DOI: 10.14457/nida.the.2020.13
title: Effectiveness of emergency medical services networks

description: 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
description: and the local administrative organization started to participate by endorsement to establish district paramedic units. Ubon Ratchathani province began to establish an emergency response and command call centre in the Provincial Health Office. Nonthaburi and Sa Kaeo provinces established emergency response and command call centres at Phranangklao Hospital and Sa Kaeo Crown Prince Hospital. In addition, Ubon Ratchathani and Sa Kaeo province decentralized the management of emergency response and command call centres to perform outside of hospitals to the local administrative organization. The network building of emergency medical service was successful in Khon Kaen, Ubon Ratchathani, and Sa Kaeo province carried out by unity of purposes of leadership initiatives: to save people in emergencies through emergency medical services outside of hospitals. For this reason, emergency medical networks were established by building relationships and trust with other organizations to persuade to apply existing potential and resource in each organization to the establishment of emergency medical services to people. However, Nonthaburi provincial administrator has not contacted yet agreed to conjointly participate in establishing emergency medical service networks in the area yet.The Khon Kaen provincial network administration of Emergency Medical Service was the most effective due to sufficiently building and expanding the number of network members to cover the entire province area, resulting in the performances can be accessed to emergency patients in time. Whereas the Nonthaburi provincial network administration of Emergency Medical Service was the least effective due to an insufficient number of network members, there were no equipment and tools enough to communicate. Sa Kaeo and Ubon Ratchathani provinces affect communicating with people. Local administrative organizations can disseminate the knowledge and understanding to people to decide to call for emergency medical services through appropriate channels.Suggestion: the government should earnestly hasten to transfer the public health missions to the LAO, EMC should provide an understanding of the legitimacy for the performances of emergency medical services outside of hospitals to the LAO
description: transfer their missions to the Provincial Public Health Office in each region to represent
description: provide the cooperation with civil society to organize the standardized of emergency medical services
description: should integrate the emergency medical management of all organizations in the network
description: including the integration to combine all types of emergency numbers into a number for the convenience of the users' recognition.