title: Management of health care services for flood victims: the case of the shelter at Nakhon Pathom Rajabhat University Central Thailand.
abstract: BACKGROUND
  In Central Thailand basic health care services were affected by a natural disaster in the form of a flood situation. Flood Relief Operations Centers were established from the crisis. Nakhon Pathom Rajabhat University and including the faculty of nursing volunteered to care for those affected and assist in re-establishing a functioning health care system.
  
  
  OBJECTIVE
  The aim of this study was to make explicit knowledge of concept, lesson learned, and the process of management for re-establishing a health care service system at a flood victims at Relief Operations Center, Nakhon Pathom Rajabhat University.
  
  
  METHODS
  We used a qualitative design with mixed methods. This involved in-depth interviews, focus group, observational participation and non-observational participation. Key informants included university administrators, instructors, leaders of flood victims and the flood victims. Data was collected during October-December, 2010. Data were analysed using content analysis and compared matrix.
  
  
  RESULTS
  We found that the concept and principle of health care services management were community based and involved home care and field hospital services. We had prepared a management system that placed emphasise on a community based approach and holistic caring such as 24h Nursing Clinic Home, visits with family, a referral system, field hospital. The core of management was to achieve integrated instruction started from nursing students were practiced skills as Health promotion and nursing techniques practicum.
  
  
  CONCLUSIONS
  Rules were established regarding the health care service system. The outcomes of Health Care Service at the Flood Relief Operations Center were direct and sincere help without conditions, administrations concerned and volunteer nursing students instructors, University Officer have sympathetic and charitable with flood victims and environment.
authors: Faculty of Nursing, Nakhon Pathom Rajabhat University, 85 Moo 3 Maliaman Road, Maeng, Nakhon Pathom 73000, Thailand. hbuajalearn@gmail.com
authors: Hathaichanok
authors: H
authors: Buajaroen
mesh_terms: D000293:Adolescent; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D064891:Disaster Victims / Q000523:psychology / Q000534:rehabilitation; D004190:Disasters; D004632:Emergency Medical Services / Q000191:economics / Q000458:organization & administration*; D005181:Faculty, Nursing; D005260:Female; D055868:Floods; D006298:Health Services Administration; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D011247:Pregnancy; D036301:Qualitative Research; D012579:Schools, Nursing; D013338:Students, Nursing; D013785:Thailand; D014495:Universities; D000078329:Workforce
keywords: Flood Relief Operations Center; Flood victims; Health care service systems