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Process of Collaboration in Treatment of End-stage Liver Cancer

Patients Using Thai Traditional Medicine and Interdisciplinary Teams
in Thai Traditional Medicine Hospitals

†
,‡
Preecha Nootim* , Nattiya Kapol , Waranee Bunchuailua †
*Thai Traditional and Integrated Medicine Hospital, Department of Thai Traditional and Alternative Medicine
11000, Thailand
†
Department of Community Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom province
73000, Thailand
‡ Corresponding author: preecha.nootim@gmail.com

Abstract

This descriptive research aimed to examine and identify process and obstacles of collaboration in the
treatment of end-stage liver cancer patients using Thai traditional medicine and interdisciplinary teams in five
Thai Traditional medicine (TTM) hospitals. Each team at each hospital comprised 12 members (totaling 60)
including physicians, pharmacists, nurses and TTM doctors or practitioners, selected using simple random
sampling from those with specified qualities. The instrument used in this study was questionnaire that covered
(1) general information and (2) process and obstacles of working collaboration. The questionnaireûs quality
was verified for item-objective congruence and validity; and its Cronbachûs alpha coefficients for the entire
questionnaire and the cooperation development section were 0.87 and 0.95 respectively. Data were collected
and then analyzed to determine frequency, percentage, mean and standard deviation. The results showed that
the overall working collaboration process was at a moderate level. For each dimension, (1) the level of
administratorsû cooperation support was high, (2) the level of cooperation preparedness was moderate, (3) the
provision of resources including personnel was adequate, (4) there was commitment to cooperate, and (5) the
level of relationship and cooperation steps designation was low. The problem related to overall cooperation
development process was at a moderate level. As for the five dimensions, the level of adequate resources and
personnel provision was high, and the levels of other four (supportive leadership, cooperation preparedness,
cooperation relationship/steps, and cooperation commitment) were moderate. The findings of this study should
be useful in developing collaboration in the treatment of end-stage liver cancer patients using Thai traditional
medicine and an interdisciplinary approach so as to achieve the good outcomes of such care and enhance
patient satisfaction.
Key words: collaboration process, end-stage liver cancer patient, Thai traditional medicine profession,
interdisciplinary team

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