Personal Factors Associated with the Quality of Stroke Patient Care among Healthcare Personnel in Primary Healthcare Services: a Case Study in Khuan Khanun District, Phatthalung Province

Abstract

This study aimed to examine the level of quality of care for stroke patients based on the Assessment of Chronic Illness Care (ACIC) and investigate the relationship between personal factors and the quality of care for stroke patients among health personnel working in primary health care units in Khuan Khanun District, Phatthalung Province. Data were collected from 156 participants using the ACIC questionnaire, which consists of seven dimensions: (1) organization of the healthcare delivery system, (2) community linkages, (3) self-management support, (4) decision support, (5) delivery system design, (6) clinical information systems and (7) integration of chronic care model components. The data were analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, maximum and minimum) and inferential statistics (Fisher’s exact test) to examine the relationship between personal factors and quality of care levels. The results revealed that the overall mean score of quality of care across seven dimensions was at a good level (Mean = 6.81, SD = 1.66). The highest-scoring dimension was community linkages (Mean = 8.07, SD = 1.90), while the lowest was at operational level (Mean = 7.22, SD = 2.14). Marital status and education level were found to be significantly associated with the quality of care for stroke patients (p<0.05). However, limitations were identified in terms of interagency coordination, community support and continuity of patient follow-up. These findings highlight the necessity to develop a comprehensive and continuous care system emphasizing collaboration among health service units, multidisciplinary teams and communities to reduce stroke complications and enhance patients’ long-term quality of life.