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Initial Assessment of Experiences on Receiving Integrated People-Centered Care of Patients with Diabetes and Hypertension

สัมฤทธิ์ ศรีธำรงสวัสดิ์; Samrit Srithamrongsawat; ไพบูลย์ สุริยะวงศ์ไพศาล; Paibul Suriyawongpaisal; วรสิทธิ์ ศรศรีวิชัย; Vorasith Srisornvichai; สันติ ลาภเบญจกุล; Santi Lapbenjakul; ดวงดาว ศรียากูล; Duangdao Sriyakun;
Date: 2563-06-30
Abstract
An implementation research on the development of integrated-people centered care started a pilot reform of service delivery system in 20 primary care clusters (PCCs). Patients with diabetes and/or hypertension were employed in this pilot test model. An initial assessment was taken after a 4-months implemention on patient’s experiences on receiving integrated people-centered care comparing between PCC under the project with other primary and ambulatory care facilities in the same district. A community survey of 200 samples was conducted from each district. There were totally 4,071 samples, 1,311 samples from hospital DM/HT clinics, 1,721 from PCCs in the project, 823 from other PCCs, and 216 samples from health centers. Results showed that PCCs in the project had significantly better patient-family care team relationship compared with other types of health facilities, a greater proportion of patients knew the name of family physician, family care team, and had more convenient communication channel. However, the target of receiving care from the same family doctor and team needed further improvement. The PCCs in the project achieved significantly greater proportions of patients receiving care according to the guideline for chronic illness care in most of the 5 dimensions (knowing health determinant factor, care plan, goal setting, health behavior, and care result) compared with other types of facilities. However, the dimension on health behavior modification got relatively low score compared with other dimensions. It is noticeable that the other PCCs did not perform any better than hospital DM/HT clinics either in terms of patient-doctor/ family care team relationship or care for chronic illness. Further implementation research is needed to evaluate implementation outcomes and service outcomes of the model.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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