Provision of trauma care in Ministry of Public Health Hospitals Regional Health 3 Thailand

Road accident tends to rise, resulting in enormous loss of lives and assets. According to statistics of deaths from road accident from The World Health Organization found that Thailand mortality rate was 38.1 deaths per 100,000 populations and 3rd in the world ranking. The purpose of this report was to study the situation of trauma care process in Ministry of Public Health hospitals in regional health 3 through mixed methodology research. 390 traumatic patients were randomized from Emergency Department and 59 of administrators and staffs were interviewed and group discussed. The result found that most traumatic patients were urgent. The average time of care in Emergency Department was 86.4 minutes. Most were highly satisfied to the services. Most traumatic patients entered to hospital privately. Patients who came with ambulance would communicate directly through emergency call of 1669 in trust of the safety system. The problems of Emergency Room management were insufficient of medical personnel especially emergency physicians and inadequate of referral system, budgets, equipment and information system including lacking of coordinated work and integrations with Fast Responder unit of other local government and foundations. The policy recommendations from this study were Ministry of Public Health and Emergency Medical Institute should long-term plan to support emergency physicians and other medical personnel for hospitals in any level in 5-10 years. Including encouragement of local government to participate in developing of emergency system.