การพัฒนารูปแบบการบริการวัคซีนคลินิกหมอครอบครัว โรงพยาบาลสะเดา

The development of a family doctor clinic vaccination service model Sadao Hospital

Abstract

              This research and development aimed to study situation of vaccination service, develop a vaccination service model and evaluate the developed model provided by family doctor clinic at Sadao hospital. There were 3 steps of development: Step 1: Studying the situation of vaccination service provided by family doctor clinic at Sadao hospital by analyzing the related documents; Step 2: Creating and developing a vaccine service model drafted by 5 practitioners and validated by 3 experts; and Step 3: Studying the effectiveness of the vaccine service model using quasi-experimental research as one-group pretest post-test design. The populations were 261 children aged 0 - 5 years old. The instrumental tools were the vaccination service model provided by family doctor clinic, vaccine register and vaccine coverage register. Data were analyzed using frequencies and percentage. The results found that:

1. 1. The situation of vaccination service found that more than 65% of children missed the vaccine appointments in the first half year of 2022 and the vaccine coverage rates of children aged 1, 2, 3 and 5 years old illustrated as 26%, 61%, 50% and 49% respectively which were lower than the criterion.
2. 2. The model of vaccination service at Sadao hospital provided by family doctor clinic was SAI & C which consisted of: 1) service system; 2) appointment and follow-up system; 3) information system; and 4) coverage monitoring system.
3. 3. After applying the model, the missing rate of vaccination appointments decreased from 65% to 20% per month. In addition, the vaccination coverage rates for children aged 1, 2, 3 and 5 years old increased from 26%, 61%, 50% and 49% to 90%, 83%, 72% and 83% respectively.

              Therefore, the developed vaccination service model should be applied to reduce the problem of vaccination service in the target group to be consistent with the way of life and the context of the community.