Development of Fast Track Service for Patients Stroke With Participation Network Of Chonnabot districts, Khon Kaen province

Abstract

This action research aimed to develop and evaluate fast track service  for patients  stroke with participation network of Chonnabot  districts, Khon Kaen province. The adopted health care services system was developed by multidisciplinary team and network by application of the WHO’s Six Building Blocks of A Health System principle. The research activities were implemented during July 2020-September 2021. Data collection instruments included the data record form for patients , an evaluation form for practice related to the standard care and referral pathway, questions for interviewing and focused group. Analyses of data using descriptive statistics; counts, percentage, qualitative data applied content analysis.

The results found the developed of fast track service  for patients  stroke with participation network consisted of: 1) Access to fast expressway services; by driving together with network partners Emphasis on proactive public relations to educate people about the disease. warning symptoms raising awareness of expressway service public relations 1669 through all channels 2) Patient screening by developing knowledge and skills for basic patient care for personnel in sub-district health promoting hospital public health volunteers, sub-district rescuers, used FAST score as a tool for screening patients in the district 3) Patient care process with provide services to emergency departments that quickly define clear duties and responsibilities for each individual; develop Stroke Case Manager; provide care according to Clinical practice guideline; develop a system for line consulting with sub-district health promoting hospital and mid-level hospital. 4) Develop care guidelines and refer patients Establish guidelines for referrals to patients from the community to sub-district health promoting hospital, community hospital and mid-level hospital,also established a system for monitoring stroke patients after referring patients to Khon Kaen Hospital by line. The evaluation results found ; that service personnel had complied with the guidelines for care and referral with 100,outcomes of care for the patients who arrived within 180 minutes, it was found that the average time from symptom onset to arrival at the hospital was 84.25 minutes. The mean time from patient to hospital to referral after diagnosis was 5.56 minutes. Total time from patient to hospital to referral was 15.40 minutes,stroke patients who arrived within 180 minutes with 75.58, no patient were diagnosed with a delayed stroke fast tract  and  the Stroke fast tract patients received a referral within 30 minutes  with 94.74.

Conclusion : The results indicate that the developed fast track service system for patients with stroke help with decreasing duration of accessing the special care of these patients in order to meet the standard of care.