(Profile Contents) 2552. . .

1 1.1 (Contracting unit for Primary care/ CUP) CUP 3 , , 21,355 , , Catchment Area

1

1 CUP (..) () 1 (CMU) 9 30.74 6,020( 7 .)

2 3 4

( .) ( .14 )

10( 6 .)

41.41 36.13 108.28

6,628 5,707 3,000 21,3552

10 29

1 2 3 4

(CMU) ( .) ( .14 )

1,071 1,161 1,405 3,637

: Family folder 2 CUP , 2552

3

CUP 70 10 15 3 2 25 95 92 8 CUP 3 PCU 14 PCU

4

14

5

2 CUP CUP

Network/Organisation

1. CUP

6

2. 3 4 1 4 14 3. 3 1 1 2552 2

7

4. CUP 4

5. CUP PCU PCU

8

6.

7. 3

9

8. ,

Home Visit by Family Doctor

10

Home Visit by Family Doctor

11

9. 3 - Mobile Doctor 5 (.)

12

10. . 14 13 2552 . 79 79 100 ( Pre-Post Test) 80

.

13

11. . 2551 132 2550 26 Prevention & Promotion Health Promotion in Community March

14

( 55) 244 104 42.6 218 98 45 229 54 25.2 (70 ) 3,348 1,814 833 627 1,574 835

14 . . .

55 75.27 53.05

: 7 2552 11. - 14 . . . 2552 () : 100,0004 9 2 122.65 185.76 38.37

: ,2552

3 . . ()

15

2009 2009 2 384 12 2552 ( 60-65 ) ( ) 3 209 154 73.68 3 2552 1 02425 . 08 49 2 02434 . 05 72 3 10698 . 2,926 4 10863 . 1,200 5 10864 . 1,830 6 10865 . 1,290 7 11491 .. 243 8 13825 . 14 05 33 9 14904 . 962 8,605 : 4 ,14 255216

2009

17

12.

18

13. Primary Care Primary Care 1 5 1 4 2 16 2 5

19

3 .

CUP

20

CUP 52 ( 1) . 4 1. 2. 500,000 PCU PDCA/PMQA Referral System () () () 500,000 500,000 352,000 12,000

3. 4. 5. 6.

76,000 18,000 12,000 30,000

500,000

0

:

21

1. OTOP (One Tumbon One Physician) 52 (Primary Health Care) (First line health care services) (Integrated) (Continuous) (Holistic) (Individual, family and community) (comprehensive health care) , (Generalists) , , , , , 3

22

1. 3 2. 3 1. CUP 2. 3. 3 2 08.30 .-12.00 . 14 4. PCU 5. 3 PCU 98 6. 7. 1. 2. 3 14 23

: 2551 : 2551- 2552 : 2552 1. CUP 2. 3. 3 2 08.30 .-12.00 . 4. PCU 5. 3 PCU 6. 7. ( 51-52).. .. .. .. .. .. .. .. .. .. .. ..

.

. . .

. . . .

352,000 1. 6,000 24

2. 10,000 / 2551 (2 ) 1 2,000*2* = 4,000 3. 2,000 / 2552 (6 ) 4 2,000*6*3 = 36,000 4. 10,000 / 2552 (9 ) 2 10,000*2*9 = 180,000 5. 4,000 / 2552 (5 ) 3 4,000*3*5 = 60,000 6. 2,000 / 2552 (6 ) 3 2,000*6*3 = 36,000 7. 1,000 / 2552 (6 ) 1 1,000*6 = 6,000 352,000 () : 1. 2. 1. 2.

25

2. PCU PDCA/PMQA 52 2540 52 82 2 ( Self Evaluation ) CUP (.) , 14 4 98 26

26

1. 3 14 2. 3. CUP 2552 1. 2. 3 3. 98 4. 1. 3 14 2. 3. CUP 27

3 PCU 4 500 / 2 12,000 12,000 ()

28

3. Referral System 52 4 . . . / - / - 1. 2. 3. ( )29

- : 3 - : 3 PCU 3 PCU PCU PCU 14 1. CUP 2. 3. Referral System 4. 5. 6. IT 7. 8. 9. 10. 1. 2. 3. 4.

30

5. 6. FLOW CHART 7. 8. 1. CUP . 2. 3. 4. 5. 6. IT 7.

2551 2551 - 2552 , , , 2552

.. .. .. .. .. .. .. .. .. .. .. ..

. . . . .. . . .. . . . . . .31

8.

.. .. .. .. .. .. .. .. .. .. .. ..

9.

10.

.. . . .. . . ..

( 1) 76,000 76,000 () : 1. PCU-PCU PCU- (98 ) 2.

32

1. 2.

1. 2. 3. 4.

33

4. 52 10 .. 2550 - 2554 4 , , (Core package) CUP BOARD 1. 2. / / 3. 4.

34

1. , , , , , , ( 1 ) 2. ( 2 ) 3. ( 2 ) 4. ( 1 ) 5. / ( 1 ) 6. ( 1 ) 7. 2 () 1. CUP BOARD 2. 3. 4. 5. 6. . 7. 4 6 CUP (20 ) 8. 9. 10. 11. CUP BOARD

35

1. 2. 5B 2552 - 2552 ( 1) 18,000 150 = 20*150 = 3,000 6 3000*6 = 18,000 18,000 () : 1. CUP BOARD 2. 3. 1. , , , , , , ( 1 ) 80 2. ( 2 ) 80 3. ( 2 ) 8036

4. ( 1 ) 80 5. / ( 1 ) 80 6. ( 1 ) 80 7. 2 () 80

37

5.

52

(manually) electronic file Internet Weblog 15 38

1. 2. 1. 2. www.med.swu.ac.th/cupmsmc 3. 3 4. 3 5. 15 6 2551 2552 1,000 12 12,000 12,000 ()39

1. www.med.swu.ac.th/cupmsmc 1 2. 3 CUP 15 1. 2.

40

6. (Participatory Learning Leading to Integrated Community Development: PLCD) 1 ( Participatory Learning Development : PLD)41

1. 2. 3. 4. 3 1. 2. 3. 16

6 9 2

1. 2. . 3. 7 4. (PLD) 5. / 6.

42

(PLD) 3 1. 2. 3. 16 - - , - - 7 - PLD 1 - - - PLD 2 - - PLD 343

6 9 2 2251 2551 2552 2553( 2551 2553 ) .. .. .. .. .. .. .. ..

- - -

( 2551 2553 ) .. .. .. .. .. .. .. ..

CUP 10,000 3 30,000 30,000 () 1. 7 2. 3 3. / 1 1. 2. 3. 4. 44

4 1 - 30 2552

CUP

6

1

-

-

-

3(3)

5(5)

-

5

-

-

45

,, () 1 - 30 2552 1. 2. 3. 4. 5. 6. . . . OTOP 352,000 352,000 0 12,000 12,000 76,000 76,000 0 18,000 18,000 12,000 12,000 PLD 30,000 30,000 500,000 72,000 -

46

47

1. 2552 1. OTOP (One Tumbon One Physician) (CUP ) 2551 2552

2.

3.

4.

5. 1. 3 2. 6. 7. 8. 4.2 48

9. 352,000 352,000 10. ..............85............ % ...............90.............% 11. ............10,000............ .........7,000........... 12. ( ) - 3 14 PCU PCU PCU 09.00 -10.00 . 10.00-11.00 . 11.00 -12.00 . 13.00-14.00 . . ,. . . ,.

:

49

50

51

52

14

53

Conferrence NCD 14. 1. 15. / (Mobile doctor) Wi-max CASE 1 8 14 OTOP () ( ().. (....) //54

)

2. 2552 1. PCU PDCA/PMQA 2. (CUP ) 3. 4. 5. 1. 3 14 2. 3. 6. . . 7. CUP BOARD 55

2551 2552

8. 4.2 4.3 .. 9. 12,000 12,000 10. .............85.................% ...............85..............% 11. ...............25............. .................21......... 12. () - / PCU PDCA/PMQA 2 /

56

CUP 14 4 2552 1. . 2. . 3. .. 4. .. 5. .. 1. 2. 3. . 4. 5. ..

1 1.1 - 3 - - - Conference case - - - Diazepam - case - - - - - - - - - - 40% -57

-

1 () - - - - - - / 1.2 - - / - - - - - Family Folder - - - Family Folder - - HCIS 1.3 - 0 - 58

- - / -

5 - , 6 12 , 13 18 , 19 59 60 - - -/ Family Folder - - - - // // - - / - - - - / - / - - - - - - - - - 2 - PCU Job Description KPI 59

- - - AAR , - - // - -

- - - - 2 - - - - 3 - -

- IC - - -

- Feedback . - - - Training Need - - 60

(QRT) 14 1.1 20 7 1.2 20 11 1.3 20 3 2. 20 10 3.1 . 20 0 3.2 20 20 4.1 Family Folder 10 2 4.2 Family Folder 10 5 5. Community Folder 0 0 6. ( ) 20 2 7. / 20 5 8. ( 20 7.5 ) 9.1 20 15 9.2 20 15 9.3 PCU 20 5 9.4 20 10 10. / 20 15 11. 20 10 12.1 20 5 12.2 20 15 13. 20 0 14.1 20 0 14.2 0 5 20 20 14.3 0 5 20 20

10 15 10 18 3 0 10 15 19 10 20 20 5 10 5 5 0 0 15 10 15 10 12.5 17.5 15 20 20 15 15 20 5 15 0 15 20 2061

15 20 15 15 15 20 20 15 10 15 0 20

15. 16. (Counseling) 17.1 17.2 18.1 18.2 19.1 19.2 20. 21.1 PCU 21.2 21.3 / 22.1 22.2 22.3 23. / () 24. 25. 26.

20 20 20 20 20 20 560 20 20 20 0 0 0 0 0 0 20 80 20 20 20 60

14 15 15 10 20 10 15 15 20 0 10 0 10 252.5 394.5 (45.09) (70.45) 14 14 20 8 20 15 20 0 0 0 0 0 0 0 0 0 0 0 0 10 10 47(58.75) 70(87.5) 10 0 0 10 16.67 20 0 20 40 66.67

10 15 15 20 8 8 386.5 (69.02) 14 8 20 0 0 0 0 0 0 15 57(71.25 15 0 0 15 25

62

(QRT) 3 9 14 14 Family Folder CUP 730

1 2 3

1,354 53.91 14 . 1,031 837 81.18 . 959 465 48.49 . 3,344 2,032 60.76 : CUP

6,7 .

63

14. 1. 15. / PCU -

() ( ) ............../.............../................

().. (....) // .............../.............../................

64

14

65

3. 2552 1. Referral System (CUP ) 2. 3. 4. 2551 2552 5. 1. 2. 3. ( ) 6. 7. CUP 1669 66

8. 4.1 4.3 .. 9. 76,000 76,000 10. .............85........% ...............88 ............% 11. 3 3 12. () - () Wi-max 1. 2. (.) . CUP 13 2552 . 3 . . 14 67

1. . 3 . . 43 40 56 34 79 39 17 113

93 60.7 49.4 63.5

14. 1. 2. 3. . 1. 2. 15. . . . . Wi-max 3 3 () ().. ( ) (....) // ............../.............../................ .............../.............../................

68

1 13 2552 5B 5 5 1. 55 50 43 29 42 52 42 0.655 0.595 0.512 0.345 0.500 0.619 0.500 74.52 28 33 40 41 35 29 40 4 0.267 0.314 0.381 0.390 0.333 0.276 0.381 46.86 0 0 1 13 7 2 1 3 0.000 0.000 0.007 0.093 0.050 0.014 0.007 3.43 1 1 0 1 0 1 1 2 0.005 0.005 0.000 0.005 0.000 0.005 0.005 0.48 0 0 0 0 0 0 0 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.00 89.49 0 0 0 0 0 0 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.00 84 84 84 84 84 84 84 92.62 91.43 90.00 83.33 88.33 91.43 89.29 89.49

2. 3. 4. 5. 6. 7.

69

. 3

70

71

72

.. .

73

74

75

\

76

4. 2552 1. 2.

(CUP ) 2551 2552

3. 4.

5. 1. 2. / / 3. 4. 6. 7. 77

8. 4.1 4.2 4.3 9. 18,000 0 10. ..............85......... % ...............90.................% 11. 2 / / 12. ( ) PCU

2 / /

78

1. / PCU 2. 3. / / / / CUP BOARD () ( ) ............../.............../................ ().. (...) // .............../.............../..............

79

80

3

81

5. 2552 1. 2. (CUP ) 3. 4. 5. 1. 2. 6. 7. 15 www.med.swu.ac.th/cupmsmc 8. 3.1 3.2 MIS 3.3 communication 82

2551 2552

9. 12,000 12,000 10. ............80..................% ..............85................% 11. 20. .............20.......... 12. () 14. 1. 15. / /

() ( ) ............../.............../................

().. (....) // .............../.............../................

83

84

6. 2552 2. (CUP ) 3. 1. 4. 5. 1. 2. 3. 4. 6. 7. . 2551 2552

85

8. 4.1 . 4.2 4.2 4.3 4.4 9. 30,000 30,000 10. ............80...........% ................80................% 11. ..............150.......... ...............120.......... 12. () 3 4. 6 5. 9 6. 16 2 14

86

. 14. 1. 2. 15. / / 3 3 / 2553 () ( ) ............../.............../................ ().. (....) // .............../.............../................

87

88

1 CUP CUP 4 5 3 CASE Conferrence 5 4

89

case 47-52

90

5 1. 2. 3. 4. 5. 1. 2. 1. 2. 3. 4. / , 5. 52 6. 7. CUP 8. CUP 1. 2. 3

91

92