Outcomes of Care Management for Chronic Obstructive Pulmonary Disease Patients in New Normal

Abstract

This implementation research is to put health policy into practice with the objective of developing a patient care management system and studying the results of chronic obstructive pulmonary disease patient care management during the epidemic of disease-19. There are 3 stages of research: Stage 1 is the study of the context, the condition of chronic obstructive pulmonary disease patients and the 2019 Corona virus epidemic. Lung" and put it into practice and the 3rd phase evaluates the performance. The study period is from October 2020 - January 2021. Outpatient nursing, 10 people and a group of patients who were treated in the chronic obstructive pulmonary clinic during the study, a total of 168 people, collected data from interviews, notes and evaluation forms.

          The results of the study showed that in the 1st phase, it was found that the number of patients was large, and during the outbreak of the 2519 corona virus, the number of patients who missed appointments increased by 4 times compared to the period before the outbreak of the disease. The 2nd phase developed the trend Providing services to patients with chronic obstructive pulmonary disease during a new way of implementing integrated practices under the COPD Clinic Model and Pulmonary Rehabilitation Model by organizing a short but quality care system focusing on easy access to the clinic (accesses) with quality (Quality), efficiency (Efficiency) and reduce waiting time (Seamless) with efficient care transfer, delivery of drugs by mail that is convenient and fast and reduces hospital service procedures and time 3. The evaluation of the implementation of the developed guidelines found that the average value after the development is at a good level. Nurses who serve patients have a higher level of knowledge and skills than before the development, which is statistically significant at the .01 level ( P<.001) Nurses were satisfied with the implementation of the developed guidelines more than 94 percent