Strategic driving to diabetic patients taking to “Remission” state: Case Study of Driven Strategic of Phimai District, Nakhon Ratchasima Province.

Abstract

This research and development aimed to study strategies, and evaluate outcomes to healthcare for diabetes patients. Operated from January to December 2022 with 4 main processes. The samples were 161 diabetes patients. Tools compounded as: health behavior interview form and health care of diabetes patients, questions guideline to focus group interview, and AICE process. Data were analyzed by descriptive statistics, and analytical statistics, such as Chi-square test, or Fisher Exact test. 

                The results found that the strategy was developed under the concept of "PHIMAI Model", with consisting of 6 strategies, 5 measures, and 4 projects. When the driving was completed, found 10.6% of diabetes patients entered remission, 67.7% as normal blood criteria, and without complications, and 57.1% had been adjusted to medicine dose reduction. The self-care behaviors of diabetes patients were better, with 62.3% were a good level of appropriate consumption, 60.4% had adequate physical activity or exercise, appropriate stress management as 65.5%, had self- healthcare or their family as 61.2%, and accessed health services; medical treatment; and medicine using were a good level of 74.4%.

                The conclusion, this research indicated that on the policy level, the diabetes strategic driving, as under the concept of “PHIMAI model” was a key equipment to had assisted diabetic patients enter the state of “Remission”. However, the policy adaptation to implementation was important, which had been enrolled consistency their context, in the operational level, to driving as effective, continually, and sustain.