The Process Evaluation and Organization Support for Type 2 Diabetes Mellitus and Hypertension in Primary Care Cluster and Non-Primary Care Cluster in Phetchabun Province, Thailand


  • Kritkantorn Suwannaphant Sirindhorn College of Public Health Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Ministry of Public
  • Phitthaya Srimuang Sirindhorn College of Public Health Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Ministry of Public
  • Supat Assana Sirindhorn College of Public Health Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Ministry of Public
  • Teerasak Phajan Sirindhorn College of Public Health Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Ministry of Public
  • Alongkone Phengsavanh Faculty of Medicine, University of Health Science, Vientiane, Laos
  • Pattamawadee Duangkanya Nong-Hi Hospital, Roi-Et Province, Thailand
  • Kessarawadee Khonhan Office of the Permanent Secretary, Ministry of Public Health, Thailand
  • Vasuton Tanvatanakul Praboromarajchanok Institute, Ministry of Public Health, Thailand


Primary care cluster, Self-management support, Diabetes Mellitus, Hypertension


This cross-sectional descriptive study aimed to determine the management process and supporting system of an organization which provided services for diabetic and hypertensive patients of a family medicine clinic and other service unit in Phetchabun province, Thailand. The study participants were 206 health personnel who worked in family medicine clinic prototype and other service unit. They were recruited by  the purposive sampling method. Data was collected using an evaluation form and focus group discussion. Data were analyzed with descriptive statistics (frequency, percentage, standard deviation). Qualitative data were analyzed using content analysis.  

             The study result revealed that the majority of the participants were female (77.18%), and their average age was 40.53 years old (S.D.=10.49). The evaluation results for the process of service arrangement of service units found that most of the units had a quality in B level (60.68%). The evaluation of service arrangement process in 5 aspects found that the PCC prototype had the highest mean score of 5.59 (S.D.=1.89). The evaluation of organizational support system in service arrangement found that mean score was 6.38 (S.D. =1.55).  In summary, work pattern should be adjusted into people-centered care. Integration between different types of work can be achieved by arranging an internal organization into a matrix team. Integration can also be accomplished in an interdepartmental form that includes both hospital and a unit in community.


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