DEVELOPING SERVICE MANAGEMENT MODELS IN THE COPD CLINIC TO INCREASE PATIENT CARE EFFICIENCY. PHONPHISAI HOSPITAL NONG KHAI

Abstract

This research and development project aims to develop a service delivery model to enhance the care of patients with COPD at Phon Phisai Hospital, Nong Khai Province. The research is divided into three phases: These include 1) a study of the problems in service provision in the Chronic Obstructive Pulmonary Disease Clinic, Phon Phisai Hospital, which is a qualitative research using in-depth interviews and multidisciplinary group discussions 2) the development of a service provision model  and 3) trial and evaluation. The informants were a multidisciplinary team and patients with chronic obstructive pulmonary disease. In the third phase, the sample consisted of 30 patients with chronic obstructive pulmonary disease. To be implemented between October 2024 and July 2025. Statistics used: Qualitative data were analyzed using content analysis. Quantitative data were analyzed using frequency, percentage, mean, and standard deviation. Differences were compared using Wilcoxon signed-rank test.

            The research results found that the existing service system had limitations, including a lack of diagnostic tools, a lack of tracking systems, and patients lacking knowledge. The new service model included the use of a spirometer, annual clinical assessments, education, and self-management manuals. Telephone or Line tracking and vaccine promotion. After the trial, it was found that patient knowledge increased from an average of 12.10 to 13.43 points, with 93.3 percent being at a high level of knowledge. CAT score and mMRC scores improved significantly, FEV1 and FVC values ​​increased significantly, and FEV1/FVC% were normal. The patient had no recurrence and was not readmitted for re-admission within 28 days. Furthermore, satisfaction with the service was high, demonstrating that the new model can significantly address the challenges of the existing service system and improve the quality of patient care. Recommendations: This model should be applied in other community hospitals and long-term results studied to confirm its effectiveness.