Process of Collaboration in Treatment of End-stage Liver Cancer Patients Using Thai Traditional Medicine and Interdisciplinary Teams in Thai Traditional Medicine Hospitals

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Preecha Nootim Nattiya Kapol Waranee Bunchuailua


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 questionnaire’s quality was verified for item-objective congruence and validity; and its Cronbach’s 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 administrators’ 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.



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1. World Health Organization. Traditional medicine [Internet]. 2019 [cited 2019 Mar 9]; Available from:
2. Chokevivat V. Policies and directions for the development of Thai traditional medicine and alternative medicine in Thailand. 1st ed. Bangkok: The War Veterans Organization of Thailand Press; 2003. (in Thai)
3. National Health Security Office. Report on the performance of health insurance in The eighth national economic and social development (1997-2001) textbook. Bangkok: So.Phichit Printing Co.,Ltd; 2003. (in Thai)
4. Elimination of liver fluke and cancer of the bile duct in the public [Internet]. 2017 [cite 2017 November 5]. Available from: i l e s / m e n u _ c o n t e n t _ f i l e s / 7 / 4 3 / 7 7 / 1 9 8 /198_20150127061035.pdf (in Thai)
5. Nursing office, Department of medical service, Ministry of public health. Development of nursing service quality for cost effectiveness. Bangkok: Samcharoen Panich Co., Ltd.; 2008. (in Thai)
6. Pannarunothai P. Health economics in the health system reform era. Health Care research and Monitoring Center:
Faculty of Medicine, Naresuan University; 2001. (in Thai)
7. Sullivan TJ. Collaboration: a health care imperative. New York: McGraw-Hill Medical; 1998. 672 p.
8. The institute of Thai traditional medicine, Department of Thai Traditional and Alternative Medicine. Standard hospital promotions and supports Thai traditional and Integrative medicine. 2013. (in Thai)
9. The institute of Thai traditional medicine, Department of Development for Thai Traditional and Alternative Medicine. Practice guideline for traditional Thai medicine for Thai traditional medical hospital pilot project. Bangkok: Samcharoen Panich Co.,Ltd; 2015.(in Thai)
10. Office of regions health support, Department of Department for Thai Traditional and Alternative Medicine. Report of Thai traditional and alternative medicine service evaluation. Nonthaburi; 2009. (in Thai)
11. Stienrat P. Study on the development of Thai traditional medicine to sign up for health insurance. Nonthaburi:
Thai traditional medicine Institute, Department of Development for Thai Traditional and Alternative Medicine; 2004. (in Thai)
12. Sammavaj S. Patients satisfaction with nursing care in the general surgery ward, Ramathibodi Hospital. Journal
of Ramathibodi Medical School. 1997;3:286-96. (in Thai)
13. Lason E. The impact of physician-nurse interaction on patient care. Holist Nurse Pract 1999;2:38-46.
14. Corser WD. The changing nature of organizational commitment in the acute care environment: implications
for nursing leadership. J Nurse Adm. 1998;28(6):32-6.
15. Sotthibandh Y, Chomthong W, Boonyoung N. Process of collaboration within surgery health teams in general hospitals, southern Thailand. Songkla Med J. 2006;24(6):483-91
16. Catherranjak M. A study of the relationship between managerial leadership styles and organizational commitment of employees in multicultural organizations. ABC. (Master degree) Pathumthani: Faculty of administrative, Thammasart University; 2011. (in Thai)
17. Rattanawilaiwan S. Evaluation of the Thai traditional medicine service project in the public health facility under the universal health care coverage. Journal of Thai Traditional & Alternative Medicine 2007;5(2):131-41. (in Thai)
18. Sotthibandh Y. Process of collaboration within surgery health teams in general hospitals, southern Thailand.
Songkla Med J. 2006;24:483-91. (in Thai)
19. Boonyanurak P. New steps to new role in nursing management. Tokyo: National College of Nursing Japan; 2001. (in Thai)
20. Piankeao K. The influenzing factors of professional commitment amongst nurse in the regional hospitals ministry of public ealth [thesis]. Chonburi: Burapa University; 2000. (in Thai)
21. National drug committee. List of Herbal Medicinal Products A.D.2013. Bangkok: The Agricultural Cooperative Federation of Thailand., LTD; 2013. (in Thai)
22. Arnold E, Boggs KU. Interpersonal relationships: Professional communication skills for nurses. 3rd ed. Pennsylvania: WB.Saunders; 1999.
23. Boonyanurak P. Nurse intelligence. Textbook. Bangkok: Rama 4 Printing; 2003. (in Thai)
24. Jongudomsuk P. Creating and managing knowledge to support the development of the out-of-the-box medical system Thai traditional medicine, indigineous medicine and alternative medicine. Bangkok: Usa Printing Co., Ltd.; 2006. (in Thai)
25. Coombs M, Ersser SJ. Medical hegemony in decisionmaking-a barrier to interdisciplinary working in intensive care?. J Adv Nurs 2004;46(3):245-52.
26. Mapobsuk V. General psychology. Bangkok: Academic support center printing; 1997. (in Thai)