Development of Home Ward Care Management System in the Digital Era Participation of Families and Partner in Lopburi Province

Abstract

Objective: The research aimed to study caregivers’s experiences in home ward for develop a care management system and evaluate the outcomes of the home ward management system.

Method:The study findings could be summerized as follow into 3 important finding periods namely; Firstly Period :The qualitative study used 33  caregivers as key performants. Secondly Period : focused on model development by a multidisciplinary medical team of 33 members and Thirdly Period :The quantitative study was used 440 persons in patients and selected through purposive sampling. Data were collected by indepth interviews and analyzed using descriptive statistics.

Results: Findings Firstly Period : revealed that participants experienced and readiness  performed a wide range of daily care tasks and managed patients’health problems. They expressed happiness in being able to provide care and repay their gratitude, despite feelings of fatigue and discouragement. Many caregivers recognized their own health problems.However, they received knowledge and skill support from nurses in hospital through telemedicine and online communication systems. Primary care units also conducted home visits. Additionally, caregivers expressed the need for financial support and emotional encouragement from relatives and relevant organizations.

Secondly Period : the developed model consisted of five main measures: (1) service system development, (2) enhancement of service efficiency through digital technology, (3) organization of a primary care physician system, (4) improvement of health literacy among patients and caregivers, and (5) participation of families and network partners.

Thirdly Period :  The results indicated that the average length of stay for home inpatient care was 5.48 days (SD = 2.698).The telemedicine follow-up system enabled rapid symptom assessment and timely adjustment of treatment plans. No complications were reported (100% complication-free), and only 3 patients (0.68%) were re-admitted to the hospital. A multidisciplinary team collaboratively provided care across the hospital, primary care units, and community networks. Overall satisfaction was at the highest level (x̄ = 9.23, SD = 0.57).

Conclusions: The Development of Home ward care management system In the digital era through Participation of families and partners in Lopburi Province demonstrated clear effectiveness in improving a proactive home care service system. The implications of this study that home ward patient care is a safe and feasible alternative to hospital based care for patients with non-severe conditions, leading to improved service outcomes and enhanced quality of life for the population.

Keywords : Care management system, home ward, family and network participation