The integrated community care model for diabetes mellitus patients, Warinchamrab District, Ubon Ratchathani Province

Abstract

This action research aimed to develop the care model for DM patients with type 2 diabetes by Integrated with community care in the area of public health service center 3, Warinchamrab District, Ubon Ratchathani Province. The 97 participants were selected such as DM patients with type 2 diabetes of 30 persons, 30 care volunteers, Municipal district representative officers, public health officers and community leader’s head of 37 persons. Data both qualitative and quantitative were collected by questionnaire and qualitative method. The tools of research were applied with in-depth interviews and structured questionnaire, focus groups, interviews and participated in meetings. Data analysis was applied by descriptive statistics. Qualitative data were analyzed by content analysis.

The results showed that development processes of care model comprised 9 stages: 1) data collection 2) set-up NCD board team 3) action plan formulation 4) capacity building for volunteer 5) training and health behavior modification 6) home visits and follow-up 7) monitoring and evaluation 8) KM forum and discussion 9) lesion learned with AAR. After operation, the participants had a higher level of knowledge, satisfaction and participation in the care service activities. The DM patients could control blood sugar levels to a great extent 66.67%. The primarily service model is called “VARIN Model” (V: Volunteers, A: Area Base,

 R: Reinforcement, I: Integrated care and N: Network) 

In conclusion, the supporting factors for succeed were the creating a volunteer mind and reinforcement positive forces for the target group on area base according to holistic care by inter-professional team and volunteer groups with strengthening support and created collaboration.