The Development of New Normal Non-communicable Disease Service System Model for Diabetic Patients Pattani Province
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Abstract
This research and development study aimed to investigate the current situation in order to developed a new normal non-communicable diseases (NCDs) service system model for diabetic patients and to evaluated an effectiveness of the service model. This study was divided into three steps as follows: Step 1) Situation analysis on NCDs service is investigated by conducting a group discussion with 48 stakeholders. The samples were selected by simple random sampling and analyzing the data using content analysis. Step 2) New NCD service system model was developed for patients with diabetes. Lastly, Step 3) Evaluating effectiveness of the developed model was subjects with well-controlled (green) condition from 6 hospitals. In this stage, the 1,552 volunteers were divided into the experimental and control groups with 388 subjects in each group. Data were analyzed using frequency, percentage, mean, standard deviation and repeated t-test to compare the results before and after using the model.
The results showed that;
1. The NCDs service system before the COVID-19 outbreak was that the doctor usually made an appointment once a month and followed up every 2-3 months after the conditioned was well-controlled. The patients required new normal service with preliminary screening checkpoints set up and online consulting channel to reduce doctor’s visit.
2. The NCDs New Normal service system for diabetic patients which included the doctor appointment was scheduled every 4 months. During the period without doctor’s visit, patients recorded their health status (self-monitoring record) and hand in to a case manager nurse or a nurse in charge of triage upon visit for chronic disease medication refill. For cases with abnormal condition, patients were enrolled on fast track for doctor’s visit in order to investigate the cause of abnormality and arrange proper treatment and further appointment.
3. The effectiveness by using the New Normal NCDs service system for diabetic patients revealed that sex, age, blood sugar level between experimental and control group were no significant difference (p<.05). In terms of number of visits, it was found that the experimental group and the control group came to the hospital 2 times and 4 times respectively which were significantly different (p<.05).
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