Development of Quality Care for Delaying Progression of Kidney Disease in Chronic Patients using the Chronic Care Model of a Sub-District Health Promotion Hospital
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Abstract
This action research aimed to develop quality care for delaying progression of kidney disease in chronic patients using the chronic care model. Thirty nine informantscomprised of 10 of each group of patients with third stage chronic kidney disease (CKD), family caregivers, and community health volunteers (CHVs), including 9 healthcare personnel of Kaisang Kamnoetmee-District Health Promotion Hospital, Nonthaburi Province. Data were collected using personal interviews, observation, focus group discussions, home visit records, and health assessment. Data were collected during January to April 2017. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using content analysis. Results revealed that quality care development process comprised of 3 phases: 1) Preparation phase, situation analysis of care before the development; 2) Development phases, implementing based on the
components of the Chronic Care Model (CCM); 3) Evaluation phase, outcome study of the development. There were changes in 3 aspects: 1) patients with chronic kidney diseases had awareness and gain more capability in self-care resulting in better renal functions; 2) health personnel and care services of the studied hospital were provided using clinical practice guideline developed by multidisciplinary team. Capacity building of chronic disease patients, family caregivers and CHVs were developed. Home visiting and media were provided; 3) community people were involved in care for chronic patients together with health personnel, CHVs, and family caregivers.
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