http://researchonline.federation.edu.au/vital/access/manager/Index ${session.getAttribute("locale")} 5 http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:14506 Wed 07 Apr 2021 14:02:35 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:13723 Wed 07 Apr 2021 14:01:50 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:12004 Wed 07 Apr 2021 14:00:18 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:12008 Wed 07 Apr 2021 14:00:18 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:11865
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.]]> Wed 07 Apr 2021 13:57:09 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:11683 Wed 07 Apr 2021 13:56:58 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:14510 Thu 19 May 2022 12:37:16 AEST ]]> http://researchonline.federation.edu.au/vital/access/manager/Repository/vital:15493 30 minutes] IRR=1.11 [1.04, 1.19]) and fewer specialist attendances (IRR=0.91 [0.85, 0.97]) and were more likely to have an emergency GP attendance (OR=2.29 [2.05, 2.57]). There were no significant differences in the odds of having either a HA or CDM or using allied health services for women with and without dementia indicators. Conclusions: The overall use of services designed to improve the prevention and coordination of the care of older people with chronic conditions was low. Women with dementia were no more likely to access these services. Implications for public health: There is underuse of some primary and allied healthcare services designed for people with complex chronic conditions. These could be better used by women with dementia to improve the management of complex comorbidities (e.g. CDMs), to prevent the onset of disability (e.g. physiotherapy), and enhance needs assessment and service access (e.g. HAs). © 2021 The Authors. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Colette Browning” is provided in this record**]]> Mon 13 Dec 2021 11:27:11 AEDT ]]>