Development Chronic Disease Clinic Service at Nongkham Health Promoting Hospital, Nongkham Subdistrict At Samat District, Roi Et Province

Authors

  • Aem-orn Singpong Public Health Academic Officer, Nongkham Health Promoting Hospital, At Samat District, Roi Et Province, Thailand
  • Surasak Thiabrithi Faculty of Public Health, Mahasarakham University
  • Vorapoj Promasatayaprot Faculty of Public Health, Mahasarakham University

Keywords:

Chronic Care Model, Practical Action Research, NONGKHAM Model, Chronic Disease Clinic

Abstract

     

           Non-communicable diseases (NCDs) are a major challenge for the primary care system. Although the chronic disease clinic at Ban Nongkham Health Promoting Hospital met the "Quality NCD" criteria, patient health outcomes failed to achieve the "NCD Clinic Plus" standards. This research, therefore, aimed to develop health services by adopting the Chronic Care Model (CCM) as its core conceptual framework.

           This six-month action research project involved 211 participants, including patients with diabetes and hypertension (86), caregivers (86), and a development team (39). The study followed the four-stage PAOR cycle (Plan, Act, Observe, Reflect). Data were collected through questionnaires, observations, and reflections, then analyzed using descriptive statistics, paired t-tests, and content analysis.

           The results of the NONGKHAM Model implementation showed significant positive developments in health knowledge, self-care behaviors, and service satisfaction (p < 0.001). These improvements directly contributed to enhanced clinical outcomes, specifically in blood glucose and blood pressure levels. This confirms the success of a service system that is integrated with the actual context and lifestyles of the patients.

           The integration of CCM with action research can effectively elevate the quality of chronic care in primary services. This model serves as a prototype for other service units with similar policies and operational contexts.

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Published

2026-04-07

How to Cite

Singpong, A.- orn ., Thiabrithi, S. ., & Promasatayaprot, V. (2026). Development Chronic Disease Clinic Service at Nongkham Health Promoting Hospital, Nongkham Subdistrict At Samat District, Roi Et Province. Journal of Health Policy, Law and Administration, 12(2), 125–136. retrieved from https://so05.tci-thaijo.org/index.php/journal_law/article/view/287871

Issue

Vol. 12 No. 2 (2026): May-August

Section

Original Article

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