Development of Tuberculosis Management Model for Lat Lum Kaeo Hospital, Pathum Thani Province, Thailand

Abstract

The purposes of this research were to study and develop tuberculosis (TB) management model for Lat Lum Kaeo Hospital, Pathum Thani Province. The sample group consisted of 40 service providers of the multidisciplinary teams of Lat Lum Kaeo Hospital network, and 50 service providers of the associate networks, and service recipients which were selected by purposive selection method. Data collection tools were (1) Self-care behavioral assessment form of TB patients, (2) TB patients’ satisfaction questionnaires, and (3) Multidisciplinary team’s satisfaction questionnaires. Data analysis, qualitative data, content analysis and quantitative data were analyzed by descriptive statistics such as number, percentage, mean and standard deviation. Inferential statistics was t-test statistics (p<0.05). The research analyzed the situation of TB patient care system management of the Lat Lum Kaeo Hospital network before the model development. It was found that members of the multidisciplinary teams of Lat Lum Kaeo Hospital network have different level of knowledge and patient care skills, the mortality rate among TB patients during treatment was high, the patients failed to take medication on continuous basis, there was no follow-up plan and treatment evaluation, and there was no tangible TB management model. Therefore, the research developed TB management model for Lat Lum Kaeo Hospital in order to provide systematic approach for TB management and system to monitor, evaluate and develop the management model on continuous basis. As a result, 3CS Model (Client, Care Team, Community, System) for TB management for Lat Lum Kaeo Hospital, Pathum Thani Province, was developed and consisted of 4 components, namely (1) patient management (client) which initiated 3 innovations: teaching media for tuberculosis - “5 TB network”, drug delivery, and reminder calendar, paying attention to taking medication; (2) care team management, (3) community management which led to development of 5-Network Tuberculosis Innovations, and (4) system management which led to 1-2-2 model innovation. TB patients’ self-care behaviors according to the TB treatment plan after the experiment had improved with statistical significance (t = 2.215, p<0.05). The overall satisfaction of the multidisciplinary teams of Lat Lum Kaeo Hospital network and the associate networks on TB patient management model was high.