Development of a Continuing Care Model for Intermediate Care with Community Participation, Kalasin Province

Abstract

     This research was mixed method research aimed to development of a continuing care model for intermediate care with community participation, Kalasin province. The study period was from October 2022 to September 2023. Phase 1 participants in the development care model were 40 people, including a multidisciplinary team, IMC patients, family members, community leaders, and local government organizations. Phase 2: 30 intermediate-care patients who were discharged from the hospital and referred for continuing rehabilitation services at home. Data were collected using an interview form, the daily activities assessment form, the Barthel ADL index (Barthel Activities of Daily Living: ADL), and the European Quality of Life Measure-5 Domain. Data analysis by Content Analysis, Frequency, Percentage, Mean, Standard Deviation and Paired t-test.

     The results revealed that 1) Development of a Continuing Care Model for Intermediate Care with Community Participation, Kalasin Province. There will be a connection to the post-discharge care system, from the hospital to continuing care at home, a referral for continued care and rehabilitation to the Ponglang COC program, Stroke@BI, and the IMC group line. Integrate participation from all sectors, including multidisciplinary teams, communities, and local government organizations. For IMC patients who receive rehabilitation care and follow-up until the end of 6 months, a total of 90.98% had a Barthel index = 20. 2) After using the care model, the sample group's mean score for the Barthel ADL index increased more than before receiving the care model, statistically significance at 0.05 with a mean difference of 7.80, and they had a better quality of life. Utility and VAS scores from the EQ-5D-5L were increased