Effects of guidelines for accessing services in asthma and COPD clinic by using a network Empowerment process

Abstract

This participatory action research The objectives were to study 1) the causes of
patients not accessing services in the asthma and obstructive pulmonary clinic, 2) guidelines
for accessing the services in the asthma and obstructive pulmonary clinic by means of
network empowerment and 3) comparing the results before and After implementing the
guidelines By using Gibson's empowerment framework (Gibson, 1995) to adapt the network
consisting of 38 asthma and COPD patients, families in the case of 2 children, 5 health teams
and 11 volunteers. Selected according to the selection criteria There are 4 phases of the
research, which are 1) the study of the cause of patients not accessing the services in the
chronic asthma and obstructive pulmonary clinic by using in-depth interviews. 2) The
network empowerment process to find ways to collaborate with the phase group meeting. 1
and 2 analyze data by analyzing content and descriptive statistics. 3) Implementing
guidelines for access to services in the chronic asthma and obstructive pulmonary clinic and
The evaluation is to contribute to the plan, 4) summary and comparison of results with
statistics, Paired t-test determines the level of statistical significance. 01.
The results show that after the network empowerment process has jointly analyzed
the cause Find ways to access services in the asthma and obstructive pulmonary clinic.
Cause patients do not have access to services in the chronic asthma and obstructive clinic
from patients / families, such as occupations such as factory work, inconvenience. No one
came to check. Lost the appointment date, busy with drugs. I think that the symptoms
improve. No need to use drugs to schedule appointments. Many diseases do not match. Remember the wrong appointment date from the health team, including words / behavior in
service. Doctors change frequently Little officer The notice of the letter is not clear. From
the service system, consisting of many steps, long waiting days, few service days Guidelines
for accessing services in the chronic asthma and obstructive pulmonary clinic, including
appointments for 2-3 months. In cases that are inconvenient to come and control the
symptoms, students come in 15.30-16.00 hrs. Make an appointment with other diseases, call
to postpone the appointment, Hotline service is close together, come together, the
community cooperate to organize doctors regularly Reinforce staff Improve service behavior
Big letter appointment is arranged. One Stop Service system is open every week. After the
research, 45.93% and 49.14% of patients were admitted to the clinic when comparing the
average number of scheduled visits and the number of visits to the emergency room with an
asthma attack after The implementation of the guideline is less than before, the guideline
implementation is statistically significant at .01 level. This research suggests that the problem
solving by using the network. The center to find a common approach. Which will lead to
good results according to the set goals