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Assessment of Primary Care in Thailand from the Providersû Perspectives

กฤษณ์ พงศ์พิรุฬห์; Krit Pongpirul; สุพัตรา ศรีวณิชชากร; Supattra Srivanichakorn; Barbara Starfield;
Date: 2551
Abstract
The importance of primary care has increased since the recent health-care reform but no systematic evaluation has been done. This study was aimed at assessing primary care in Thailand. The primary-care system questionnaire originally developed by Barbara Starfield was used to assess nine primary-care domains, namely, resource allocation, adequacy of facilities, first contact and co-payment requirement, longitudinality, comprehensiveness, coordination, family-centeredness, community orientation, and professional personnel. Respondents were 77 primary care practitioners from 13 different provincial hospitals. The findings showed a response rate of 53.25 percent. Providers stated that (1) the resource allocation was not appropriately based on intimate needs, although there were some special provisions for underserved segments of the population, (2) basic equipment and supplies were not adequate in some regions, (3) consultation with a provider at the primary-care level was required before assessing to seek other care, whereas the co-payment requirement was low, (4) most patients were seen by the same provider team on every visit, (5) primary-care services are comprehensive although regional variations were evident, (6) coordination, family-centeredness, and community orientation were satisfactory, and (7) nurses were key providers at primary-care facilities.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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