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The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps

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  • Phatthranit Phattharapornjaroen

    (Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 40530 Gothenburg, Sweden
    Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

  • Viktor Glantz

    (Trauma Unit, Department of Surgery, Sahlgrenska University Hospital, 40530 Gothenburg, Sweden)

  • Eric Carlström

    (Institute of Healthcare Sciences, Sahlgrenska Academy, Gothenburg University, 40100 Gothenburg, Sweden
    USN School of Business, University of South-Eastern Norway, P.O. Box 235, 3603 Kongsberg, Norway)

  • Lina Dahlén Holmqvist

    (Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska University Hospital, 40530 Gothenburg, Sweden)

  • Yuwares Sittichanbuncha

    (Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

  • Amir Khorram-Manesh

    (Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 40530 Gothenburg, Sweden
    Department of Research and Development, The Swedish Armed Forces Center for Defense Medicine, Västra Frölunda, 42676 Gothenburg, Sweden)

Abstract

The management of emergencies consists of a chain of actions with the support of staff, stuff, structure, and system, i.e., surge capacity. However, whenever the needs exceed the present resources, there should be flexibility in the system to employ other resources within communities, i.e., flexible surge capacity (FSC). This study aimed to investigate the possibility of creating alternative care facilities (ACFs) to relieve hospitals in Bangkok, Thailand. Using a Swedish questionnaire, quantitative data were compiled from facilities of interest and were completed with qualitative data obtained from interviews with key informants. Increasing interest to take part in a FSC system was identified among those interviewed. All medical facilities indicated an interest in offering minor treatments, while a select few expressed interest in offering psychosocial support or patient stabilization before transport to major hospitals and minor operations. The non-medical facilities interviewed proposed to serve food and provide spaces for the housing of victims. The lack of knowledge and scarcity of medical instruments and materials were some of the barriers to implementing the FSC response system. Despite some shortcomings, FSC seems to be applicable in Thailand. There is a need for educational initiatives, as well as a financial contingency to grant the sustainability of FSC.

Suggested Citation

  • Phatthranit Phattharapornjaroen & Viktor Glantz & Eric Carlström & Lina Dahlén Holmqvist & Yuwares Sittichanbuncha & Amir Khorram-Manesh, 2021. "The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7793-:d:599485
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    References listed on IDEAS

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    1. Phatthranit Phattharapornjaroen & Viktor Glantz & Eric Carlström & Lina Dahlén Holmqvist & Amir Khorram-Manesh, 2020. "Alternative Leadership in Flexible Surge Capacity—The Perceived Impact of Tabletop Simulation Exercises on Thai Emergency Physicians Capability to Manage a Major Incident," Sustainability, MDPI, vol. 12(15), pages 1-13, August.
    2. Krzysztof Goniewicz & Amir Khorram-Manesh & Attila J. Hertelendy & Mariusz Goniewicz & Katarzyna Naylor & Frederick M. Burkle, 2020. "Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review," Sustainability, MDPI, vol. 12(9), pages 1-12, May.
    3. Viktor Glantz & Phatthranit Phattharapornjaroen & Eric Carlström & Amir Khorram-Manesh, 2020. "Regional Flexible Surge Capacity—A Flexible Response System," Sustainability, MDPI, vol. 12(15), pages 1-15, July.
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