Center Development for New Management of Chronic Non- Communicable Diseases by District Health Network's Participatory

Abstract

This action research aimed to develop the center for district health network's participatory in chronic disease management and to study the results of a new chronic disease management center developing. The research was conducted February - August 2022 and divided into 3 phases: Phase I, the study of self-care methods of individual patients in the community, phase 2, the development process, and phase 3, the study of development outcomes. Data were collected by using questionnaires, interview forms, quantitative data analysis using descriptive statistics to describe the personal characteristics of the samples, health awareness and health behaviors. The qualitative data consists of service system, perspective customer view and budget perspective use content analysis together with quantitative data analysis. The results found that the outcome of the development consisted of 1) views on the service system, customer, and the budget perspective, were found that there was 1 non-communicable disease new management center. The overall quality of life of patients with chronic non-communicable diseases was at a good level by 87.50% and was able to reduce the cost of medical care for the patients. And 2) 96 patients (46.15%) who participated in activities and practices did not develop stroke and no complications. There were patients able to stop taking drugs to control blood sugar levels, 38 patients (18.27%) reduced the diabetes and hypertension medications using. There were 8 patients (8.33) who participated in the activities and practice, the doctor decided to stop using the medicine. Therefore, the new participatory non communicable disease management model is considered an effective method and should be further applied.