Development of guidelines for Primary Care Cluster operations in Health Area 3

Abstract

The primary care system is an important mechanism or strategy in the development of the country’s public health system because it is a worthwhile investment in health. Reducing the long–term health burden of the country. The objectives of this study were to 1) analyze factors related to the development of family doctor clinic operation in the 3^rd Health Region, and 2) set guidelines for the operation of family doctor clinics in the 3^rd Health Region. The study was divided into 2 steps as follows: Step 1 was to study the factors related to the development of family doctor clinic operation in Health Area 3. The questionnaire was used with a sample group, which was a multidisciplinary team in the family doctor clinic, 200 people, and, the number of clients was 500 people. Data were analyzed by descriptive statistics, correlation coefficient, and stepwise multiple regression. The level of significance was set at 0.05. The second step was to find a guideline for the operation of the family doctor clinic through focus group discussion with 20 experts, data were analyzed by Content analysis. The study found that public health personnel practice level was high (49.5%), the attitude was moderate (69.5%), factors affecting the operation of the family doctor clinic were high (64.5%), and health services were moderate (75.0%). The problematic factors in the operation of the Family Doctor Clinic in Health Region 3 were insufficient doctors, executives change often, officers a lot of workloads, lack of morale, shortage of budget not enough, tools ambiguity of goals operating model. Therefore, the guidelines for the development of the family doctor clinic should be developed in terms of increasing the belief and faith in the operation of the staff. And there must be a review of the role of CUP, developing a team, strengthening the network, and increasing the support of the host hospital.