Development of Community Health Service System: Maternal and Child Health Promotion of Buriram Municipality Buriram Province
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Abstract
In determining how to manage and construct health promotion activities for mother and children’s groups by using disease control and the Thailand Health Prevention Working Plan A.D. 2019-2021 requires a good health service as the public health standard. Thus, Mueang Buri Ram Municipality presented the working plan and healthcare principles to be applied under the local public health agency. Therefore, this research had the aim of developing a healthcare system for mother and children’s groups in Mueang Buri Ram Municipality to gain high effectiveness and a high level of satisfaction with the objective to compare the new and original healthcare systems and apply the care procedures to be patient-centered with the guideline of the 3P basic quality developing system. Population is a group of parents of 59 children whose names have been in the community medical center, Buriram Hospital Branch 2 and the sample group was a group of mothers and children who wished to participate in activities within the Community Medical Center, Buriram Hospital Branch 2, totaling 51 people. Similarly, it could be classified as the mother and children’s groups joining the activities in Area 18 of Mueang Municipality by using a five-point Likert scale questionnaire, Cronbach’s alpha coefficient in the level of 0.91, and analyze with an independent t-test. From the results, it was found that the developed care system of the mother and children’s groups had a higher score from the effectiveness assessment than the original assessment with good statistical significance (p<.05) with the opposite level of correlation for the score of the effectiveness assessment ([r]=-0.087). However, this could be integrated between the relevant health service agencies by gaining satisfaction with the users at the most level (=4.47, S.D.=0.238), which had a good relationship for the happiness level, while receiving health services in a positive way ([r]=0.238). This study showed the benefits by gaining a higher level of effectiveness for healthcare of the mother and children’s groups than the original ones that were congruent to the three main missions of Mueang Buri Ram Municipality with the outcomes. Furthermore, this could increase confidence in the care system, including boosting good health to the mother and children’s groups. Then, the children would have appropriate development by receiving vaccinations in time, including establishing a healthcare system for the people to receive the service benefits with high effectiveness from the government. Finally, this research was a case study of Mueang Buri Ram Municipality’s health service that would be an effective development procedure to the lifestyle requirements and the current Thai social context.
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