the study on empowering the elderly in 4 accredited hphs in thailand
DESCRIPTION
The Study on Empowering the Elderly In 4 Accredited HPHs in Thailand. Auamkul, N ; Jongvanich, J ; Teechamahachai, C and Liengpanskul, S. The 13 th International Conference on Health Promoting Hospital, Dublin, Ireland May 18-20, 2005. 1 Result. 3 - PowerPoint PPT PresentationTRANSCRIPT
The Study on Empowering the ElderlyIn 4 Accredited HPHs in Thailand
The Study on Empowering the ElderlyIn 4 Accredited HPHs in Thailand
Auamkul, N; Jongvanich, J;Teechamahachai, Cand Liengpanskul, S
The 13th International Conference on Health Promoting Hospital,Dublin, Ireland May 18-20, 2005
Standard of HPHThailand
Standard of HPHThailand
3Supp. physical, social & learning env. for health
4HP
for staffs
6HP
for peopleIn the
Comm.
5HP for clientsand Relatives
1Leadership
Resourcemanagement
2
1Result
1 Leadership
2 Resource management
3 Supportive physical, social and learning env. for health
4 HP for staffs
5 HP for clients and relatives
6 HP for people in the community
7 Result
H
P
H
s
H
P
H
s
ThailandThailand
ObjectiveObjective
To study the driver, the system and
the process conducted to empower the
elderly for health in 4 accredited health
promoting hospitals in Thailand.
MethodMethod
Method- Qualitative study
- Interviewing
- Observation
- Reviewing the document
StudyStudySites:Sites:HPHHPH
11ChiangmaiChiangmai
44SongklaSongkla
33CholburiCholburi
22NakonNakon
RatchasimaRatchasima
Study Population- Administrators
- Hospital director
- Member of the local adm.
- Service providers
- Physicians
- nurses
- Public health personnel, etc
- Health Volunteers
- Aging people and their families
ResultResult
Hospital 1Hospital 1
(Mae aye Hospital)
• Community hospital in the northern region• Thai people and highland population,
migrant people• Health problems – HIV/AIDS, COPD• Risk group – orphans, elderly people
Mae aye Hospital
Hospital 1Hospital 1
• Visionary leadership• Accreditation – HA and HPH• Intersectoral co-operation• Public and private sector co ordination• Active outreach approach• Integrated service for people of all age
groups• Mobilization of external resources
Hospital 1Hospital 1
• Integrated health service• Holistic care• Strengthening community action
• Income generation• Village fund• Friend help friend – Home visit
• Health personnel as facilitators
Empowering the aging people
VISUAL
AUDITORY KINESTHETIC
Learners
LearnersLearners
AKV, AVK, VKA, KAV and KVA AKV, AVK, VKA, KAV and KVA
Source: Markava’s The Open Mind (1996) in Scholtes, P.R, The Leader’s Handbook, 1998, p 35-36
Theory
Application
Plan Act-Plan Act-Plan
Do-Study Do-Study Do-Study
Continuous Quality ImprovementSource : Schlotes, P.R. The Leader’s Handbook, 1998, P. 34
ACT PLAN
STUDY DO
Supportive Env.
HP for the clients
HP for the community
Hospital 1Hospital 1
• Elderly people• Healthy and happy• Elderly people who stay alone was
taken care• Community
• Mutual support• Hospital workload on curative service
Result of empowerment
Hospital 2Hospital 2
(Dan Khun Tod Hospital)
• Community hospital in the northeastern region
• Visionary leadership• Intersectoral co-operation• Accreditation – HA & HPH• Integrate health service from hospital to
family and community• Empower patient and family• Empower elderly people club
Hospital 2Hospital 2
Planning together
Planning together
บริ�การิด้�วยคุ�ณภาพริ�วมสริ�างส�ขภาพปวงชนสน�บสน�นเคุริ�อข�ายปฐมภ�ม�ลด้ข�อริ�อง
เริ�ยนสริ�างคุวามปริะทั�บใจ
ได้�ริ�บบริ�การิทั�$ได้�มาตริฐาน
พ�ฒนาเคุริ�อข�ายและสาริสนเทัศ
พั�ฒนาระบบจั�ดการความเสี่��ยง พ�ฒนาริะบบ
งานช�วยเคุริ�อข�ายสริ�างเสริ�มส�ข
ภาพ
เพ�$มสมริริถนะบ�คุลากริ
เพ�$มองคุ*คุวามริ��
พ�ฒนาศ�กยภาพของคุน
เพ�$มริายได้� / ลด้ริายจ�าย
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ธำ�ารงร�กษาระบบเก�าที่��ม�อย��แล้�ว
Chronic disease patientChronic disease patient
Result : Decrease readmission
TB patients
Result : Average increase of lung capacities 100 cc. /mo.in 85 % of patients participated in this empowering activities
Hospital 2Hospital 2
Elderly people• knowledge and skill• quality of lifeHospital• readmission rate
Result
Hospital 3Hospital 3
(Aue Udom Hospital)
• Community hospital in the central region• Vision• Create learning environment for health in
the hospital• Empowering aging patients• Empowering the caregivers of aging
patients and chronic disease patients• Integrated health service from hospital to
family and community
Hospital 3Hospital 3
• Empower the elderly diabetic patients to be volunteers
• Facilitate them to organize activities eg. Exercise, food controlling, relaxation activity, self-evaluation and blood sugar level controlling
Diabetic Volunteers in the Community
Hospital 3Hospital 3
Elderly people• drug intake• FBS less than 140 mg/ml increased from 17%
to 38%• FBS less than 180 mg/ml decreased from 52%
to 24%• QOLHospital• workload• expense
Result
Hospital 4Hospital 4
(Rattaphum Hospital)
• Community hospital in the southern region• Visionary leadership• Accreditation – HPH• One of the empowerment activities for the
elderly people is “ Exploring Rattaphum Club”
Hospital 4Hospital 4
• Started since October 2001• A group of six people initiated the idea of
walking together for health (The director of the Rattaphum Hospital was one of the pioneers)
• Not only walking for physical health but also for mental, social and spiritual health
• Have regular activity on every Sunday since 28/10/01
“Exploring Rattaphum Club”
Hospital 4Hospital 4
• Appointment notification (verse) before next Sunday
• Prompt start at 6.30 a.m., 2-3 km. walking distance
• If it is too far to walk, they will go by car pool and get off to walk
• If the route is unsafe to walk, they will go there by car and do other type of physical exercise
• The guide or the owner of the place visited will explain and provide information
Schedules
Hospital 4Hospital 4
• During breakfast• Read the next appointment verse• Read the last visit poetry, using the southern
culture style• Introduce new member• Entertainment – singing, story telling• Knowledge sharing on health, economics,
religious, culture, etc.• Comment and discussion
Schedules (cont.)
Hospital 4Hospital 4
• knowledge and skill on exercise for health• knowledge about good people / model people,
products, activities and places in their own district• Able to provide the success story and district
information to others• self esteem, proud to be Rattaphum people,
Thai people• Healthy and happy
ResultElderly and other member
Hospital 4Hospital 4
• Members increased from 15 to 130• Average number of members that
join every Sunday was 70-80• Until 6/3/05 the activities were held
157 times
Result (cont.)Club
Hospital 4Hospital 4
Community• unityHospital• workload on curative service• health communicators• Expansion of networking
Result (cont.)
Driver System Result
Leadership• Vision• Good governance• Com. responsibility• Soc. reponsibility
Org. culture& core value
• Pop. health oriented• People centered• Holistic approach• Soc./com. resp.• Shared vision• Clear obj.• CQI/LO
• Strategic plan• Inf. sys.• HRD – Emp.• HR management• Sufficient resources• Healthy workplace• Service system
• In hosp.• Outreach• Active>Passive
• Networking system
Client• satisfaction• health literacy• well-being QOL
Hospital• readmission• reach the target
set• Award• Cert. of recog.
ConclusionConclusion Understanding needs of the elderly
(4 basic needs - to live- to learn
- to love & beloved- to leave & legacy)
Holistic care (body, mind, heart and spirit)
Help PQ, MQ, EQ, SQ
Manifestation of need & disciplinevision & alertpassion (love to do)conscience (do what’s right)
Healthy Elderly People
• Need leadership• Building capacity of the health
personal empowerment• Create supportive environment for
empowerment• Build partnership• Need knowledge sharing and
knowledge management for continuous quality improvement
RecommendationRecommendation
Thank You
Thank You
Sawasdee
Sawasdee