Development of Palliative Care System for End of life at Primary Care Unit Muangya 4 (hauthale) Maharat Nakhon Ratchasima Hospital.

Abstract

     This research was Research and Development. Use qualitative and quantitative methods. The objectives are to study the situation of palliative care system at home, to develop a model for palliative care system at home, and to study results of the development of palliative care system at the home in Primary Care Unit 4 (Hua Thale), Maharat Nakhon Ratchasima Hospital. Informants include: 35 service providers, 15 end of life patients and 15 caregivers of end of life patients. Data were collected by in-depth interviews and questionnaires. Analyzed by in-depth content analysis and using percentage, mean and standard deviation (S.D.) statistics.
     Results on the part of service providers situation in palliative care systems at home. Most service providers have appropriate knowledge and skills in providing care, but not have referral patient information and coordination system, lack of medical equipment for care. The results of the behavioral observation evaluation found that most service providers (94.74%) followed the guidelines for palliative care at a good level. and had the highest level of satisfaction with the palliative care system at home; mean is 4.60 and standard deviation (S.D) is 0.57. As for service recipients, which consist of end-of-life patients and their caregivers; Most of them do not have enough knowledge and skill to take care of them, lack the materials and equipment to take care of them, no resource for support, Insufficient income into access to the complicated service systems, Long waiting times to see a doctor and have many problems to transfer patient to receive treatment for suffering and complications. From treatment, patients and relatives had the highest level of satisfaction with the palliative care system at home; mean is 4.57 and the standard deviation (S.D.) is 0.49.