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Enhancing the Community’s Capacity to Deal with Health Crises with the Innovations of Primary Care System Management by the Community: Case Study of Communities in Bangkok and Other Provinces

ปรีดา แต้อารักษ์; Preeda Taearak; วิรุฬ ลิ้มสวาท; Wirun Limsawart; ปรานอม โอสาร; Pranom Aosan; ศิริวัฒน์ ทิพย์ธราดล; Siriwat Tiptaradol; พรฤดี นิธิรัตน์; Pornruedee Nitirat; วีรบูรณ์ วิสารทสกุล; Weeraboon Wisartsakul; จารึก ไชยรักษ์; Jaruek Chairak; นวพร ดำแสงสวัสดิ์; Nawaporn Damsangsawat; แสงดาว จันทร์ดา; Saengdao Janda; ปิ่นนเรศ กาศอุดม; Pinnarate Gadudom; จักรินทร์ สีมา; Jakkarin Seema; นันทพร เตชะประเสริฐสกุล; Nantaporn Techaprasertsakul; นภินทร ศิริไทย; Napintorn Sirithai; จุฑามาศ ปิยะวงษ์; Jutamas Piyawong; ฐปพร เกษกำจร; Thapaporn Keskamjorn; สุภาภรณ์ ดำรงพันธ์; Supaporn Damrongphan; ช่อฉัตร สุนทรพะลิน; Chorchat Soonthornpalin;
Date: 2567-12
Abstract
Background: The COVID-19 pandemic crisis emphasizes the crucial role of community empowerment in enabling communities to participate in the Integrated Health System (IHS) and prepare for dealing with present and future health crises. Thus, it's essential to understand the context of urban communities, health needs, social capital, and the appropriate processes to develop the community-led primary care system so communities can encounter local health crises. Methodology: This unique Research and Development project, employing Participatory Action Research over 18 months (March 2023-August 2024), is set in 17 urban communities in Bangkok and other provinces. It involves 10 organizations, all dedicated to acting as "facilitator nodes" for communities in their work area. Result: In the post-COVID-19 era, communities are enthusiastic about dealing with specific health needs, aka "health crises," which are wide-ranging problems affecting the communities' well-being. Three groups of social capital enable communities to develop primary care innovation: internal capital, including leader and trust, community awareness, and community resources; external capital, including social network and external resources; and the enabling factors, including the close-knit relationship between the community and the community's culture and beliefs. Three key factors enhance the community's ability to develop social innovation: community strength, facilitator node, and collaboration with local primary care units. The facilitator nodes have three crucial roles: advocacy, facilitation, and technical assistance. Discussion: A new ecosystem is needed to enhance the communities' capacity to participate in IHS and engage in present and future health crises. It focuses on providing primary care service by the community and for the community with the collaboration of the community, facilitator node, the local primary care units, and the local government. It surrounded by the five supporting systems provided by the national and local organizations: (1) a system of interoperable data and information, (2) a system of public policy process for participatory encountering with health crises, (3) a system of primary care that enhance communities' participation, (4) a system of human resource development of the communities and facilitator nodes that responsive to specific needs, and (5) a system of financial and resources support that fit with need and context of each community.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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