Development and implementation of a comprehensive cancer center of excellence prototype in Thailand: A feasibility study.
Year: 2025
Type: conference-abstract
Abstract: 261 Background: Cancer is a significant global health burden. In Thailand, cancer affects over 122,000 individuals annually. The disease not only impacts patients but also poses social and economic challenges due to high treatment costs and growing case numbers, especially as the country enters an aging society with evolving risk factors. Thais accessed cancer services, costing more than 26 billion baht. These issues underscore the urgent need for a policy-level response and public awareness. To address this, the Seamless Health Service Network proposes a comprehensive cancer center of excellence focusing on seven strategic areas, supported by innovations such as IT systems and Lean Management. Objective: To evaluate the prototype model of a comprehensive cancer center of excellence and assess service outcomes based on Donabedian’s model, which categorizes healthcare quality into structure, process, and outcomes. Methods: This research and development project utilized both quantitative and qualitative methods to evaluate a prototype Comprehensive Cancer Center. The study involved 313 clients, 30 healthcare providers, and 15 experts, with interventions focusing on service delivery improvements based on Donabedian’s model. Data collection tools included structured questionnaires assessing satisfaction with service structure, process, and outcomes, and in-depth interviews with experts. Instrument validity was established with Content Validity Index (CVI) scores of 0.97, 0.96, and 0.97, and Cronbach’s alpha values of 0.94 and 0.91, indicating high reliability. Quantitative data were analyzed using descriptive statistics (frequency, percentage, mean, standard deviation), while qualitative data were examined through content analysis. Results: High satisfaction was reported across all domains: Structure: Clients, Providers (X̅ = 4.05, SD = 0.84); Process: Clients (X̅ = 4.24, SD = 0.91), Providers (X̅ = 4.40, SD = 0.70); and Outcomes: Clients (X̅ = 4.07, SD = 1.07), Providers (X̅ = 4.04, SD = 1.09). Providers expressed higher satisfaction than clients, especially in the process dimension, with top-rated aspects being polite and gentle communication (X̅ = 4.70, SD = 0.47), truthful communication (X̅ = 4.70, SD = 0.47), and encouraging client questions (X̅ = 4.67, SD = 0.55). Identified areas of excellence: Community coordination, Accessibility and location, and Human resource capacity. Conclusions: The prototype model of the comprehensive cancer center of excellence demonstrated high satisfaction and effectiveness. Key success factors included strong community collaboration, multidisciplinary teamwork, clear role definition, and advanced information systems. The model shows promise for wider implementation and sustainability.
Source: JCO Oncology Practice
Institution: Chulabhorn Royal Academy
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4414893681
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