The follow-study of Thai Family Care Team project implementation in Bangkok Metropolitan Administration

Abstract

This research aimed to examine perception towards Family Care Team project of disabled, elderly, chronic and palliative care patients in Bangkok; and to explore Family Care Team operations in Bangkok. Research population were disabled, elderly, chronic and palliative care patients living in Bangkok. A sample of 374 cases living in Taling Chan district, Ladphrao district, Bangplad district, Dusit district, Thonburi district and Bang Sue district were selected to the study. Research tools comprised a questionnaire of perception towards Family Care Team project and a questionnaire of operation performance in accordance with Family Care Team criteria adapted from a questionnaire created by Prof.Dr.Paiboon Suriyawongpaisan and staff (2015) used in the study of Assessment of health policy on promoting family care team with Cronbach’s alpha coefficient reliability at 0.78. Statistics used to analyze the data were frequency, percentage, mean, and standard deviation. The results of the study were as follows.

1. Perception towards Family Care Team project of disabled, elderly, chronic and palliative care patients in Bangkok revealed that 63.6% of samples received information about Family Care Team from Health team, 20.1% of samples knew name of doctors of Family Care Team, and 5.6% of samples knew telephone numbers of doctors of Family Care Team.

2. Operation performance of Bangkok Family Care Team resulted as follows. 1) For service access, 93.3% of samples found it was convenient to receive healthcare service at the public health center they regularly visited, 58.8% of samples indicated the public health center they regularly visited provided parttime clinic, and 50% of samples were able to contact Family Care Team for their health problem. 2) For disease prevention, 50-80% of samples received information about disease prevention and healthcare in all aspects, 35% of samples were informed about cancer screening and 42% of samples received flu vaccine. 3) For disease screening, most samples received healthcare services to measure their blood pressure measurement 70-90%, weight, blood glucose and blood cholesterol. 4) For data access and care coordination, 85.6% of samples found that it was convenient to seek for data file as well as samples were able to see personal file and asked for a copy of their examination records when they needed (26.2% and 20.6% respectively). Moreover, 28.3% of samples were helped with appointment and transfer for specialist visits and 24.9% of samples indicated that their specialist doctor visits were monitored. 5) For patient-centered care services, most samples showed their opinions were respectful and they got detail explanation for their doubts (92% and 90.2% respectively) whereas 31.3% of samples got a home-visit. 6) For self-care supporting system, samples revealed that Family Care Team provided ongoing follow-up appointment and explained about complications, diseases, how to conduct home self-care, treatment options, in addition, they invited them to join health promotion activities (65.5-71.1%). Also, 59.4% of samples indicated that Family Care Team visited their house to give advice and help.