Evaluation of the implementation of further development to expand the community health system model to a seamless health service system for the elderly, Ubon Ratchathani Province

Abstract

The Evaluation Research on the Consolidated Framework for Implementation Research (CFIR). The objective was to Evaluation of the implementation of further development to expand the community health system model to a seamless health service system for the elderly, Ubon Ratchathani province using an integrated study model. The quantitative study included a sample of 1,773 elderly people. Collect data using questionnaires.. Descriptive statistics, qualitative education 1) In-depth interviews with 15 policy steering groups with specific selection, 2) Group discussions with relevant stakeholders in the area. Provincial level District and sub-district level (community health system) and community level, a total of 60 people, data were analyzed using descriptive statistics.

The results showed that : The elderly had knowledge and understanding of risk factors and warning signs of stroke. 82.40 percent acute ischemic heart disease. General group: 75.17 percent, group with a history of heart disease (126 people), 75.40 percent, risk factors and warning signs related to falls/hip fractures. 79.86 percent. Policy driving groups and health system development, both Health-Non Health Sector, recognize/understand policies and goals. Consistent with the health system concept integration principles seamless service in the context of an aging society and illness with 3 disease groups.  Provincial project implementation steering group all districts have adopted the CANDLE model, applied according to the context and the existing capital is supplemented with social capital. Organize a care system for risk groups and sick groups by promoting, preventing, rehabilitating and caring for after-sales and patient referral systems.  Driving the work through the mechanism of the District Health Board, Elderly club, schools for the elderly,  Prakliilanupattak All target groups see that it is a good policy, and the effect should be expanded to cover all areas.