The health service model for Thai-Laos border communities, Bankhok Distric, Uttaradit Province

Abstract

                 The  objective  of  this  study  was  to  develop  and  examine  the effectiveness of health service model for Thai - Laos border  communities, Ban  khok  district,  Uttraradit  Province.  The  study  was  conducted  in  4 phases.  The first phase aimed to  situation  analysis of  health  service  on Thai - Laos  border  communities.  The sample were people  aged 15 years old   and   over   who  live  in  the   responsible   area  of   the   Ban  Bo  Bia community health service center and had received public health services. The  data  were  collected  by  questionnaire  and  analysis  by   frequency percentage  mean  and standard deviation. The result showed that female (64.7%),  average age 50.9 years old (S.D. = 12.2%),  married status  (67.3%) Thai nationality (99.4%),  primary school (55.1%),  agriculture (55.1%) and quality  of  community  health  service  1) first  contract  (14.1%)  in  a  low level, sufficiency  of  the  service  (8.3%)  in  low  level,   service  continuity (13.5%) in low level,  service  provisioning  (14.8%)  in  the  low  level.  The second  phase  was  to  construct  model  which  consisted  of  the study on needs   suggested   by   stakeholders.    The   resulting   model   included   5 processes  :   1)  access    2)  patient - provider  relationship    3)  continuity 4) service  integration   5)  comprehensiveness.    The  third  phase  was  to evaluate   effectiveness   of   model  and   it  was  found  that   there  was  a significant  increasing  in the average  score of community  health  service and satisfaction after the intervention  (P < 0.05).  The fourth phase was to lesson  learn the  health  service  model ;  and  it  was found that should be clarified, review guidelines and training health  personnel team and using model must be monitoring controlling and evaluation.