Development of Management Model for Refer Back to Referral Hospital in Buriram Province DOI:

Abstract

          This research aims to 1) study the level of practice in transferring patients back to the referral hospital in Buriram Province. 2) Develop a management model for patient transfer back to the referral hospital in Buriram Province and 3) Evaluate the management model for transferring patients back to the referral hospital in Buriram Province. This mixed-methods research collected quantitative data from a sample of 771 people using a questionnaire, analyzing the data with mean and standard deviation, and qualitative data through focus group discussions with 55 participants and in-depth interviews with 11 participants. Group interviews using the Appreciation - Influence -  Control (A – I - C) process with 55 participants and in-depth interviews with 11 participants were conducted. The data were analyzed using content analysis. The research findings indicate that the frequency of patient transfers back to the referral hospitals in Buriram Province is at a high level. The developed management model for transferring patients back to the referral hospitals in Buriram Province includes the following components: 1) Before transferring, communicate information using SBAR (Situation, Background, Assessment, Recommendation), assess the patient using the principles of airway, breathing, circulation, and level of consciousness (ABCD). 2) During the transfer, assess the patient's condition according to the warning signs before the patient enters a critical state (MEWS) and 3) Handing over patients at the referral hospital using SBAR. Factors contributing to success include 1) teamwork, 2) communication, 3) the use of information technology, 4) participation, and 5) having a common goal. Evaluate the management model for transferring patients back to the referral hospital in Buriram Province. In terms of accuracy and appropriateness, it is at the highest level, while feasibility and usefulness are at a high level.