1. PALLIATIVE CARE NETWORK IN NORTHEAST THAILAND: A PROTOTYPE
Baulakorn N1, Pairojkul S1, Nontakotr P1.
Karunruk Palliative Care Center, Srinagarind Hospital Faculty of Medicine, Khon Kaen University, Thailand

2. Why
building palliative care network?

3. What do Karunruk’s patient think ?
48%
Care at home as most desirable
@Home
NETWORK
is important
40%
@Hospital
Care at provincial hospital
12%
@District hospital
Care at district hospital
Data of Karunruk Palliative Care Center, 2012

4. Barriers Palliative care = Lack of symptom management knowledge
psychosocial & spiritual care
Lack of symptom management knowledge
No Palliative care curriculum
PC is a new branch

5. Palliative Care Network
NHSO Area 7 includes
4 provincial hospitals
62 district hospitals
and their sub-districts
A collaborative pilot program, to
‘strengthening community networks’
has been established
NHSO: The National Health Security Office of Thailand

6. How the network was established?
Materials and Methods:
A comprehensive network was established, with Karunruk Palliative Care Center (KPC), as a centre.
Meetings were held across the network to ascertain and define core goals, and strategic plan.
Standardized guidelines, assessment tools, relevant referral documents and resources to be utilized within the network were developed.

7. How the network was established?
Materials and Methods:
4. A ‘working party’ was initiated, in which
documentation and referral processes were
reviewed and refined.
Training programs for health personnel were developed and implemented across four provinces.
Comprehensive key performance indexes were established, and data collection was undertaken through KPC.

8. Tools and Guidelines Provided by KPC
Referral document
Comprehensive key performance indexes were established
Data collection was undertaken through KPC

10. Results: KPC had provided training of 206 health personnel during the fiscal year 2014.
6 - week training for nurse case managers from provincial hospitals
4 - week training for nurse case managers from district hospitals
2 - day training for doctors from district hospitals
3 - day training for nurses from district hospitals
2 - day training for district pharmacists 4 10 43 92 47
8 - week training for doctors from provincial hospitals
NUMBER TRAINED
All together KPC had provided training of 206 health personnel during the fiscal year 2014.
If you look at this table you can see 3 day trainning for nurses are attractive for district nurse.
What is interesting for this slide is a doctor was interested about palliative care and increasing every year.

11. The success of the program
was measured using the key performance indexes
85.6%
Percentage of
palliative care provided
to palliative patients
81.5%
percentage of
home care provided
50.2%
percentage of palliative patients received opioids for symptom control

12. Conclusion
Development of training and education across the four provinces has led to
Enhanced awareness
Knowledge and practice of palliative care
2. Systematic development of such a framework has resulted in increased access to PC for individuals living with life limiting conditions, across the region.
3. Collaborative PC education and evidence based practice has unfolded within the region, which could be utilized as a model by other regions, within Thailand.

13. Thank you