Abstract
COVID-19 pandemics effected health systems in term of increasing of workload caused by the number of infectious, also the effected on routine health services especially continuity of healthcare deliveries for the patients with chronic conditions. The Ministry of public health and the National health security office established the new-normal healthcare policy which emphasized on outside hospital care deliveries by strengthening primary care services together with the partnership including private rehabilitation clinics, nursing clinics and drug stores. This project applied the evaluation development concept by applying mixed-method research design to evaluate the implementation of the policy and synthesized the policy recommendations based on the findings. We performed the literature review, together with analysis of secondary quantitative data and qualitative data collecting from multi-stakeholders. We found that health burden of non-communicable diseases and conditions are high and increasing over the time especially on hypertension, diabetes, and related complications such as stroke. The services utilizations of this group of patients were disrupted by lock-down policy during COVID-19 pandemics. There were existing of new-normal care deliveries during 2020-2022 especially there were the high number of telemedicine which performed by public health facilities. However, the services provided by private rehabilitation clinics and private nursing clinics were still limited in term of number of clinics, number of patients, and also in the term of geographical distributions of services. According to our findings, we strongly emphasized that primary care should be the core of new-normal health services for the patients with chronic conditions. To delivery high effective coverage care, the area manager position and role should be established and should be paid by NHSO at primary care level. Individual care plan should be done by care team and should be monitored and evaluated by area manager. Effective information systems should be designed and implemented and should be able to connect every stakeholder in primary care network. Also, the information systems must allow the patients to confirm their received care by private partners. The authorities should arrange the platform that allow all partners working together effectively and analyzing the routine data for better policy designing and decisioning.
