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In Thailand, 2005, the mortality rate of stroke is 24.3 per 100,000 populations and continuously increases.
The prevalence of stroke increased from 216.6 to 307.9 in 2008 to 2010. Diabetes, hypertension and
hyperlipidemia are the root cause of stroke andmyocardial infraction. To prevent stroke is to
preventcomplication that needs effective stroke fast track policyimplementation. In 2009, NHSO launched
stroke fast track policy by support the cost of thrombolytic agent(rt-PA), computed tomographyscan,
physical therapy and home visit to reduce mortality rate and disability for universal coverage scheme
(UCS). However, civil servant medical benefit scheme (CSMBS) and social security office (SSO) did not have
special management for stroke fast track. By the way, the utilization rate of thrombolytic agentis still low.
One factor is patients delay tohospital becausetheylack of knowledge and less understandsof early
symptoms of stroke.However, stroke fast track is best practices to increase theaccessibility and reduce
the severity and disability ofpatients. So, does stroke fast track policy success and improve theaccessibility
to care and which factors that influence topolicy implementation. Therefore, it isimportantto study
this policy processtodevelop policy implementation.
JiraluckNontarak (Naresuan University)*; SirinadNipaporn(Health Insurance System Research Office);
SamritSrithamrongsawat (Health Insurance System Research Office); VinaiLeesmidt(KlongKlung Hospital);
SupasitPannarunothai (Naresuan University)
Background
The study aims to analyze the implementation process of stroke fast track in Thailand
This study approach use process and prescriptive techniquesto study the policy content and made
normative recommendation. In addition, this study is qualitative study by using documentary review,
in-depth interview and focus group. The experts who involves in interviews are from stakeholder analysis
that are hospital directors, head of stroke unit, head of Emergency medical service (EMS), nurse of
Emergency Room. Focus groups are EMS and stroke unit teams. For asking the community and patients
use theproposal sampling to collect information about stroke knowledge, public awareness and factors
that influence to accessibility.
Corresponding Author: JiraluckNontarak (Naresuan University)
Email: [email protected]
Aims
Techniques and Methods
