Developing a model for patient care under the Royal Benevolence and Royal Patronage for sustainable quality of life in the multicultural context of Pattani Province.

Abstract

     This research is a research and development with the following objectives: 1) study the current situation of care for patients under royal patronage in various aspects; 2) develop a sustainable and appropriate patient care model based on patients' needs; and 3) assess satisfaction with the developed patient care model. In phase 1, the sample consisted of 35 patients and 70 medical personnel, totaling 105 participants. In phase 2, the informants consisted of 10 experts and 7 experts with experience in caring for patients under royal patronage. For the third phase, there are 35 patients and 70 medical personnel, totaling 105 people, selected by purposive sampling. Both quantitative and qualitative methods were used to collect data, including questionnaires for statistical data collection, interviews, focus group discussions, and review of medical documents, as well as patient care reports. The instruments used included questionnaires, satisfaction assessment forms, and draft care model documents. Descriptive statistics were used for quantitative data analysis, including frequency, percentage, mean, and standard deviation. Content analysis was used for qualitative data analysis.

     The results of the study found that 1) The care for patients under the royal patronage and royal patronage projects is a system that focuses on providing quality medical services that cover all dimensions of health, including physical, mental, and social aspects. However, the current operations still have many obstacles, such as the lack of resources, including medicine, equipment, personnel, and delays in providing services, which affect the quality of care and satisfaction of patients and their families. 2) The developed model consists of four dimensions that revolve around each other under the concept of "M-E-S-A" which means, Medical, Emotional, Social, and Accessibility, with the central points of the model being "patient quality of life" and "care with a human heart." This model consists of four main dimensions that are linked together as a cycle of care, namely, medical dimension, mental and emotional dimension, social and family dimension, and rights and access to services. 3) The satisfaction with the developed care model, as measured by the indicators of patient quality of life and satisfaction, is at a high level (mean = 3.89). The aspect with the highest mean is that the care received meets the needs of the patients (mean = 4.20), and the lowest mean is the convenience of accessing services (mean = 3.57). Quality of life of patients under royal patronage and royal patronage. Overall before using the quality of life model of patients under royal patronage and royal patronage, overall was at a moderate level (mean = 3.09). After using the quality of life model of patients under royal patronage and royal patronage, overall was at a high level (mean = 3.82). The results of the statistical test using the t-test found that there was a statistically significant difference at the 0.01 level (t = 5.668, Sig. = 0.000).