Management of the Marine Health System of Island Hospitals in Remote Areas

Abstract

This article aimed to 1) examine the management model of the marine healthcare system in hospitals located on remote islands and (2) investigate the challenges and obstacles associated with such management. This research employs a qualitative approach, engaging 30 key informants who are involved in managing the marine healthcare system. The data collection method utilized is an interview form. The research results were found as follows: 1) Six remote island hospitals in South Koh Samui, Koh Phangan, Koh Tao, Koh Yao Noi, Koh Phi Phi, and Koh Lanta employ similar management models; however, their capabilities vary based on the type and status of each facility. Emergency management commences upon receipt of a report. Relevant parties will collaborate with the marine police and emergency medical teams to dispatch personnel to the scene and facilitate patient transport to the hospital. The transportation of patients will involve the use of suitable vehicles, including private boats, speedboats, navy vessels, the Thai Maritime Enforcement Command Center, and helicopters. This management approach will involve integrated efforts from various agencies. 2) In delivering health services at the hospital, it was identified that management issues and challenges encompass limitations in transportation and travel, shortages of medical personnel—particularly specialists in marine medicine and emergency medicine—discrepancies in personnel numbers relative to the workload of the Ministry of Public Health, insufficient resources regarding both medical equipment and technological systems, and a portion of the staff lacking essential skills.