Development of Intermediate Care Model With Participation of Network in Sapphaya Hospital, Chainat Province.

Abstract

     This research and development aimed to develop Intermediate care model with participation of network in Sapphaya Hospital, Chainat Province. It was divided into 3 phases: Phase 1: Assessment, situation analysis and finding solutions with participation of network in Intermediate care system. The data was collected with focus group method. Phase 2: Designing and developing intermediate care model. Phase 3: Evaluation, outcome measurement. The study involved 153 persons selected purposively from the health service providers, Intermediate care patients, the family caregivers, and the stakeholders. Data collection instruments included demographic data form, assessment forms of intermediate care knowledge, quality of life assessment forms, assessment forms for activities of daily living (ADL), and satisfaction assessment forms. Data were analyzed using descriptive statistics, percentages, means, and standard deviations. The comparison of statistical values ​​before and after was done using the paired t-test at a significance level of 0.05. Qualitative data were analyzed using descriptive content analysis.
     The research results found that knowledge of intermediate care of service providers, both service officers and public health volunteers, increased significantly before the training p< .01. There were intermediate patients who were admitted in the hospital with the intensive intermediate rehabilitation program with multidisciplinary professionals. There were 78.57 percent more homebound patients. When followed up for 6 months, 85.71 percent of patients were socially attached. The quality of life of patients and family caregivers increased significantly at 0.05. The satisfaction of service providers, service recipients, both patients and family caregivers increased significantly p< .01.