Page 234 - Traditional Medicine Systems of BIMSTEC Member States – 2023 Report

2. Sawang Dandin Crown Prince Hospital, Sakon Nakhon

Province

(2017 National Excellent Model of Community Hospital, Diamond Level)

Best practice: “Integrative care of intermediate care (IMC) patients”
Format/Process: Background of patient care in Intermediate Care (IMC) Unit
• In 2013, the hospital established Stroke Unit, where TTM doctors were also

involved in providing TTM manual therapies for the rehabilitation of stroke

patients.
• In 2018, a trial run of TTM service for IPD patients was started, it was found
that clinical outcome was satisfying; however, the cost of care was high.

• In 2019, the hospital collaborated with the National Health Security Office

(NHSO) to modify IMC care for stroke patients, allowing TTM doctors to be
the key person of the patient-care team. The pilot test of IMC-TTM patient
care model was launched in Health Region 8 at Sawang Dandin Crown

Prince Hospital, and the model allowed for higher reimbursement claims from

NHSO. This IMC-TTM model of Sawang Dandin Crown Prince Hospital
serves as a prototype for expansion to other regions. Initially, IMC care was
given to four groups of patients suffered from, i.e.,

1. Stroke

2. Traumatic brain injury
3. Spinal cord injury
4. Fractured hip
T raditional Medicine Systems of BIMSTEC Member States – 2023 Report

Medical doctors and nurses assess patients based on eight main admittance

criteria

1. Duration after the latest occurrence of neurological symptoms does not exceed
5 months.
2. Stable vital signs for at least 48 hours.

3. Stable neurological signs and symptoms for at least 48 hours.

4. Barthel Index ADL score <15 or ≥15 with impairments of at least 2 basic
daily activities
5. Being ready to participate in rehabilitation programmes, conscious and being

able to follow instructions.

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