Information from the abstract
Objective: To pilot-evaluate an integrated model for enhancing surgical capacity at Laplae Hospital (Uttaradit Province) under Thailand’s “One Province One Hospital” policy. Materials and Methods: A mixed-methods pilot study with a predominantly quantitative, one-group pretest-posttest quasi-experimental design was conducted between October 2024 and March 2025. The intervention comprised personnel development, infrastructure and technology enhancement, and surgical service system development. Data comprised satisfaction scores (baseline to six months), SF-36 (baseline and one month), clinical and administrative records, and interviews with 12 stakeholders. Analyses used paired t-tests, repeated measures ANOVA, Fisher’s exact test, and content analysis. The 45 patients were the complete census of eligible patients, so findings are preliminary. Results: Forty-seven procedures were performed in 45 patients. Monthly case volume rose 4.5-fold (2 to 9). One day surgery reached 100% of eligible cases by March 2025. One minor complication occurred (2.1%); there were no major complications, unplanned readmissions, or unplanned referrals. Satisfaction improved from 3.1±0.7 to 4.1±0.5 (p
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Related topics: Healthcare Quality and Management · Healthcare Operations and Scheduling Optimization · Global Health and Surgery
Thai researcher and institutional participation
Jirawit Khaomuangnoi · Seubtrakul Tanthalanukul · Uttaradit Hospital · Uttaradit Rajabhat University · Praboromarajchanok Institute Ministry of Public Health
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