An An Association Between Administrative Factors and Mortality in ST-Segment Elevation Myocardial Infarction Patients of Hospitals in Thailand
DOI:
https://doi.org/10.14738/aivp.103.12341Keywords:
Administrative Factors, Mortality, ST segment elevation myocardial infarction, Referral system, ThailandAbstract
This descriptive study aimed to study an association between the level of readiness of administrative factors and the mortality rate of patients with acute ischemic heart disease of hospitals in Thailand, Target population were 1,180 hospitals that serving heart disease in Thailand. Data were collected by using a questionnaire. A total of 1,022 response data were obtained. Administrative factors were analyzed using descriptive statistics and correlation was analyzed by multiple regression analysis (MRA) methods.
The results showed that the administrative factors which consisted of personnel, finance, supporting, and management factors had overall average readiness at a high level (x̄ = 3.34, S.D. = 0.27). Except budget sufficiency was at a low level (x̄ = 2.43, S.D. = 0.43). All factors were significantly related to the mortality rate, as follows: management factor (Adjusted R2 = 0.433), personnel factor (Adjusted R2 = 0.231), supporting factor (Adjusted R2 = 0.092) and financial factor (Adjusted R2 = 0.035). Therefore, Thai Ministry of Public Health should provide adequate support for administrative factors especially in terms of management, personnel, and budget sufficiency.
References
. World Health Organization. Incidence of deaths in the world population from heart disease. 2018 - [cite 2020 Mar 20]. Available from: https://who.int/global_hearts.
. Thai Ministry of Public Health. Summary of the 2017 disease surveillance report. Bureau of Non- communicable Diseases. Department of Disease Control, Thai Ministry of Public Health. Bangkok; 2017.
. The Association of Cardiologists of Thailand Under royal patronage. Guidelines for Care of Ischemic Heart Disease Patients in Thailand Revised Edition 2020. 1nd edition. Bangkok: Next step Publication; 2020. p. 12-23.
. Kodama N, Nakamura T, Yanishi K, et al. Impact of Door-to-Balloon Time in Patients With ST-Elevation Myocardial Infarction Who Arrived by Self-Transport, Acute Myocardial Infarction - Kyoto Multi-Center Risk Study Group. Circulation Journal. 2017; 81:1693-1698.
. Ibanez B, James S, Agewall S, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. European Heart Journal. 2017; 00: 1–66.
. The Association of Cardiologists of Thailand Under royal patronage. Practice guidelines for Percutaneous Coronary Intervention (PCI). Bangkok: The Association of Cardiologists of Thailand; 2016.
. Srimahachota S, Boonyaratavej S, Kanjanavanit R, et al. Thai Registry in Acute Coronary Syndrome (TRACS) - An Extension of Thai Acute Coronary Syndrome Registry (TACS) Group: Lower In- Hospital but Still High Mortality at One-Year. Journal of the medical association of Thailand. 2012; 95(4): 508-518.
. Wongpraparut N, Chotinaiwattarakul C, Panchavinnin P, et al. First Medical Contact to Device Time in the Thailand Percutaneous Coronary Intervention (PCI) Registry. Journal of the medical association of Thailand. 2014; 97(12): 1247-1253.
. Langabeer JR, Dellifraine J, Fowler R, et al. Emergency medical services as a strategy for improving ST- elevation myocardial infarction system treatment times. Journal of emergency medicine. 2014; 46: 355 – 362.
. Thai National Health Security Office. User Manual of Health Security Rights. Bangkok: Sahamit Printing and Publishing Co., Ltd; 2016.
. Thai Ministry of Public Health. Provincial government inspection report form, the fiscal year 2018. Bangkok: Office of Policy and Strategy, Thai Ministry of Public Health; 2018.
. Promraksa K, Poum A. An association between Administrative Factors, Administrative Processes and practicing for controlling hypertension among health workers who work in Health Promoting Hospital, Krabi Province. Journal of Health Science and Community Public Health. 2019; 2(1): 38-51.
. Wisaphan Y, Promdit B, Sukadisai P. Referral Coordination Management Model Chanthaburi Province. J Prapokklao Hosp Clin Med Educat Center. 2017; 34(3): 194-205.
. Yoddee S, Poum A. Administrative Factors and Administrative Process Associated with Practicing for Epidemiology Surveillance among Health Personnel in Health Promotion Hospital, Songkhla Province. Journal of Health Science and Community Public Health. 2018; 1(2):41-54.
. Heinz W, Harold K. Manage A Global Perspective. New York: Mc Graw Hill. 1993
. Sripontun J, Pinnadilay W, Ratanawongsawat P, et al. The Development of Referral Models for Acute myocardial infarction STEMI in Mahasarakham hospital. Mahasarakham hospital Journal. 2017; 14(1): 23-30.
. Thai Ministry of Public Health. Summary of information management of the THAI ACS Registry, the fiscal year 2019.Bangkok: Department of Medical Services, Thai Ministry of Public Health; 2019.
. Srimahachota S, Kanjanavanit R, Boonyaratavej S, et al. Demographic, management practices and in- hospital outcomes of Thai Acute Coronary Syndrome Registry (TACSR): the difference from the Western world. Journal of the Medical Association of Thailand. 2007; 90 (1): 1-11.
. Rojprasert S. Development of a referral management system for medical treatment of hospitals in Government Inspectorate Area 2, Ministry of Public Health [Dissertation/ Ph.D.]. Bangkok: Valaya Alongkorn Rajabhat University; 2013.
. Puchakarn S. Administrative elements that influence the continuity and continuity of the Student Leaders Program, Health Promotion Department in the Central Region [Dissertation/M.Sc. in Public Health Administration]. Bangkok: Graduate School Mahidol University; 1991.
. Kwathai N. Administrative factors affecting the performance of officers. food sanitation public health Tambon Health Promoting Hospital Chaiyaphum Province [Dissertation/ M.A. in Public Health Administration]. Khon Kaen: Graduate School Khon Kaen University; 2014.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Kitigon Vichairuangthum
This work is licensed under a Creative Commons Attribution 4.0 International License.
