title: An emergency medical service system in Thailand: providers' perspectives.
abstract: BACKGROUND
  Emergency medical services (EMS) in Thailand have been established for more than 20 years. However evaluation of EMS is limited The present study aimed to determine providers 'perspectives on EMS in Thailand
  
  
  METHODS
  The present study was conducted at the tenth Academic Annual Meeting of Emergency Medicine between February 9 and 13, 2009 at Rajavithi Hospital, Bangkok. All participants at the meeting were eligible and randomly selected for the survey Subjects were physicians, nurses, or paramedics who worked in Emergency Department/Room at hospitals in Thailand. The survey was performed by self-rated questionnaire.
  
  
  RESULTS
  Four hundred fifty questionnaires were distributed and 425 were returned completed (94.4%). Of those, 365 subjects (85.9%) were female, 359 (84.5%) were nurses, 103 (24.5%) worked at the ER for more than 10 years, and 284 (67.6%) worked at the community hospitals. The most three common issues of EMS system were insufficient medical personnel, insufficient medical devices, and lack of knowledge of medical personnel. At the ER, overcrowding was the most common issue, while problems with medical devices, collaborations with other organizations, and communication devices were main problems at the pre-hospital EMS. The average satisfactory score of EMS was 2.86 out of 5.
  
  
  CONCLUSIONS
  EMS in Thailand requires improvement in terms of numbers ofmedical personnel, well-equipped ambulance, and collaborations among organizations.
authors: Yuwares
authors: Y
authors: Sittichanbuncha
authors: Thidathit
authors: T
authors: Prachanukool
authors: Prakit
authors: P
authors: Sarathep
authors: Kittisak
authors: K
authors: Sawanyawisuth
mesh_terms: D000328:Adult; D004632:Emergency Medical Services / Q000592:standards*; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011795:Surveys and Questionnaires; D013785:Thailand