Quality Development System for The Chronic Care Model in Nawa SHPH, Khemarat District, Ubon Ratchathani Province

Abstract

The quality process care of patients with chronic disease is a crucial part in a community that supports good health. Quality Development of Patient Care system in Chronic Disease at Nawa SHPH, Khemarat District, Ubon Ratchathani  Province.

Objective : The Action Research was aimed to study: the process of quality development of the patient care system with chronic disease in Nawa SHPH, Khemarat District, Ubon Ratchathani  Province. Target group was used in purposively selected, then randomly 50 people (October 2012-April 2013). The Chronic Care Model (CCM) by Kaisen (1986) was used to applying the process of improving systems to manage and change service systems to care for patients with chronic disease providing treatment at Nawa SHPH. Tools employed for collected of the data including, interview instruments, participation, satisfaction with the quality of the service system and behavior in their own health care. The statistics used to analyze data included comprised percentage, means and standard deviation. The qualitative data employs observation, interview and content analysis

Results : The results show that the participation process of quality development for patient care system in chronic disease. The procedure of study was composed of 8 studies: 1) Committee, 2) Data Collecting, 3) Cultivation, 4) Planning 5) Implementation, 6) Observe, Follow and Interview 7) Synthesis 8) After Action Review. New format is the “NAWA  Model” ; (N = Network in the community, A = Alternative care, W = Well – Organization,  A = Attention to target Group), that fit to the community context the satisfaction was found at a high level. The correct behavior in their own health care was decrease to 50 minutes from Nawa SHPH service.

In conclusion : the successful factors have strong networks in the graphic patients. Managed care system in the target group helping health volunteers at the community, participation in all sectors, network in the community. The role was providing welfare and quality care to patients. The impact showed reductions in the HBa1c and blood sugar to pass the standard criteria.