Feasibility and Acceptability of a Chronic Disease Patient-Caregiver Network of Follow-Up Model for Local Caregivers, Phipun, Nakhon Si Thammarat Province:A Qualitative Study
Aranya Rakhab
Keywords:
Caregiver, Chronic disease, Community, Network, Follow-up modelAbstract
The objective of this qualitative study was to evaluate the feasibility and acceptability of a Chronic Disease Patient-Caregiver Network (CDP-CN) of follow-up model in community. This innovative approach involved establishing a community - centered network of caregivers, focusing on identifying and managing patients with chronic diseases. The methodology encompassed the use of observation forms and semi - structured interviews with seven diabetes and hypertension patients and 15 caregivers, aiming to identify challenges, devise solutions, and evaluate the CDP - CN of follow -up model's efficacy. Content analysis techniques were applied for data analysis.
The findings of this study are significant, indicating that the CDP-CN of follow - up model is a viable and effective method for managing chronic diseases in communities. The model was adapted to fit the specific needs, flexibility and scalability. Particularly, training for caregivers and the establishment of a network system. It facilitated enhanced patient care in chronic disease management and led to notable improvements in healthcare access and management. A critical advantage of this model was its support for home-based health monitoring, which proved to be both time-efficient and cost-effective for patients and caregivers. Also, the model's acceptability among all divers’ teams involved, including patients, caregivers, and healthcare providers due to enhance patient autonomy and empowerment.
Additionally, the importance of a thorough follow-up visit system model was highlighted, emphasizing the need for continuous care. This comprehensive approach is crucial for delivering personalized, patient-focused care, especially for those with chronic conditions in community environments.
The CDP - CN of follow-up model's success illustrates its potential as a template for community healthcare initiatives, especially in managing chronic diseases in less urbanized areas. It emphasizes the importance of community-based care, local involvement, and multidisciplinary collaboration, offering an effective solution for improving chronic disease management and healthcare delivery.
References
AlQuaiz, A. M., Kazi, A., Almigbal, T. H., AlHazmi, A. M., Qureshi, R., & AlHabeeb, K. M. (2021). Factors Associated with an Unhealthy Lifestyle among Adults in Riyadh City, Saudi Arabia. Healthcare (Basel), 9(2), 221. https://doi.org/10.3390/healthcare9020221
Centers for Disease Control and Prevention (2019, August 7). Caregiving for Family and Friends: A Public Health Issue. https://www.cdc.gov/aging/caregiving/caregiver-brief.html
Clark, A., & Himmelberger, L. K. (2023). Patient autonomy: Cancer. The Journal of the American Dental Association, 154(1), 94 - 95. https://doi.org/10.1016/j.adaj.2022.08.011
Creswell, J. W., & Creswell, J. D. (2018). Research design: qualitative, quantitative, and mixed methods approach. (5th ed.). Thousand Oaks, California, SAGE.
Fernando, G., & Hughes, S. (2019). Team approaches in palliative care: a review of the literature. International Journal of Palliative Nursing, 25(9), 444 - 451. https://doi.org/10.12968/ijpn. 2019.25.9.444
Gamage, A.U., & Seneviratne, R.D. (2021). Physical inactivity, and its association with hypertension among employees in the district of Colombo. BMC Public Health 21, 2186. https://doi.org/10.1186/s12889-021-12013-y
Haldane, V., Chuah, F. L, Srivastava, A., Singh, S. R., Koh, G. C., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One, 14(5), e0216112. https://doi.org/10.1371/journal.pone.0216112
Health Data Center. (2023). NCDs Reports of Phipun district, Nakhon Si Thammarat province, Thailand. https://nrt.hdc.moph.go.th/hdc/reports
Karam, M., Chouinard, M-C., Poitras, M-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with Complex needs in primary healthcare: a scoping review. International Journal of Integrated Care, 21(1), 16. https://doi.org/10.5334/ijic.5518
Kim, M. S., Lee, S. J., Park, M. S., Jeong, E. H., & Chang, S. O. (2020). Toward a conceptual framework for the interdisciplinary function-focused care in nursing homes. Japan Journal of Nursing Science, 17(3), e12330. https://doi.org/10.1111/jjns.12330
Liu, Y., Zhang, H., & Xu, R. (2023). The impact of technology on promoting physical activities and mental health: a gender-based study. BMC Psychol 11, 298. https://doi.org/10.1186/s40359-023-01348-3
Michielsen, L., Bischoff, E. W. M. A., Schermer, T., & Laurant, M. (2023). Primary healthcare competencies needed in the management of person-centred integrated care for chronic illness and multimorbidity: Results of a scoping review. BMC Primary Care, 24(1), 98. https://doi.org/10.1186/s12875-023-02050-4
Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean journal of family medicine, 41(6), 365 – 373. https://doi.org/10.4082/kjfm.20.0165
Pype, P., Mertens, F., Helewaut, F., & Krystallidou, D. (2018). Healthcare teams as complex adaptive systems: understanding team behaviour through team members' perception of interpersonal interaction. BMC Health Serv Res, 18(1), 570. https://doi.org/10.1186/s12913-018-3392-3
Rajamani, S.K., & Iyer, R.S. (2023). Networks in Healthcare: A Systematic Review. Bio Med Informatics, 3(2), 391 - 404. https://doi.org/10.3390/biomedinformatics3020026
Ruiz-Ramos, J., Hernández, M. H., Juanes-Borrego, A. M., Milà, R., Mangues-Bafalluy, M. A., & Mestres, C. (2021). The Impact of Pharmaceutical Care in Multidisciplinary Teams on Health Outcomes: Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association, 22(12), 2518 - 2526. https://doi.org/10.1016/j.jamda.2021.05.038
Saddi, F.C., Harris, M.J., Coelho, G.A., Pêgo, R.A., Parreira, F., Pereira, W., Santos, A.K.C., Almeida, H.R., & Costa, D.S. (2018). Perceptions and evaluations of front-line health workers regarding the Brazilian National Program for Improving Access and Quality to Primary Care (PMAQ): a mixed-method approach. Cadernos de saude publica, 34(10), e00202417. doi.org/10.1590/0102-311X00202417
Schenker, M., & Costa, D. H. D. (2019). Advances and challenges of health care of the elderly population with chronic diseases in Primary Health Care. Cien Saude Colet, 24(4), 1369 - 1380. doi.org/10.1590/1413-81232018244.01222019
Surendran, S., Foo, C.D., Matchar, D. B., Ansah, J. P., Car, J., Choon, G., & Koh, H. (2022). Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study. BMC Health Services Research, 22(1), 782. https://doi.org/10.1186/s12913-022-08165-1
Vollset, S.E., Goren, E., Yuan, C.W., Cao, J., Smith, A.E., Hsiao, T., Bisignano, C., Azhar, G.S., Castro, E., Chalek, J., Dolgert, A.J., Frank, T., Fukutaki, K., Hay, S.I., Lozano, R., Mokdad, A.H., Nandakumar, V., Pierce, M., Pletcher, M., & Murray, C.J.L. (2020). Fertility, mortality, migration, and population scenarios for 195 countries and territories from 2017 to 2100: a forecasting analysis for the Global Burden of Disease Study. The Lancet, 396(10258), 1285 - 1306. https://doi.org/10.1016/S0140-6736(20)30677-2
Wagner, E.H. (1998). Chronic disease management: what will it take to improve care for chronic illness?. Effective Clinical Practice, 1(1), 2 - 4. https://pubmed.ncbi.nlm.nih.gov/10345255/
World Health Organization. (2022, June 17). Mental health. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
World Health Organization. (2023, September 16). Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Princess of Naradhiwas University Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.