Primary Care Cluster: Concept and Management of Registered Nurses’ Roles
Keywords:
primary care cluster, registered nurses, primary careAbstract
Abstract:
A primary care cluster (PCC) provides health services in the context of families and communities. It integrates collaboration of multidisciplinary teams with application of supporting resources or services. The main purpose of a PCC is to enhance the capacity of health services in Thailand, where the PCC policy is implemented in accord with the World Health Organization’s Six Building Blocks of Health System.
Registered nurses play seven important healthcare roles in the implementation of the PCC policy, chiefly by integrating the principles of family medicine with those of nursing science. The seven roles are: 1) case management; 2) primary medical care; 3) care for the families of chronic and terminal patients; 4) disease prevention, health promotion, and rehabilitation; 5) community counselling and coordination; 6) referral
system management; and 7) empowerment. Major factors affecting primary care cluster operation include insuffcient manpower, the need for continued knowledge improvement, insuffcient budget and resources, and inadequate health service support. Thus, related agencies should be engaged in the process of solving these problems, whilst further studies of the outcomes of the primary care cluster policy are strongly recommended.
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References
References
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1. Nata P, Suwannaprom P, Awiphan R. Integration in community health system. Thai Journal of Pharmacy
Practice. 2019; 11(1): 77-91. (in Thai).
2. Primary Care Cluster Division. Guideline primary care cluster service. Nonthaburi: Offce of the Permanent
Secretary; 2017. (in Thai).
3. Lochid-amnuay S, Kapol N, Sribundit N, Teerawattananon Y. Synthesis research for economic evaluation of
primary care cluster policy. Health Intervention and Technology Assessment Program; 2017. (in Thai).
4. Nursing Division. Guideline service of nursing in primary care cluster. Nonthaburi: Offce of the
Permanent Secretary; 2018. (in Thai).
5. Norful A, Martsolf G, de Jacq K, Poghosyan L. Utilization of registered nurses in primary care teams:
a systematic review. IJNS. 2017; 74: 15-23.
6. Terathongkum S, Hanucharurnkul S, Suvisit N.Perceived benefts, problem situations, and suggestions
of nurse practitioners in Thailand. Thai Journal of Nursing Council. 2009; 24(2): 39-49. (in Thai).
7. Srivichai W. Survey of health provision by primary care cluster in Tak Province: expectation, utilization
of health service, and satisfaction of the target patients and caregivers. Burapha Journal of Medicine. 2018;5(1): 64-82. (in Thai).
8. Khonthaphakdi D, Permthonchoochai N,Jariyatheerawong Y, Keatkor T, Pimpisan N, Wichito S, et al. Perception of hospital administrators and primary care practitioners on primary care cluster policy: understandings, feelings, expectations, obstacles and suggestions. Journal of Health Systems Research. 2018; 12(2): 267-279. (in Thai).
9. Boontong T, Athaseri S, Sirikul N. Nurse practitioners role towards primary medical care in primary health care setting. Thai Journal of Nursing Council. 2007; 22(4): 24-37. (in Thai).
10. Thammavudhi Y, Kittidilokul S, Natirutthakorn S, Netsiri A. Evaluation of chronic Non-communicable
disease patients transferring for treatment at sub-district health promoting hospitals, Thailand. Journal of Health Science. 2015; 24(3): 449-467. (in Thai).
11. World Health Organization (WHO). Everybody's business - strengthening health systems to improve
health outcomes: WHO's framework for action. WHO; Geneva: [internet]. 2007. [cited 2019 June 18]. Available from: URL:http://www.who.int/healthsystems/strategy/everybodys_business.pdf
12. World Health Organization (WHO). Monitoring the building blocks of health systems: a handbook of
indicators and their measurement strategies. Geneva, Switzerland: WHO; 2010.
13. Nursing Division Ministry of Public Health. Primary Care Cluster. Nursing Division Ministry of Public Health; Nonthaburi: [internet]. 2017. [cited 2019 June 18].Available from: URL: http://www.nursing.go.th/Book_nurse/primarycarecluster/primarycarecluster.pdf (in Thai).
14. Suriyawongpaisarn P, Pengpid S, Viripiromgool S, Wanitkun N, Pattaramongkolrit S, Priyatruk P, et al.
Assessment of health policy on promoting family care team. Nonthaburi: Health Systems Research
Institute; 2015. (in Thai).
15. Bunjong Y. Role of professional nurse in district health system. Academic Journal of Buriram Rajabhat
University. 2017; 9(2): 21-32. (in Thai).
16. Pensirinapa N, Thammakun T, Ngowsiri K. The effects of participatory health promotion program for elderly
with non-communicable diseases in nonthaburi municipality. Nonthaburi: Sukhothai Thammathirat
Open University; 2019. (in Thai).
17. Kamwicha P, Santayopass P, Srisang P, Kiriyahnang K. Development of self-care behaviors for people
with hypertension in Soi joke community bangsue district bangkok metropolitan. Kuakarun Journal of
Nursing. 2014; 21(2): 83-96. (in Thai).
18. Jaranai J, Kraithaworn P, Piaseu N. Effects of a family participation program by using the ramamodel on health
behaviors, nutritional status and blood sugar level in diabetic risk group in community. Kuakarun Journal
of Nursing. 2016; 23(1): 41-49. (in Thai).
19. Nakkling Y, Tudsri P. Effect of self–effcacy enhancement program on health behaviors among older adults with
uncontrolled hypertension. APHEIT Journal. 2017;
6(1): 27-35 (in Thai). 20. Thailand Nursing and Midwifery Council. Missions of nursing in primary care cluster. Nonthaburi: Thailand Nursing and Midwifery Council. 2017. [Mimeograped]
21. Kerdmongkol P, Amnatsatsue K, Rattanasoungthum P. Effect of a case management program for older
people with diabetic retinopathy. Journal of Public Health Nursing. 2017; 31(2): 1-10. (in Thai).
22. Nilmanat K, Matchim Y, Manasurakarn J, Kongsuwan W, Meesunthorn K, Prompahakul C. Terminal patient
care in a muslim community: a case study in a southernthai context. Thai Journal of Nursing Council. 2016;31(3): 37-52. (in Thai).
23. Pengsa-ium V, Chaiyasung P, Yakasem P. Outcome of empowerment program on perceived empowerment
and caregiving practice of health volunteers to dementia of elderly. Journal of Nursing and Education. 2015;8(1): 152-165. (in Thai).
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Published
2020-01-09
How to Cite
1.
สุวรรณแสง น, ยิ่งยวด ภ. Primary Care Cluster: Concept and Management of Registered Nurses’ Roles. J Thai Nurse midwife Counc [Internet]. 2020 Jan. 9 [cited 2024 Dec. 21];35(1):5-17. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/195066
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