Decision - Making in the Utilization of Mobile Stroke Unit in Thai Public and Private Hospitals

Main Article Content

Sukhumaphorn Phoolsawat
Piyanush Ngernklay
Suwannee Sangmahachai
Ravipa Thummachote

Abstract

The objectives of this research were 1. to study the reasons for the decision of the administrators in using mobile paralysis units in public and private hospitals. 2.To study the factors affecting the decision to bring the mobile paralysis unit to be used in public and private hospitals 3. To compare the decision-making processes of executives in the use of mobile paralysis units in public and private hospitals, this research was a qualitative research study. Research, multi-case studies research with documentary research and field research (Field Research) using interviews unstructured (Unstructured interview) as a tool for collecting data with key informants, executives of stroke centers of each hospital, the results of the research were summarized as follows: 1. Reasons for decision-making of executives in bringing mobile paralysis treatment units. Used in public and private hospitals is the decision criterion / conditions that lead to the decision of the mobile paralysis unit. All 7 conditions include (1) the cost of investment (2) the readiness of the staff (3) hospital network partners, (4) direction of management, (5) quality of information, (6) perception of efficacy of mobile paralysis units, and (7) development of innovative treatments and the readiness of the team Conditions for the readiness of the team It is a condition that affects the decision to deploy mobile paralysis units in Thai public and private hospitals. The team is the fundamental unit of work and is a tool for implementing the goals and results of the organization.

Article Details

How to Cite
Phoolsawat, S., Ngernklay, P., Sangmahachai, S., & Thummachote, . R. (2023). Decision - Making in the Utilization of Mobile Stroke Unit in Thai Public and Private Hospitals. Rajapark Journal, 17(50), 151–162. Retrieved from https://so05.tci-thaijo.org/index.php/RJPJ/article/view/259893
Section
Research Article

References

Apinya, T., & Phanthuwet, N. (2011). World Stroke Day 2011. http://strokeday_54_update27sep54.pdf.

Bodla, A., Tang, N., Jiang, W., & Tian, L. (2018). Diversity and Creativity in Cross-National Teams: The Role of Team Knowledge Sharing and Inclusive Climate. Journal of Management & Organization, 24(5), 711-729. doi:10.1017/jmo.2016.34

Department of Disease Control, Ministry of Public Health. (2019). World Stroke Day 2019. https://pr.moph.go.th/?url=pr/detail/2/02/133619

Ebinger, M., Fiebach, J.B., & Audebert, H.J. (2015). Mobile Computed Tomography: Prehospital Diagnosis and Treatment of Stroke. Curr Opin Neurol, 28(1), 4-9. DOI: 10.1097/WCO.0000000000000165.

Freitag, E., Kaffer, M., Weber, J.E., & Audebert, H.J. (2021). How to Set up a Successfully Running Mobile Stroke Unit Program. Stroke, 52(4), e107-e110. https://doi.org/10.1161/STROKEAHA.120.033576

Goldstein, E.B. (2008). Cognitive Psychology. Thomson Wadsworth.

Isosaari, U. (2011). Power in Health Care Organizations: Contemplations from the First‐line Management Perspective. Journal of Health Organization and Management, 25(4), 385-399. https://doi.org/10.1108/14777261111155029

Kaplan, R. M., & Frosch, D. L. (2005). Decision Making in Medicine and Health Care. Annual Review of Clinical Psychology, 1(1), 525–556. https://doi.org/10.1146/annurev.clinpsy.1.102803.144118

Kowalski, R., & Westen, D. (2009) Psychology (5th ed.). John Wiley & Sons.

Luleci, N.E., Gemlik, H.N., Bektas, G., & Manioglu, Y. (2015). The Awareness of Experience Innovation and an Application in Private Hospitals. JPMA, The Journal of the Pakistan Medical Association, 65(10), 1108-1111. https://jpma.org.pk/article-details/7496?article_id

=7496

Santrack, J.W. (2003). Psychology (7th ed.). McGraw-Hill.

Simon, H.A. (1979). Rational Decision Making in Business Organizations. The American Economic Review, 69(4), 493-513. https://www.jstor.org/stable/1808698

Stoner, J.A. (1978). Management. Prentice-Hall.

Pascale, C-M. (2017). Vernacular Epistemologies of Risk: The Crisis in Fukushima. Current Sociology, 65(1), 3-20. https://doi.org/10.1177/0011392115627284

Wernz, C., Zhang, H., & Phusavat, K. (2014). International Study of Technology Investment Decisions at Hospitals. Industrial Management & Data Systems, 114(4), 568-582. DOI:10.1108/IMDS-10-2013-0422

Wheelen, T.L., & Hunger, D.J. (2002). Strategic Management and Business Policy (8th ed). Pearson.

Young, D.W., & Ballarin, E. (2006). Strategic Decision-Making in Healthcare Organizations: It is Time to Get Serious. International Journal of Health Planning and Management, 21(3), 173-191. DOI:10.1002/hpm.844