Abstract
The purpose of this study was to improve the health care system on-board through investigating awareness of on-board health care status from seafarers. As a result of the survey, 34.0% of the respondents have experienced conditions that they could not be able to work during last year. The 34.0% of respondents mentioned earlier also showed that 41.9% of those have experienced illness and another 31.6% had injuries. The methods of recovering from diseases, injuries, and etc. were 38.8% of taking medication prepared on board, 24.4% of immediately transferred to onshore, 20.9% of cured by itself, and 6.2% of supported by tele-medicine system. 29.0% of the respondents marked that they have a chronic disease, and the managements of their health care are 42.4% of taking medication from hospital prescription, 29.3% of non-health care, and 18.2% of an exercise cure. There were significant response rates on improvement methods of medical support policy on-board. The answers which the respondents made for an efficient health care and what they need to have on board are the following: 76.5% of simplified health examination equipment, 74.5% of a tele-medicine support system, and 76.1% of Health Promotion Centers to manage seafarer’s health care. Based on the results of this research, three main points are identified to improve the on-board health care system. First, upgrading the on-board health care system for seafarers so that the focus on treatment can move to prevention of disease and injury. Second, the tele-medicine support system is needed to operate not only in emergency but also in regular days to support a health care service for seafarers. Lastly, establishing a Health Promotion Center is necessary to provide active and preventive medical support for seafarers.
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