Policy recommendation development for the health service system for patients with chronic diseases in sub-district health-promoting hospitals transferred to the provincial administrative organizations
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Abstract
Background: Subdistrict health promoting hospital that has been transferred to the provincial administrative organizations (PAOs). It is important to provide continual health services that meet the standard to patients with chronic diseases.
Objectives: To debrief lessons, study participation, and develop policy proposals for the development of the health service systems for patients with chronic diseases in the sub-district hospitals under the jurisdiction of the PAOs.
Methods: Concurrent mixed-method research was conducted with the samples of four groups, including 38 PAOs staff, 1,055 health team members, 393 village health volunteers, and 402 patients with chronic diseases, totaling 1,888 people. The data collection tools, included 1) a basic data survey of health service systems for patients with chronic disease, 2) a questionnaire on debriefing lesson and development of chronic diseases in the sub-district hospitals under the jurisdiction of PAOs, and 3) semi-structured open-ended questionnaires for focus group discussions and in-depth interviews. Data analysis involved descriptive statistics and content analysis.
Results: There were consistent quantitative and qualitative data. The health service system for patients with chronic diseases in the sub-district hospitals under the jurisdiction of PAOs maintained the original service, but differences were found based on the context of each area, including health service delivery, health personnel support, health information systems, access to required medications and supplies, financing systems, and leadership and governance qualities.
Conclusions: The sub-district hospitals that had been transferred to PAOs still required continuous development of health service systems for patients with chronic diseases according to the six pillars of the health service system concept. This requires the support of the Ministry of Public Health and all relevant sectors.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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