Development of HIV/AIDS Service System by Multidisciplinary Team and HIV Peer Group in Khunhan Hospital, Si Sa Ket Province - การพัฒนาคลินิกองค์รวมโดยสหวิชาชีพและกล่มุ กำลังใจ โรงพยาบาลขุนหาญ อำเภอขุนหาญ จังหวัดศรีสะเกษ

Abstract

AIDS is a chronic communicable disease which is a public health problem that needs a long term
for treatment, standard guideline and holistic care. The objectives of this study were to develop a new
service system in order to improve the level of HIV/AIDS care to be in line with the national standard
(the HIVQUAL-T standard) and to increase patients’ satisfaction on the services. It began with the
development of a model based on the initial phase of situation analysis, observations and recommendations
from 30 stakeholders including physicians, nurses, pharmacists, medical technologist, and representatives
of people living with HIV who had experiences of antiretroviral treatement for over one year
period. As a result, the one-stop HIV/AIDS service model was developed; and implementation of the
model was conducted by a multidisciplinary team and an HIV peer group during the second phase of the
study. Such model provided a holistic care system which included physical, psychological, socioeconomic
and spiritual care services to the patients. Assessment revealed that there was significant
improvement in many essential indicators including the patient monitoring process through CD4 and
viral load tests. Patient satisfaction rate was improved, from 70.0% in 2008 to 85.0% in 2012.
Therefore, the one stop comprehensive model through multidisciplinary teams should be considered as
an effective program to improve HIV/AIDS care as well as the satisfaction of HIV/AIDS patients.
Key words: holistic care clinic; HIV peer group; multidisciplinary; AIDS