Development of Health Care System for Tuberculosis Patients of Nongphalan Tambon Health Promoting Hospital, Nakhon Ratchasima

Abstract

This study is action research to investigate situation and develop caring system for Tuberculosis patients in Nongphalan Tambon Health Promoting Hospital, Nakhon Ratchasima . 20 of target group were director of health promotion hospital district, officer of responsible for tuberculosis of the district health office, officer of responsible for tuberculosis of the district health district and volunteers from local authorities and public health officials. Instruments used in research a semi-structured interview and focus group. Percentage and mean were used to analysis the quantitative data and content analysis was used for analyzing the qualitative data. The results indicate that before developing situational analysis of the existing Tuberculosis health care services revealed that tuberculosis patients unconcerning toward the treatment regimen and follow-up visits, the protocol for collaboration and referral of patients’ information were not clearly defined, After developing a system of care for Tuberculosis patients in Contracting Unit for Primary Care Muang Nakhon Ratchasima include 9 steps were 1) screening for new suspects, 2) sputum specimens, 3) referring for a chest X-ray, 4) registering a new TB patients, 5) knowledge providing about TB disease and medicine usage, 6) making a medical appointment, 7) house visiting, 8) referring to Nakhon Ratchasima provincial hospital or community hospital, and 9) evaluating treatment. After development yields a 100% total cure for all 15 registered TB patients. These good developed steps is very important to developing health care system for tuberculosis patients of Nongphalan Tambon Health Promoting Hospital with higher quality.