การประเมินผลการบริหารจัดการนโยบายทีมการดูแลทางการแพทย์ครอบครัว ในพื้นที่กรุงเทพมหานคร

Abstract

PURPOSES: The objectives of this study were to evaluate, identify factors affecting, and offer recommendations for the improvement of the effectiveness of Care Team Family Policy Management in Bangkok Metropolitan Areas. METHODS: The study employed a mixed research method. Multi-stage cluster and simple random sampling techniques were used for the selection of cluster areas and purposive sampling technique for 174 families for quantitative research, and 10 key informants were purposively selected for qualitative research. The Context-Input-Process-Product (CIPP) model and descriptive statistical analysis were employed. RESULTS: The data analysis revealed that most families did not know family doctors despite the fact that they used to receive medical services from them. The majority of the patients had telephone numbers of family doctors but never called them for medical advices. However, most patients were highly satisfied with the services delivered by the family doctors. The management of family care team policy was effective and satisfactory. Factors affecting effectiveness include health care and cure by doctors, health care practices by patients, family health data base, health education, provision of health advices, and help in delivery to a hospital. CONCLUSIONS: For enhancing health care team management effectiveness, policies should emphasize health care and cure by doctors, health care practices by patients, family health data base, health education, provision of health services, and help in delivery to a hospital.