To reduce the lacking of drugs in patients with psychiatric care model network. primary care unit of Tambon Banmang Chiangmuan District, Phayao Province

Abstract

This action research aims to reduce the lacking of drugs in psychiatric patients. To reduce the rate of  visit or admission  with  emergency psychiatry  of psychiatric patients  and to enhance the quality of life of patients. Tools used  Individual data records, Medical records, Evaluation at home visit records and Evaluation  the quality of life records. The sample consisted of 36 patients  were selected specifically from  October 2012 - September 2013.   The 1^st Phase  analysis of  history services  and  home visits study, therefor was presented teams with  Chronic Care Model  in this study . The 2^nd Phase  consisted of implementing the model of care in the community. The service One Stop Service prepared a  manual, an individual record book, a registration form in Primary Care Unit.  The 3^rd Phase consisted of evaluating the operation ,then the data were analyzed with statistical averages and percentages.

          The result of this study showed  that   reduced  the lacking of drugs from 50 percent to 2.7 percent, contributed to lowering the  visit  rate  with emergency psychiatry from 19.4 percent to 13.89 percent , it also reduced  the admission rate with emergency psychiatry from  41.67 percent to 0 percent .As for the  quality of life of patients considered as good, there was an increase from  22.2 percent to 55.5 percent.

          In sum, the study  shows  the effectiveness of psychiatric care model network to reduce the lacking of drugs , visit  and admission rate with  emergency psychiatry of psychiatric patients  and to enhance the quality of life of patients. Therefore, this model  should be applied  to the other chronic care patents .

Key word: lacking of drug ratio, re-admission, quality of life,  Chronic Care Model Network