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Emergency Unit
Roger
one patient, roger.
Timely medical assistance
is a result of systematic patient locating process
made possible by teamworks
of the villagers, village health volunteers
Head of the community, subdistrict health promotion hospital
the local administrations
and the district hospital.
Using data collection technology
the current patient's medical condition can be asserted.
Thus, swift and appropriate treatment referral
can be achieved.
These are among the goals of developing
primary health care service and community health system
in Saraphi District
Saraphi Hospital,
the primary health care service
and community health system prototype
Located on the historical rubber tree road
between Chiang Mai - Lampoon provinces
Saraphi Hospital, Chiang Mai
used to have
patients waiting in line for treatments
especially those w/ chronic disease
with growing number each year.
Twenty percent of which
are with complications
resulting in growing numbers
of bedridden patients also.
The hospital is not capable of treating all these patient thoroughly.
For this reason, there came an idea
to develop a health care system
in the primary level that covers every dimension
and can solve the community's health care problem
by integrating local resources
in order to manage health care problems
in the community effectively.
This idea started when
we re-examined the health care system
and the health promotion system and preventive measure.
We found that
the service we provide
in the primary level
most lies toward
repairing and restoring the health.
Which is mostly taking care of patients.
And the weakness is in the
preventive aspects.
And we also found that
the treatment system
for the patients
were putting much weight toward the community hospital
Sub-district hospitals.
And due to the number of personnels we have
the capability of the service is also limited.
A good health system
has to integrate
participations from the local community.
That brought us to the idea that
if we rethink the system
to gear toward creating the health care system with the participation of all related parties
and with less emphasis on the district
or sub-district hospitals,
This way, the health care system
should improve.
We consulted the Faculty of Nursing
Chiang Mai University
after the study
for the possibilities to develop joint development.
The idea is
to try to create a health network
from participations of the local community
health promotion system and all parties.
All taking parts.
And the service area, will be the whole district.
The Primary health care service
is a government sponsored system
within the area, by the subdistrict health promotion hospital
and the community hospital.
On the other hand, the community health system
is the preexisting system created by the community,
for example, the Thai traditional medicine or alternative medicine.
In the past, these two systems
were separately conducted.
At Saraphi, we integrated these systems together.
And created a sense of joint responsibility.
The coordination between the community hospital
which is Saraphi Hospital
the subdistrict health promotion hospital
and the locals, all have to be systematically managed.
before starting the development process,
we should be aware of the current
resources and capabilities.
So we start by collecting data.
And updating.
The data is
is collected in real-time
using IT through the
the application we have developed.
The data collection and the resulting information
will be maintained
by the locals
and utilized for their own benefit.
In order to facilitate the collection of data
to be used to study Saraphi district's
current medical condition,
the faculty of Science, Chiang Mai University
application have developed the application
"SaraphiHealth" which can store collected data
tablet through tablets
and smart phones using the internet connection.
And upload the data to the health database.
The advantage of online data collection
is that the data can be processed fast,
and accurately. The data can be easily updated.
Data redundancy and discrepancy is reduced.
And the cost of making paper-based questionnaire is reduced.
More importantly, this data
the locals
all take part in the ownership from the beginning
The youths and health volunteer with
tablets or smart phones
can participate in the field data collection
and also have a chance to learn the living conditions and the community's problem.
With the support from
True Corporation Public Company Limited
provider of the 3G network
truemove H 3G+ technology
that has all coverage in the subdistrict down to the village level.
real-time data collection is made possible.
And Google (Thailand) Company Limited
provided a survey on minor roads in Saraphi district
In order for the district to take full advantage of google map
and google street view.
SaraphiHealth application
the data we collect consists of
Health Information of the members
of the households
Secondly, the personal conditions
Thirdly, personal risk factors
We have all this information
of every household in all subdistrict
The hospital benefits from this information
at least in two ways.
First, when a patient
visits the hospital for admission
We can look at the data
of the household
and see how many people live in the house
what risks or knowledge each pertains.
Secondly when there is a request from the community
for example, for a home visit
we can check the information primarily
And from the data
we can plan the team accordingly
On our team
there will be the staff from the Municipality, local administrations
and the nursing staffs
both from the community department and the chronic disease department.
The visit is more than just to check on the medical conditions.
There are other conditions that we observe
like poverty and financial conditions.
And to provide other aspects of helps
for each household thoroughly
By incorporating technology with data collection
in order to facilitate assertion of the community health condition in various aspects
in addition to giving appropriate medical treatments
in a timely fashion
the benefit also expands to home visit
for follow-ups
and discovery of new patients.
By working in team
for today, the Saraphi hospital staffs
along with staffs from health promotion hospital
from Don Kaew subdistrict are performing home visits
along with the village health volunteer
which are villagers trained for medical helps at the hospital
each given a medicine box
and a bicycle to look over patients in the area.
If the doctor's diagnosis
or consultant is required
that can be provided through Naver's LINE instant messaging application
using the same data from SaraphiHealth application.
The development of the primary health system
and community health care system
has been made possible
by the basis of having a clear goal shared by all parties
Each sub-districts
has clear plan to improve the health care capability within the area.
All has health database
with thorough data that useful
This lead to the learning process in health management
suitable for each area
and finally can be self-dependent.
And the project is continuedly supported
by the local administrations
and the network of locals.
The community is part of the hospital
The hospital is part of the community
We look at both as if they are one.
First we have to realize
that we are part of it
and we take parts with elderly, children and adolescence
along with other organization including hospitals
and local administrations
Saraphi District is lucky, in my opinion
that we think and work together
all started
from the thought that we want to
be able to take care of our own health
by the hospital, the district chief officer and the community
We have the good management system
with all parties helping
When everyone
understand the shared goal
that brought about the collaboration among us.
And this
will improve the way we solve health related problem
from better health care
to organic vegetable farm.
And this will expand
and create growing collaborations
and this is our strength.
Today the primary health service
and community health service
from the cooperation of the people
Education institutes and local administrations
people and community organization
and Saraphi Hospital all woven into a district level network
with the use of information technology
to be self-dependent
in community health care
with tangible results
as a prototype for believing in community's capability
with the help from various organization
This enable Saraphi District
to be a real happy district
At the hospital
we emphasize on the health care
more than economics aspects
sometimes we are losing money
but all we care is the health condition
And this
make people believe and win us the hearts of the people
All locals come to us for service
And the result,
make us survive all the hardship till today
The last goal for the project
is to build a health network by the people of the community
and strengthen it
By strength I mean
people are ready to take care of themselves
and take care of others effectively