The Health Care System of Patients with Asthma at Asthma Clinic, Huaimek Hospital, Huaimek District, Kalasin Province
This situational study part of an action research aimed to study health service system for patients with
Asthma at Huaimek Hospital, Huaimek District, Kalasin Province. The conceptual framework of this study was based on the Expanded Chronic Care Model. Participants included asthma patients, their family caregivers, health volunteers, register nurses from asthma clinic and primary care unit, pharmacist, general practitioners and the hospital director. Research instruments were questionnaires consisted of a semi-structured questionnaire, in-depth interview questions, and the asthma control test (ACT). Qualitative data were analyzed using content analysis. Quantitative data were analyzed using descriptive statistics. The result showed that asthma patients were mostly females (85.00%). While 52.52% of patients had uncontrolled symptoms, few patients did either loss to follow up or use inhaler medicine incorrectly and three of them were smoking. Family caregiver offered poor support to patients care and village health volunteers did not participate in the care for asthma patients. The local health service system did not give patients comprehensive information, have up to date health literacy database, nor have systematic continuum of care at home. In terms of environment, people still burn waste in their household and there is no forest fire controll policy. Thus, there should be the policy for health promoting hospital to develop systematic plan to visit patients at home based on the asthma control level.
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