The management of health services during climate change relating flood disasters in the context of a community hospital in the basin of the Mun river areas, Sisaket Province

Abstract

The purpose of the participatory research is to study the situation, analyze the situation, develop guidelines and evaluate health service system management in climate change scenarios for flood disasters in the basin of Mun River areas community hospital context in Sisaket Province. The study process consists of four steps: Step 1) Study and analyze a situation, Step 2) Planning step 3) Compliance with plan, and Step 4) Evaluation. The study was conducted in the flood-hit area of 1 community hospital. A total of 20 informants were provided by collecting data between September 2022 and February 2023 through in-depth interviews with participatory and non-participatory observation groups. The quality of the instrument is verified by obtaining a content-matching value IOC = 0.66 to 1.00, and the reliability of the data is verified by the triangulation method. Research results analyze information by means of a content 1) Problems in the management of systems for forecasting and analysis of severity situations, problems with knowledge service providers, predictions and health care practices when disasters occur that require support for services that correspond to actual conditions. 2) here are 3 components in the context of community hospital management: people or users of community hospitals and related government agencies. There are (4) stages of health service management: (1) pre-disaster or mission box preparation, (2) pre-disaster plans, (3) critical phases. At the time of disaster or operation of the mission statement operation box, (4) recovery phases after disaster or review phase of the mission statement operation and take lessons off. 3) Health Care Guidelines show that community hospitals have set up a policy-based implementation committee using a task box to enhance the delivery capabilities of transportation and networking, collaborate and facilitate health care services in China.96.78 percent were satisfied with the service. The research can be used as a guideline for health care services in the context of community hospitals.