EVALUATION OF THE CHRONIC CARE MODEL FOR TYPE 2 DIABETES MELLITUS PATIENTS IN PRIMARY CARECLUSTER AT PHIBUN MANGSAHAN HOSPITAL DURING COVID-19 PANDEMIC
Keywords:
primary care cluster, the chronic care model, poor controlAbstract
This evaluation research study aims to analyze the chronic care model for type 2 diabetes mellitus patients in primary care cluster at phibun mangsahan hospital during covid-19 pandemic. This evaluation research used the CIPP Model, such as context, input, process, and output. By collecting data form 12 primary care cluster staffs, 208 community volunteers, and 362 medication records of patients with diabetes. Data were analyzed using descriptive statistics to include frequency, percentage, average, standard deviation, and use of inferential statistics were Wilcoxon signed rank test along with McNemar's Chi-Square test.
The results showed that context: It was found that primary care cluster was unable to provide normal service. To resolve this, the service model must be modified to implement congestion reduction policy and social distancing. Input: It was found that the community volunteers had worked at self-check point center, drug delivery for home refill, and to be Health coach. They should undergo training to provide additional knowledge on diabetes care. Having technology to help in coordinating through the Line application (Line group), it makes the transmission of information convenient and fast. Process: Systematic and continuous monitoring of processes should be implemented. Output: The patients were satisfied at the most level. Clinical outcomes of patients identified that HbA1C of patients before and after joining the program did differ statistically significant (p<0.001)
Research results show that the chronic care model for type 2 diabetes mellitus patients during covid-19 pandemic should be improved to be appropriate, contextual problems and situations in the primary care cluster chronic care model
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