Driving the Field Hospital Management System in the Case of Corona Virus 2019 Outbreak, Uttaradit province

Abstract

This research aimed to develop and implement the model of driving the field hospital management system in the case of Coronavirus 2019 (COVID-19) outbreak in Uttaradit Province. The research consisted of 4 steps as follow: step 1: a study on Uttaradit provincial management systems and health service systems; step 2: the development of a model for driving field hospital management system in Uttaradit Province; step 3: the use of the model to drive field hospital management system; and step 4: assessment the results of driving the management system of field hospital by collecting and analyzing quantitative and qualitative data. The research was conducted during April-December 2021. The tools were a workshop of the Uttaradit public health executives and a service provider and patient satisfaction assessment. As the result of the study, Uttaradit province could set up 7 field hospitals with 1,120 beds. Under the governor’s leadership, all public and private sectors were encouraged to play the great roles in managing and supporting for problems solving in the development of all field hospitals such as searching the locations and coordinating for owner permission, community preparation, and support of personnel, budget, materials and equipment. Patient service arrangement was adjusted according to the context of each area. Under the great outbreak, Uttaradit could handle the crisis and provide hospital care for 6,075 patients, covering all the COVID-19 cases. The satisfaction of health personnel working at field hospitals and COVID-19 patients treated in field hospitals was at high level. The qualitative data showed that the key factors in driving the field hospital management system was the leadership of the governor and the support from all sectors. After the outbreak was under controlled, the field hospitals were gradually shut down; and the last field hospital was closed on 8 August 2022. It could be concluded that the model implementation can ensure the readiness of Uttar