Abstract
Health Service System for Emergency Conditions in Developed countries Health service system for emergency conditions in developed countries was originally built in attempt to reduce life lost from road accident. Early response to injuries was a principle of reducing death and injuries especially in working group. Later, the system was extended to cover other injuries especially heart disease and considered as social safety net. To quicken the service provision, mobile service was made possible to reach the situation area and available for 24 hours. The system could be activitated by anyone either involving or seeing the scene. The study was carried out by reviewing the systems of the US, France, Australia and Sweden. The system of the US, Australia and Sweden had central call centres and mobile emergency team some of which had physicians for example the French and the Swedish while the US and the Australian had advanced emergency staff. The US, the Australian and the Swedish had doctors who had specialty in emergency care The provision system, patients’ right to emergency care and emergency team were legislated in all studied systems. Medicare, Medicaid, private insurance and special service contracts covered emergency care in the US. In France, Australia and Sweden, local government budget and national health insurance supported the emergency care. The development of the emergency system in Thailand should focus on the system of call centres and its reporting, mobile service, emergency room and referral system. Integrating the system into the health care system should be done for efficient use of resources. Community participation in all process should be strengthened. Legislation, budgeting, personnel development and research were important issues to support the system. Equity principle should be considered and put into practice.
