การพัฒนารูปแบบการคัดกรองสุขภาพในชุมชนเมือง โดยอาสาสมัครสาธารณสุขประจำหมู่บ้านและทีมหมอครอบครัว: การพัฒนารูปแบบการคัดกรองสุขภาพในชุมชนเมือง
Year: 2022
Type: article
Abstract: Chronic non-communicable diseases (NCDs) are the number one health problems in the world and in Thailand. In 2018, Community Health Center, Mueang Phitsanulok District had 44,442 visits (19,725 patients), 60.3% of which were NCDs, leading to congestion of health care deliveries, poor access to screening services and low community participation. To provide an integrated care in urban area for reducing health service congestion and improving self- care for patients with NCDs was crucial. This participatory action research was conducted between January and December 2019 with the aim of developing a health screening model in urban communities by village health volunteers (VHVs) and family doctor teams. The study was conducted in 20 VHVs who voluntarily participated in the research and people aged 35 years and over who lived in the 4th family doctor team, Mueang Phitsanulok District, 135 people were randomly selected by drawing lots and agreeing to participate in the research. The numbers, percentages and median values (Q1, Q3) were presented. Comparing data between the first six months and the last six months with Wilcoxon signed rank statistics. The results obtained an appropriate community-based screening and monitoring model for blood pressure and blood sugar in the community that promoted accessibility of service recipients. The median number of visits (Q1, Q3) in the last six months increased statistically significantly [145.5 (138, 209) monthly and 254.5 (202, 314) visits per month, respectively (p = 0.027)]. Both service recipients and service providers (VHVs) were satisfied with the highest level. Therefore, this developed model should be used to measure clinical outcomes.
Source: Buddhachinaraj Medical Journal
Language: Thai
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219204969