Developing of Primary Health Care Network Management System in Thawat Buri Hospital

Main Article Content

Prakat Charearnrad
Papichaya Singcha


Background and objective:  Primary health care network management system is a proactive operation. Emphasis is placed on improving the health of individuals, families and communities, reduce the waiting time and reduce crowding of secondary hospitals. This study aimed to participatory action research to develop and evaluate the management system of Thawat Buri hospital primary care network.

Methods:  This research was conducted a participatory action research. Conducting a situational analysis phased research and develop a management system for primary care networks were implement stages. The research participants consisted of 10 multidisciplinary team, 20 of health workers in  district health promoting hospital, and  830 of service recipients derived from purposive sampling. Data collect for using were need assessment  form, performance record form, and patient’s satisfaction form , group discussions, The study was conducted from October 2020 to September 2021 and analysis of data on descriptive statistics and content analysis.

Results: Before development found Service arrangement problems occur for both service providers, and service recipients, such as distance, the process of receiving services waiting period , patient appointment, patient follow-up , overcrowding of patients and travel expenses respectively. Overall, diabetes mellitus  and hypertension were come  to service network were increased by 80.59% and 70.66% , in well control diabetic mellitus, overall hemoglobin A1c (≤ 7%) was increased by 30.14%, and hypertension patients were able to control blood pressure (BP<140/ 90 mmHg) by 69.40 % overall, and decreased complications of kidneys, eyes and foot by 5.61%,11.11% and 44.67% respectively. The overall waiting time at the outpatient department was reduced by 1 hour and 3 minutes, decreased chronic illness patients in the outpatient department by 2,694 visits, decreased cost of medicines and medical supplies by 148,081.85 baht and the medical service satisfaction index was 83.2%.

Conclusion: The Primary health care network management system  affects a clinical outcomes of chronic disease,  reduce the waiting time , overcrowding in hospitals, and medical supplies.


Download data is not yet available.

Article Details

How to Cite
Charearnrad P, Singcha P. Developing of Primary Health Care Network Management System in Thawat Buri Hospital . SRIMEDJ [Internet]. 2022 Aug. 30 [cited 2023 Feb. 7];37(4):419-25. Available from:
Original Articles


Sugmak K, Sugmak K. The treatment of patient according to human rights.

J Police Nurses 2559;8(1):216-26.

Thawat Buri hospital.Strategy Summary 2020. Strategic Work; 2563.

Muldoon LK, Hogg WE, Levitt M. Primary Care (PC) and Primary Health

Care (PHC): What is the Difference? Can J Public Health 2006;97(3):409-11.

Molla S, Donaldson K, Yordy D, Lohr KN, Vanselow NA, eds. Primary Care: America's

Health in a New Era. Report of a Study by a Committee of the Institute of Medicine,

Division of Health Care Services. National Academy Press; 1996:395.

Phraroj P. Developing of Primary health care network system Udon Thani province.

Res Develop Health Sys J 2020;13(2):186-95.

Woratanarat T, Woratanarat P, Yamchim N, Singha P, Janpanichsip M, Pakanon P. Research project to develop urban primary care model and system: case study in Bangkok area. Faculty of Medicine, Chulalongkorn University, 2016. [Cited May 5, 2022]. Available from:

Buranatrevedh S, Puttawanchai V, Wayurakul W, Pattaraarchachai J. Urban primary care system in 14 countries. J Health Sys Res 2012;6(2):144-55.

McNamara A, Normand C, Whelan B. Patterns and determinants of health care utilization in Ireland. Trinity College Dublin, Ireland, February; 2013.

Tanasugarn C, Luksamijarulkul P, Prutipinyo C, Klaewkla J, Rawiworrakul T, Podang J, et al. Synthesis of proposals for the development of primary care services in Bangkok. Faculty of Public Health, Mahidol University; 2019.