Development of Stroke Preventive Care Service Model for Clients with Chronic Illness Having CVD Risk in Context of Primary Care

Abstract

          This action research aimed to develop stroke preventive care service model for clients with chronic illness having CVD risk in context of primary care. Participants were representatives from three groups, including 18 clients with chronic disease, nine health providers and nine other stakeholders. Indepth interviews and focus group discussions were used for qualitative data collection. The Guidelines for Assessment of Cardiovascular Risk was used for quantitative data collection. The study included three steps which were: situational analysis, development process and model synthesis. Content analysis was used for qualitative data analysis; descriptive statistic was used for quantitative data analysis. Findings revealed “The Integrated Stroke Preventive Care Service Model” (ISPCSM) comprising five steps of care services, 1) awareness in modifying risky behaviors, 2) integrated care services in non-communicable diseases: NCDs clinic, 3) stroke fast track services, 4) continuing rehabilitation services, and 5) home visit and long term care services. The ISPCSM are services that has integrated between health care services to prevent stroke and social services of long-term care system.