THE RELATIONSHIP BETWEEN ADMINISTRATIVE FACTORS AND EFFECTIVENESS OF ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION REFERRAL SYSTEM AMONG THAI HOSPITALS


THE RELATIONSHIP BETWEEN ADMINISTRATIVE FACTORS AND EFFECTIVENESS OF ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION REFERRAL SYSTEM AMONG THAI HOSPITALS


Kitigon Vichairuangthum M.D. 1,2,3, Pisamai Jarujittipant Ph.D.1, Kietchai Veerayannon Ph.D.1

1 Management Program, Faculty of Political Science, North Bangkok University, Thailand. 2 Division of Cardiovascular disease, Royal Heart Center, Huahin Hospital, Phrachuap Khiri Khan, Thailand.3 Division of Cardiovascular disease, Royal Heart Center, Suranaree university of Technology Hospital, Nakhon Ratchasima, Thailand.


Background: This descriptive study aimed to study the relationship between administrative factors and the effectiveness of the referral system of patients with acute ischemic heart disease in Thai hospitals.

Materials and methods: The target population was 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 the relationship was analyzed using multiple regression analysis (MRA) methods.

Results: The study 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 related to the mortality rate significantly, 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). All factors were also significantly related to the timely cardiac catheterization rate, as follows: management factor (Adjusted R2 = 0.442), personnel factor (Adjusted R2 = 0.244), supporting factor (Adjusted R2 = 0.212) and financial factor (Adjusted R2 = 0.091).

Conclusion: Thai Ministry of Public Health should provide adequate support for administrative factors, especially in terms of management, personnel, supporting factors, and budget sufficiency.


Keywords: Administrative Factors, Effectiveness, ST segment elevation myocardial infarction, Referral system, Thailand

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How to cite this article:
Kitigon Vichairuangthum, Pisamai Jarujittipant, Kietchai Veerayannon.The Relationship between Administrative Factors and Effectiveness of ST-segment Elevation Myocardial Infarction Referral system among Thai Hospitals. American Journal of Cardiology Research and Reviews, 2021, 4:15. DOI:10.28933/ajcrar-2021-10-2507


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