Results of Model Extension of Community Health Care for The Risk Population and Coronary Heart Disease Patients to Driving The Operation Policy on Non-Communicable Diseases in Health Region 10

Abstract

        This action research aims to study the results of extending the community health care model for the risk population and coronary heart disease patients to promote the management of non-communicable diseases (NCDs) in Health Region 10. The target groups for this expansion include 112 individuals from public sector organizations responsible for NCD management and 40 members from community leaders and volunteers, totaling 152 people. The research tools utilized include developed patterns through network collaboration, statistical analysis employing percentages, means, averages, paired sample t-tests for quantitative data, and content analysis for qualitative data.

        The results are outlined as follows: upon implementing the developed patterns in managing diabetes and hypertension, several policies emerged for health region 10 under the framework of 3 Doctors, 3S and 3A. The 3 Doctors are “the first doctors” (village health volunteers), “the second doctors” (health professionals), “the third doctors” (family medicine). Establishing Health Station with 3S involves Staff, Stuff, System. And, 3A are Assess, Advise, Arrange. The results showed that 1) Establishment of Health Station in the community served as screening points across 762 locations in 5 provinces following implementation, there was a statistically significant average increase (p-value < 0.05), 2) Patients receiving education on "Know Your Numbers," "Know Your Risks," and "Know Your Status" from Health Stations, with 98.61% reporting receiving knowledge and advice, 3)Expansion of NCDs screening points for at every Health Station and inclusion of Cardiovascular Disease checkups, resulting in a 65.88% increase, 4)Improvement in hypertension and diabetes management, with 64.95 and 35.68% of patients respectively achieving good control over blood pressure and blood sugar in 2023. Notably, sugar control improved by 43.95%, reaching 66.57% in Mueang Jun, Sri Saket, ranking first in Thailand and serving as a model region for health region 10. Therefore, there is a recommendation for extending the operation of Health Stations to both urban and rural areas to establish screening points in collaboration with the network.