Integrated Diabetes Service System Development at Ranong Hospital, Ranong Province

Abstract

     This was a research and development (R&D) which composed of mixed method by using action research for care system improvement for patients with diabetes mellitus (DM) at Ranong Hospital. By co-operation from multidisciplinary health care team, Village health volunteers (VHVs) and DM patient’s representatives, this R&D focused on participation all stakeholders at all processes. The 3 consecutive stages of operating procedure consisted of 1) DM care models study before development at Ranong Hospital by using qualitative and quantitative research methods. 2) Creating an integrated DM service system model using qualitative research method. 3) Tried out and evaluated of this integrated service system model by using quasi-experimental research methods.
     This DM care system development expanded to the community by the multidisciplinary health care team. Family Practice nurse received the capacity building, DM practice guidelines was developed for public health network in Ranong District. The proactive service system was also covered DM drug management system including the drug dispense from Ranong hospital, health information system, DM care service at health promotion hospital of sub-districts and home visit by multidisciplinary health care team from provincial hospital with families participation and network partners in the community.
     After the implementation of this service system, the percentage of DM patients for blood sugar levels control was improved from 12.98% in 2017 to 26.60% in 2018. DM patients satisfied with the health care services for rapid accessibility, convenience, reducing the waiting time and getting closely care by health care team.
     The development of the diabetes service system by an integrated multidisciplinary public health care team with community involvement can be an efficient model to provide the continuous care for DM patients.