Evaluation of the Non-Communicable Diseases (NCDs) Management System Development, Sakaeo Crown Prince Hospital Network

Abstract

This study is a mixed-method research design. The objective of this study is to determine the effects of the development management system in chronic care clinics. The 30 samples are specifically selected from staff who work in chronic care clinics between the fiscal year 2020 and 2021. Qualitative data have been collected through an in-depth interview and focus group discussion. The quantitative data have been collected by a questionnaire toward the context, input, process, and outcome. The data have been analyzed by descriptive statistics usage.

The result shows that the health service was organized by a comprehensible policy. The policy covered health promotion, prevention, care, and rehabilitation that were appropriate to patients’ problems. Social support belongs to this system, as well. It has been also found from the input that the staff belonged to the perceived policy and strategic plan. The medical materials and budget were managed efficiently. The supervision, monitoring, and evaluation were separated into 3 levels. It has been revealed from the process that the total evaluation score of the chronic care clinic after being developed was higher than before (M = 222.40, SD = 20.50, and M = 207.10, SD = 22.70) and all domains were higher too. The perception and the practice in the process to develop guideline of the staff, pretest and posttest were statistically significant difference (t = -4.12, p = .003; t = -4.24, p = .003). Result found that patients had better control blood sugar (M = 71.90, SD = 9.10, and M = 35.70, SD = 8.60), and better control blood pressure (M = 56.50, SD = 13.40, and M = 48.30, SD = 7.80).

The results suggest that the development of a chronic care management system affected increasing the effectiveness of the management of non-communicable diseases. That was implemented with the participation of the health committee continuously.