Development of holistic geriatric clinic “ROM PHO MODEL” Khokpho hospital, Pattani.

Abstract

      This research and development aimed to develop and evaluate the effectiveness of the "Rom Pho Model" holistic elderly clinic service model at Khok Pho Hospital, Pattani Province. The sample group included family medicine physicians, continuous care center (COC) nurses, multidisciplinary teams, sub-district health center nurses, community health volunteers, and elderly individuals in Khok Pho District. Data were collected using questionnaires and analyzed using descriptive statistics, including frequency and percentage, and content analysis.

      Results: 1) The situation of elderly individuals at risk of dementia. A screening of falls in the Khok Pho district community between March 2023 and April 2024 revealed that a total of 258 elderly individuals in Khok Pho district received services at the elderly clinic. These were categorized as follows: 112 individuals with mild cognitive impairment (MCI), representing 43.41%; 11 individuals at risk of dementia, representing 4.26%; and 213 individuals at risk of falls, representing 82.56%. 2) The “ROM PHO” Model of service provision is a holistic approach to elderly clinics, comprising a referral system and opportunities for all elderly individuals to receive the 9-aspect screening (Occasion Older Person), with collaborative work from partner networks. (Participatory Team) provides holistic care encompassing physical, mental, and social aspects, enabling the elderly to “Obtain on Quality of life” or continuously improve their quality of life. 3) From the implementation, it was found that the number of at-risk elderly people entering the holistic elderly clinic service system “Rom Pho Model” increased by more than 20 percent, and more than 80 percent received continuous care and treatment at the elderly clinic of Khok Pho Hospital.