- Title
- A model of home-based care for people with disabilities : Better practice in rural Thailand
- Creator
- Wanaratwichit, Civilaiz; Hills, Danny; Cruickshank, Mary; Newman, Barbara
- Date
- 2015
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/158770
- Identifier
- vital:11865
- Identifier
- https://journal.achsm.org.au/index.php/achsm/issue/view/37/51
- Identifier
- ISSN:1833-3818
- Abstract
- Background and objective: People with disabilities living in rural areas often require considerable support to meet their complex needs. This study investigated a best practice model in home-based care for people with disabilities in rural Thailand.
Design and Setting: A case study method was adopted to investigate a best practice model of home-based care for people with disabilities in Nakhonthai District, Phitsanulok Province, Thailand. Data were collected from 30 participants through in-depth interviews, focus groups, direct observation and document analysis. Content and thematic analyses were conducted for qualitative data. The Wilcoxon Signed-Rank test was used for the outcome measurement of activities of daily living (ADL) scores.
Results: This model of home-based care for people with disabilities, as an integrated network model, brings together the community, health professionals and other organisations. The role of trained community health volunteers was mainly to deliver home-based personal care for people with disabilities, while health professionals focused mainly on controlling the quality of care, managing the knowledge and skills of volunteers, and co-ordinating the network. The difference between ADL scores before and after the implementation of the model (n=20) was statistically significant (p<0.01). Conclusion: This best practice model of home-based care for people with disabilities in rural Thailand shifts responsibility in the main service decisions from professionals to the community and other stakeholders and engages and empowered all stakeholders in the provision, co-ordination and management of care. - Publisher
- Australasian College of Health Service Management (ACHSM)
- Relation
- Asia Pacific Journal of Health Management Vol. 10, no. 2 (2015), p. 44-51
- Rights
- Copyright of Asia Pacific Journal of Health Management is the property of Asia Pacific Journal of Health Management and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1117 Public Health and Health Services; 1605 Policy and Administration; Home-based care; People with disabilities; Integrated care
- Full Text
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