The Developing HOMESUK center Model for Disabled Elderly and Sub – acute Patients with Mobility – Difficulties, Kalasin province 2020

Abstract

Aim This action research studied a model; HOMESUK, used for development of the center for disabled/elderly and Sub – acute patients with mobility-difficulties. Sample size 56 centers in Kalasin, Thailand. Method By applying community-based rehabilitation (CBR) in 56 centers, using focus group discussion and in-depth interviews as study tools. Questionnaire was used to collect quantitative data. Content analysis was used to analyse qualitative data. Quantitative data included descriptive statistics. Analysis of covariance (ANCOVA) was used for inferential statistics. Development of the HOMESUK center operation model consisted of 6 categories concentrating in 33 issues. The overall composition of all health care centers was good, with some renovation needed to be done in building categories, to better suit the needs of disabled/elderly with mobility-difficulty. The unique core of this model lied on 7 categories namely “H-O-M-E-S-U-K”. Overall assessment of these centers, category H (Health) was graded “A” (good standard), providing rehabilitation services, health promotion and prevention, with treatment service receiving the highest average score. The category with the lowest average score was E (Empowerment), to empower the community using a network of local partners, who shared the same feeling in working for the community, and to raise their awareness in taking care of themselves. In the post-service assessment, there was a statistically significant reduction in the mean score of working deficient/ activity coping difficult, with the p-value <0.001. Based on the Berg balance scale (BBS), disabled/elderly had a high risk to fall. The overall satisfaction of patients towards service providers was high.