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Community-Based Response to Pandemic: Case Study of Home Isolation Center using Flexible Surge Capacity

Published online by Cambridge University Press:  13 July 2023

Phatthranit Phattharapornjaroen ,
Eric Carlström ,
Ornlatcha Sivarak ,
Phantakan Tansuwannarat ,
Phanorn Chalermdamrichai ,
Yuwares Sittichanbuncha ,
Lalana Kongtoranin ,
Rabkwan Phattranonuthai ,
Phimonrat Marlow  and
Wiyada Winyuchonjaroen
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Phatthranit Phattharapornjaroen
Affiliation:
Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Eric Carlström
Affiliation:
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden USN School of Business, University of South-Eastern Norway, Kongsberg, Norway
Ornlatcha Sivarak
Affiliation:
Mahidol University International College, Mahidol University, Nakhon Pathom, Thailand
Phantakan Tansuwannarat
Affiliation:
Department of Emergency Medicine, Chakri Naruebodindra Medical Institute, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand Ramathibodi Poison Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Phanorn Chalermdamrichai
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Yuwares Sittichanbuncha
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Lalana Kongtoranin
Affiliation:
Nopparat Rajathanee Hospital, Bangkok, Thailand
Rabkwan Phattranonuthai
Affiliation:
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Phimonrat Marlow
Affiliation:
Best Care Pet Hospital, Bangkok, Thailand
Wiyada Winyuchonjaroen
Affiliation:
Best Care Pet Hospital, Bangkok, Thailand
Nathikarn Pongpasupa
Affiliation:
Rajdhevee Clinic, Bangkok, Thailand
Amir Khorram-Manesh
Affiliation:
Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg, Sweden
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Abstract

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Introduction:

The SARS-CoV-2 virus 2019 (COVID-19) has consumed many available resources within contingency plans, necessitating new capacity surges and novel approaches. This study aimed to explore the possibility of implementing the Flexible Surge Capacity concept in relieving hospitals by focusing on the community resources to develop “Home Isolation Centers” in Bangkok, Thailand.

Method:

This is a qualitative study consisting of observational and semi-structured interview data. The development and activities of Home Isolation Centers were observed, and interviews were conducted with leaders and operational workforces. Data were deductively analyzed and categorized based on the practical elements necessary in disaster and emergency management.

Results:

The obtained data could be categorized into the seven collaborative elements of the major incident medical management and support model. The command-and-control category demonstrated four subcategories: 1) coordination and collaboration, 2) staff engagement, 3) responsibility clarification, and 4) sustainability. Safety presented two subcategories: 1) patients’ information privacy and treatment, and 2) personnel safety and privacy. Communication showed internal and external communications subcategories. Assessment, triage, treatment, and transport followed the processes of the COVID-19 treatment protocols according to the World Health Organization guidelines and hospital operations. Several supplies and patient-related challenges were identified and managed during center development.

Conclusion:

The use of community resources, based on the flexible surge capacity concept, was feasible under restricted circumstances and enabled the relief of hospitals during the pandemic. Continuous education among multidisciplinary volunteer teams facilitated their full participation and engagement. The concept of flexible surge capacity may promote an alternative community-based care opportunity, irrespective of the emergencies’ etiology.

Type
Lightning and Oral Presentations
Information
Prehospital and Disaster Medicine , Volume 38 , Supplement S1: 22nd Congress on Disaster and Emergency Medicine , May 2023 , pp. s55 - s56
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine

Footnotes

Article updated 8 December 2023.