A Hospital - Community Engagement Model Targeting Sustainability Development Goal in Chronic Kidney Disease Patients Care, Chachoengsao Province
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Abstract
BACKGROUND: Chronic kidney disease is a common health problem leading to premature death and high cost of treatment. Developing a hospital - community engagement model will delay the progress of kidney degeneration and decrease the rate of unplanned dialysis.
OBJECTIVES: To study and evaluate the achievement of the hospital - community engagement model in delaying chronic kidney disease.
METHODS: This descriptive study utilized data collected during 2016 - 2019. The sample was comprised of 20 health care providers, health center data on patients with chronic kidney disease, unplanned dialysis data record, clinical tracer, and health service system report. Participants were selected using purposive sampling; the research instrument composed of a 20 - item questionnaire and semi - structured interview guide. The data were analyzed using descriptive statistics and content analysis.
RESULTS: The findings from this study are as follows: the hospital - community engagement model was designed in context with the needs of the hospital; promoting the ability to perform self - management; building a partnership of care; exchanging health information and supporting the decision making of the patient and caregiver; increasing the rate of delay in the progression of kidney degeneration from 62.3% in 2016 to 66.1% in 2019; and decreasing the rate of unplanned dialysis from 35.4% in 2016 to 23.5% in 2019.
CONCLUSIONS: Development and implementation of a hospital - community engagement model can lead to sustainability of delay in progression of kidney degeneration in chronic kidney disease care.
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References
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