Factors Affecting the Retention of Thai Paramedics in Emergency Medical Service

Abstract

Objective: To study the factors related to the rate of retention of Thai paramedics working in emergency medical service (EMS). Materials and Methods: Data were collected from paramedics all-over Thailand who decided to renew their 5-year license and were registered with the National Institute for Emergency Medicine (NIEMS). The present study was a cross-sectional study. Questionnaires were sent out between March 1 and March 31, 2021 via email, using Google forms. Results: Three hundred eighty-two questionnaires were sent, and 281 responses (74%) were obtained. Most were female (61.9%). The average age was 26.09±4.44 years. Median employment period was two years. At present, 89% of the cohort were still working as paramedics. The majority expect to continue the job for more than 10 years (41.6%). Factors affecting the retention rate were having an income of more than 15,000 Baht per month. The retention rate for the higher earning group was 11.27 times greater (adjusted OR 11.27, 95% CI 4.37 to 29.09, p<0.001) than those earning less than 15,000 Baht per month. In addition, as the mean professionalism score increased, the retention rate increased 3.63 times (adjusted OR 3.63, 95% CI 1.53 to 8.60, p=0.003). Conclusion: Remuneration and professionalism were the two factors related to the retention of the Thai paramedics in EMS. Perceived challenges to retention include professional council establishment and the Health Profession Act. Keywords: Emergency Medical Service; Paramedics; Retention