The Development of Referral for Patients with Chronic non-Communicable Diseases Using the Health Network with TELEHEALTH Model, Phiboonmangsahan district, Ubon Ratchathani Province

Abstract

The objectives of the research were to development of referral for patients with chronic non-communicable diseases Using the health network with TELEHEALTH model,  Phiboonmangsahan district, Ubon Ratchathani province. The samples, which were 40 an expert expert who is interviewed with a high-level expert quality inspection system, the sample group in the evaluation were 30 patients with chronic disease/relatives by simple random sampling. The research tool were a focus group discussion, Telemedicine and questionnaire. The data were analyzed using descriptive statistics, wilcoxon’s signed rank test and content analysis. The research findings were as follows:

                The referral for Patients with Chronic non-Communicable Diseases using the health network with TELEHEALTH model,  Phiboonmangsahan district, Ubon Ratchathani province which consists of 4 activities; 1) teleconference, 2) telemedicine consultation, 3) distance education for personnel capacity development, and 4)data and telephone network connection 4.1) Communication between physicians and patients 4.2) Coordinating the admission and referral of patients 4.3) Verifying patient information 4.4) Assessing patients, receiving/referring patients The developed model is appropriate, feasible and useful to a great extent. (Mean= 4.75, SD=0.87) Service provider satisfaction is higher than before system development significant (Z =6.32,P<0.05), satisfaction of chronic disease patients/relatives at the high level and the highest percentage 86.36 The result was that patients with acute complications were referred 100.00. Research recommendations : The telemedicine system for receiving and referring patients with chronic diseases should be expanded to reduce the congestion of patients in the main hospital.