Abstract
Stroke is increasingly found without regard to sex and age in the Thai population. Thus, it is mandatory
that the Occupational Therapy (OT) service be directed at either improvement or maintenance with
regard to individual skills of occupational performance. This OT service was systematically developed in
further support of an increasing number of patients. In section I, Occupational Therapy – Mahidol Clinic
System (OT-MCS) was created as an operational service for the OT Mahidol Clinic. This study was
conducted in order to compare the number of patients who attended the OT Mahidol Clinic in the 30-day
study period, before and after attending the OT-MCS. In section II, the patients studied comprised a group characterized as maintained performance (comparison of repeated therapeutic activities via descriptive
statistics) and a group characterized by improved performance (comparison of levels of activity
approach via Wilcoxon Test in the period of 30 days before and after the use of OT-MCS). After the use of
OT-MCS, the number of patients increased although the number of supervised occupational therapists
remained the same. The therapists also differentiated 40 activity items according to the levels of satisfaction
and importance. Moreover, the maintained performance group had moderate and high levels of
satisfaction with the importance of occupational performance. The improved performance group managed
different levels of activity regarding international concepts of occupational therapy. The patients
could express their existing potentials through meaningful activities, proper activity analysis and synthesis,
learning the importance of occupational performance, and gaining satisfaction with the choices of
occupational performance. The practice may be implemented in the patients’ realistic environment.
