were classified as non-urgent. Many patients endured irregular service for an extended period affecting their recovery and performance. Three types of OT services were developed to deliver services in the “new normal” situation: on-site; telehealth; and hybrid. OTs redesigned the services according to patient demand and need: orofacial motor skill training; outcome measurement and follow up; home program counseling; screening and history taking; functional assessment and telephonic monitoring; Line application; material or equipment delivery to home; social skills group training as a hybrid service; and educational video production. OT telehealth remains a challenge for efficiency implementation. Policy recommendations include developing clinical practice guidelines for efficacious and cost-effective OT telehealth services. Upskilling and reskilling training courses should be available to occupation therapist. The government should provide telecommunication infrastructure for equal access to OT services to all who need.

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