Development of community health system into a seamless health service system for the elderly at risk of stroke (STROKE), Kham Yai Subdistrict Health Promotion Hospital, Mueang Ubon Ratchathani District

Abstract

     This action research aims to study the development of a seamless community health service system for elderly individuals at risk of stroke (STROKE) at Kham Yai Health Promoting Hospital, Mueang District, Ubon Ratchathani Province. Sample size were 50 elderly individuals for system evaluation. The research is conducted from September 2023 to June 2024. Data is collected through questionnaires and focus group discussions, and quantitative data is analyzed using descriptive statistics and content analysis.
     The research findings indicate that the seamless community health service system for elderly individuals at risk of stroke (STROKE) at Kham Yai Health Promoting Hospital, Mueang District, Ubon Ratchathani Province, operates according to the Candle Model with 8 components: 1) Problem Situation Analysis of community health systems and health service systems for managing stroke risk groups, 2) Establishment of a Committee, 3) Clarification and transfer of guidelines for seamless health service systems for the elderly and stroke risk groups to understand all data collection tools and the transfer of community self-management guidelines for the elderly, 4) Development of an Action Plan according to the model, 5) Implementation of the Action Plan (identifying risk groups, promotion, prevention, and disease control), 6) Creation of a safe environment for the elderly, 7) Enhancement of stakeholders' capabilities, campaigns, public relations, and education, and 8) Monitoring, evaluation, and lesson learning.