Effects of Guidelines for Accessing Services in Asthma and COPD Clinic by Using a Network Empowerment Process


Authors : Yutthakran Chinasote; Ponnapassorn Puttawichaidit; Thanakamon Leesri

Volume/Issue : Volume 5 - 2020, Issue 10 - October

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/343epne

This is a participatory action research combined with the implementation of Gibson empowerment process. The objectives are 1) to create asthma and Chronic Obstructive Pulmonary Disease [COPD] networks in primary care units 2) to develop guidelines for accessing services in the clinic using the empowerment process 3) to compare the results before and after implementing the guidelines. The studied group consisted of 120 healthcare network members and 100 patients with asthma and COPD.Research showed that the network consisted of health workers, community leaders, village health volunteers, and patients with asthma and COPD. The guideline is that the network plays the role in locating patients, providing knowledge about diseases and treatments, monitoring medication/appointments, public relations for clinic, accompanying patients in examinations, and creating a linked patient database by integrating with other chronic diseases care in the area.There are 4 aspects regarding the development of hospital guidelines 1) Public relations 2) Service system 3) Participation in associate network 4) Personnel / equipment / locations. Subsequent to the research, it appeared that the number of patients treated at the clinic increased by 49.14% and clinic appointments increased 45.93%.When comparing with Paired t-test statistics, it was found that the average number of ER-Visit patients and missed appointments were decreased; Patients had better lung capacity and more accurate medication usage; and the hospital incurred significantly less expenses for emergency room treatments which is statically reduced at.05. This shows that building and strengthening the primary care unit network promote cooperation within community and asthma and COPD patients so a practical and sustainable guideline can be formulated with positive outcome by integrating the work with other chronic disease care in the area. This research can also be a model for solving the problem of patients missing their appointments or not attending clinics for other diseases both inside and outside the hospital.

Keywords : Aaccessibility, Empowerment, Network.

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