Management of Patient Care for Chronic Non-Communicable Diseases in Multicultural Communities Along the Northern Border of Thailand
Keywords:Care management, Non-communicable Disease, Multicultural community
Chronic non-communicable disease is a significant problem that challenges health personnel to manage care with utmost effectiveness. This descriptive research aimed to study the management of patient care for chronic non-communicable diseases in multicultural communities along the northern border of Thailand. It focused on cardiovascular disease, hypertension, and diabetes mellitus. The research surveyed care providers’ perceptions of management of patient care of chronic non-communicable diseases through an in-depth interview of 10 administers of health service. A focus group sample included 21 care managers, 20 community health leaders, and some patients with chronic disease. The total sample of the perception study was 39 health care providers. Research tools were 1) in-depth interview guideline, 2) focus group guideline, and 3) self-report of Assessment of Chronic Illness Care (ACIC Thai version). The content validity index and Cronbach alpha coefficient of self-report was .99. The data was analyzed by content analysis and descriptive statistics. Assessment of care management for patients with chronic non-communicable disease in multicultural community was based on 6 components of Wagner’s Chronic Care Model. Strategies were management as twin or paralleled villages of Thai and migrant communities which emphasized three groups at three ages: children, middle-age adults, elders; and four principle pillars: school, temple, district health promotion hospital, and local administrative organization. Care providers perceived care management in the domains of organization of the healthcare delivery system, community linkages, practical level (self-management support, decision support, delivery system design, clinical information systems), and integration of chronic care model components to be at the good level. Health personnel should apply study results to improve the quality of the management of patient care for those with chronic non-communicable disease in the community.
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)