Evaluation of Medical Services for Diabetes Mellitus Patients, Somdetphraphutthalertla Hospital

Abstract

The objectives of this formative evaluation research were to evaluate. The CIPO model (context, input, process, outcome) as well as compared personal appearance and time of clients diabetes mellitus (DM) patients satisfaction to medical services, besides, problems of clients and service staff at diabetes clinic (DM clinic) the outpatient department (OPD) of Somdetphraphutthalertla Hospital, Samutsongkhram Province. The sample group were: 1) All 18 medical staffs who provided medical services 2) 400 diabetes mellitus patients, selected by systematic random sampling. Questionnaire, medical and length of service record were used for data collecting during February–July 2016, then data was analyzed with descriptive statistics and independent t-test / ANOVA.

The results were as following; The context of diabetes mellitus patients who received services was found that 57.0 percent of them had moderate level of confidence in medical service, followed by high level at 34.8 percent. Regarding to input, 11.1 percent had inadequate equipment. 27.8 percent found that there was inadequate personnel, thus, there should be added up doctors, nurses and other staffs. 22.2 percent of staffs had in sufficient potentiality to some items of medical care. Regarding to process, 41.6 percent spend 4-4.59 hours per visit mean 4.13 hours. Regarding to outcome, 60.0 percent of diabetes mellitus patients, had moderate level of self-care behaviors, Twenty percent could control blood sugar level at good level, 64.0 percent had high satisfaction to medical service. Regarding to staffs, service provider, 55.6% had high level of medical services providing. Sex, age, marital status, educational level, occupations, average income per month, benefit for medical treatment and duration time of service were not shown statistically difference with satisfaction of medical service receiving, (P-value > 0.05). Problem of service receiving; inadequate number of service staff (7.0 percent) and politeness of speaking (4.3 percent). Problem of staffs provider; confined space, in confluent of service flow, long time waiting for blood tested and quality of patient care at 16.7, 11.1, 11.1 and 11.1 percent, respectively.

Conclusion: The majority, diabetes mellitus patients had moderate level of self-care behaviors, low blood sugar controlling, and the majority of them had high satisfaction to medical service receiving which were not statistically difference, according to sex, age, marital status, educational level, occupations, average income per month, benefit for medical treatment and duration per visit. The majority, service staffs had high level of medical services providing.