Development of Telemedicine Systems Chiang Khwan Hospital, Chiang Khwan District Roi Et Province

Abstract

This study is an action research in routine work. The objective was to develop and evaluate a telemedicine system. Chiang Khwan Hospital. It was conducted from October 2022 - June 2023. The target group was 105 patients and 20 care team. The tools used were (1) PDCA framework with interactive telemedicine; (2) evaluation tools were satisfaction questionnaire of patients and care team and compliance with specified guidelines. Study method applied the PDCA (plan-do-check-act) process and data analysis with mean and percentage. As for the results, telemedicine services guideline was developed. The evaluate process revealed the service attendees were male (42.85%), with an average age of 40.58 years; and the majority had secondary education (43.80%), and were farmers (38.10%). The patients were satisfied with the consulting services by doctors and the care teams through the Line application; which resulted in reduced costs and no wasted time waiting to be examined at the hospital. The patients were able to consult about health problems more quickly with short waiting time. The assessment among the care team revealed satisfaction in participating and organizing the telemedicine system with teamwork; and had high compliance with the guidelines. Thus, it is recommended that the development process should include cooperation from care team in every step of the PDCA and with clear policies. It should also gain trust from the patients and their family. In conclusion, the telemedicine services should be expanded to other service groups.