SITA Medical Clinic · Lat Lum Kaeo, Pathum Thani
Daily 08:00–19:30
Daily 08:00–19:30 · 082 474 2969
01 — MEDICAL CARE STANDARD · Care Standards
The principles of assessment, explanation and responsibility for decisions should remain consistent. The suitable approach may differ according to each person’s context.
Consistent standards can lead to different answers.
Care standards cover what should happen before, during and after decisions about care, as well as during a procedure.
These five points are SITA principles, rather than treatment steps.
The availability of a service at the clinic does not mean it suits everyone. The first question is what is appropriate for this person’s context, rather than what options are available.
An available service may not suit everyone.
The care approach should follow physician assessment, rather than being selected first and justified afterwards.
The approach should follow physician assessment.
Suitability depends on individual circumstances
Patients should understand which approach is being considered and why, to a degree that supports shared decision-making.
The approach should remain open to review. When the context or response changes, decisions should be reconsidered.
Services available at the clinic are tools. Whether to use them should be determined through assessment. Decisions should reflect suitability in the individual context, rather than the number of options available.
This service is available, so we should start with it
Is this service appropriate for the person’s context?
I am here, so care should begin immediately
Sometimes the most appropriate next step may be to wait or not begin yet.
Explanation is part of the standard of care. A sound decision should be based on understanding as well as trust.
Care should begin once the patient understands and agrees with the approach.
You do not need to decide on the same day the explanation is given.
Medical responsibility includes recognising when more information is needed before reaching a conclusion, rather than having an immediate answer to every concern.
What is seen and described at the first visit may not be enough for every decision.
Similarity alone should therefore not determine a decision.
Some concerns may benefit more from explanation, adjustments to self-care or follow-up.
Waiting for more information is part of responsible decision-making.
Physicians assess patients and oversee the care approach. Trust in SITA’s care should also come from shared clinic principles, decisions that can be explained and reviewed, and the clinic’s responsibility for that care.
Decision-making follows shared clinic principles. Each physician exercises medical judgement within those principles.
The same principles apply across the clinic’s scope of care. Details of each area are provided on the Services page
Previous decisions can be reviewed using the same principles when the context changes.
Care is the responsibility of the clinic as a whole.
Start by telling us what concerns you now, what care you have received and what you would like to understand more clearly.
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