Evaluation Tuberculosis Care Quality System in Health Region 7th

Abstract

        The objective of this study is to systematically assess the quality of quality tuberculosis (TB) care in Health Service Area 7 during the fiscal year 2020 - 2023. The system evaluation model consists of four components: inputs, processes, outcomes, and feedback. The study area includes 59 health facilities, comprising central hospitals, general hospitals, and community hospitals in Health Region 7. A purposive sampling method was used based on specific inclusion criteria, considering the readiness of responsible personnel and the evaluation cycle, which includes hospitals that did not meet the evaluation criteria, those that have never been assessed, and those due for reassessment (every 2 years). A team of professionals responsible for tuberculosis care, along with 12 related experts, collected data using quality assessment records, summary and synthesis of evaluation results, and questionnaires for opinions and suggestions, with descriptive statistical analysis.

        The research findings regarding input factors revealed that central policies and area problem-solving efforts, as well as the transmission and communication of policies, were not fully reaching all multidisciplinary practitioners. There is a team responsible for tuberculosis care; however, changes in personnel led to a lack of knowledge and experience. The adequacy and suitability of personnel resulted in a heavy workload, necessitating at least annual training to enhance knowledge. Most hospitals had budget support for their operations, but a clear management structure and process were lacking. Coordination for information sharing between facilities is essential, and to develop an effective system, a cooperative operational network must be established. Support for tools, materials, and equipment has been received from both internal and external sources, but it remains insufficient, causing delays in operations at times.

        From the evaluation results, it can be concluded that the relevant agencies should review the assessment findings and use them to systematically and continuously improve operational quality to meet the hospital quality standards for tuberculosis patient care.