Lessons learned from the initial stages of the Bang Rakam PUWADOL Model Diabetes Academy

Abstract

The purpose of this qualitative research was to explore lessons learned from the initial stages of the Bang Rakam PUWADOL Model Diabetes Academy, Phitsanulok Province.Forty type 2 diabetes patients who attended this academy and  health care personnel who worked on it were participants.  Research instrument was semi-structure in-depth interview guideline. The data was analyzed using content analysis. The findings revealed that the lessons were 5 themes: 1) Proactive services of the health team included providing proactive services with clear goal, promoting and monitoring on patient management outcomes, and deciding to adjust health care from academic information 2) Patient self-management included doing self-monitoring blood glucose level regularly, taking medicine according to the doctor's treatment, adjusting behaviors as appropriate, follow up for blood test and doctor’s prescribing as appointment and learn to join the LINE Application group 3) Desired clinical outcomes included short-term outcome had A1C levels less than 7% and no need to take hypoglycemic drugs in long-term outcome 4) Factors promoting for health care success included disciplined in adjusting health behaviors, project leader was hospital administrator and health team being committed to working with goals 5) Barrier factors of health care success included patients can’t using the LINE application, and patients prioritize occupation over health care.