Consideration of Claims Model for Preliminary Solatium Payment Regarding Loss or Damage Caused from Health Care Service in Compliance with Section 41 of the National Health Security Act B.E. 2545 (A.D. 2002) in Si Sa Ket Province
Keywords:
Preliminary solatium payment, The damage caused by health care service, Section 41, National Health Security Act B.E. 2545Abstract
This study was a mixed methods research, with pre and post-test design. The purpose was to study the claims consideration model for preliminary solatium payment regarding loss or damage caused by health care service in compliance with section 41 in Si Sa Ket province, Thailand. The qualitative and quantitative data were collected through questionnaires and focus group discussions. The samples were 54 respondents. The quantitative data were analyzed by descriptive statistics such as frequency, percentage, mean, and standard deviation. Statistics were compared using paired t-tests. The qualitative data were analyzed by content analysis.
The results indicated that from 2018 to 2022, 145 (92.4%) cases were accepted as they were caused directly by healthcare services. Most cases occurred at secondary hospitals (52.4%). among clients under 10 years old (26.1%). The highest rate of complaints was in obstetrics and gynecology (54.4%). The cause of the claim was disability or permanent disability cases (44.9%). The reason for complaints was force majeure (60.7%). For the model of consideration of claims for preliminary solatium payment, the mediation, follow-up visits case at home, and assessment of the satisfaction. In the comparison of training results, it was found that the mean scores of knowledge (p<0.001), perception (p<0.001), practice (p<0.001), and participation after training were higher than before the training, with statistical significance (p<0.001). The research findings, can be used as guidelines for planning and implementing preliminary solatium payment regarding loss or damage caused from health care services, both for Si Sa Ket Province, and for the rest of Thailand. This model would achieve suitability and fairness, reducing the conflict between physicians and patients, in order to prevent prosecution in court.
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