Development of Health Care System for Tuberculosis Patients of Tambon Health Promoting In Contracting Unit for Primary Care Muang, Nakhon Ratchasima

Abstract

This study is action research to investigate situation and develop caring system for tuberculosis
patients in Contracting Unit Care Muang, Nakhon Ratchasima 20 of target group were director of
health promotion hospital district, of f i cer of responsible for tuberculosis of the district health of f ice,
of f ice of responsible for tuberculosis of the district health district and volunteers from local authorities
and public health of f i cials. Instruments used in research a semi-structured interview and focus group.
Percentage and mean were used to analysis the quantitative data and content analysis was used for
analyzing the qualitative data. The results indicate that before developing situational analysis of the
existing tuberculosis health care services revealed that tuberculosis patients unconcerning toward
the treatment regimen and follow-up visits, the protocol for collaboration and referral of patients’

information were not clearly de f ined, After developing a system of care for tuberculosis patients
in Contracting Unit for Primary Care Muang Nakhon Ratchasima include 9 steps were 1) screening
for new suspects, 2) sputum specimens, 3) referring for a chest X-ray, 4) registering a new TB
patients, 5) knowledge providing about TB disease and medicine usage, 6) making a medical
appointment, 7) house visiting, 8) referring to Nakhon Ratchasima provincial hospital or community
hospital, and 9) evaluating treatment. After development yields a 100% total cure for all
32 registered TB patients. These good developed steps is very important to developing health
care system for tuberculosis patients of health promotion hospital district with higher quality.