Main Article Content
Diabetes mellitus is a major global health problem and it is essential to develop and implement appropriate healthcare delivery to improve diabetes care. This action research study developed a diabetes care model at a 120-bed community hospital in northern Thailand. Thirty multidisciplinary healthcare providers and 19 people with type 2 diabetes engaged as participants in this study. The research process comprised four phases: planning; action and observation; reflection and revision; and model summarisation. Qualitative data were collected using focus group discussions, semi-structured interviews, team meetings and workshops, document review, and observation with note taking. Content analysis was performed on the qualitative data.
The developed Diabetes Care Model for Community Hospitals has three components: administrative support; the diabetes care delivery system; and diabetes self-management support. Piloting of the model showed that it was practical, fitted with the situation and context of the hospital, and tended to produce good clinical outcomes.
Further studies of the effectiveness of this model are warranted especially in a longitudinal study. This Model is proposed to healthcare professionals and hospital administrators to be potentially used in service delivery in other community hospitals in Thailand.
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