ระบบสุขภาพอำเภอ

1. District Health System (DHS)
chuchai.sn@gmail.com
13
2557

2. District Health System DHS
+

3. District Health System Network
•
•
health system
–
–
–
–
Down VS Bottom Up
district
Top

4. PHC as Health Hub
4
Self care management)
World Health Report 2008
:

5. 1.
2.
3.
4.
P &P
MCH
EMS
Acute Minor
Diseases
5. Dental
Health
6. Chronic
Diseases
7. Psychiatric
Diseases &
Mental
Health
8. Disabilities
9. End of life
care
10.High risk
groups (Preschool, Adol
escent, Elder
ly)
•Concept &
Policy
•Structure &
Organization
•Resources
Allocation &
Sharing
•Manpower
Development
•Information
System
•Supportive
mechanism
•New
Management
(Partnership &
Networking)
:

6. DHS :
UCARE
U : Unity
of DHS
Team
E : Essential
care / ODOP
R:
Resource
sharing
C:
Community
Participation
A :
Appreciation

7. UCARE
 Unity – teamwork
(Unity District Health Team)
 Community
participation
 Appreciation
 Resource
– process
sharing
 Essential
care
comprehensive health
–
care

8. 2557
2556
2554-2555
2552-2554
50% DHS
25% DHS
21 DHS +4
+25 buddy
Core team project DHS

9. DHS
- Service plan 10
-
-
)
-
(4
[QOF]
)
(2
(3
)

10. DHS
PP 20
OP 32
PC
4
QOF
DHS+PCA
3
• DHS
•
•
•
•
•
• PCA

11. 3.3:
CUP/PCU
[4
1
PC
]
PP, TTM, Rehab.
•
-
Priority
DHS
• Mapping Grading
255
•
-
>7.7 MB)
•
•
•
- DHS
-
PP
ODOP ,DHSA ,PCA
Convenience Care
1.
1
CUP
2 /CUP
1
/CUP
2.
FM
1:10,000
FPL/FM 1
CUP
RNNP 1:5,000
1:1,250
3.
CUP
,

DHS
Leader/Manager
4.
PCU
5.
PCU
FM&PC
(Context
Base Learning) 255
6.
FM&PC
1

12. & DHS :
Essential care
&
•
CUP /
DHML
•
FM /
FPL
• NP /
DHS
-
CBL
•
•
•
•
•
-
PCA
-
CBL
Day care
PCA
-
-
Day care
CBL
CBL
/
/NGOs
DMHT
Self Care
Home HC
•
•
-
Care giver / CBR
&
( Context Based Learning )
• System
based
learning
• Research

13. 1
26
System
District Health
2556 -2557
2-
( 217 -
,
3 - 15
27
4 -15
,
6
(14
2
22 12 -
21
85
7
/ FPL 5
558
/CBL 7
PCA 6
/
10 -
(925
5 23
-
- ( 2111 -
8-
(
( 25
CUP
/NP
/
84
/ FPL 2
/CBL 7
CUP 10
/ NP 694
/ PCA 5
/

14. Internal
Review
DHS 2556 - 2559
Core team
5
-
Core team
External
Review
/Award
+
Exter
nal
Unity District Health Team
PEER
REVIEW
+
-
Expert
-
+
-
+
+
People
audit
SE
+
+
CUP & Community
+
People
audit

15. Primary Care Innovation

17. ACTIVE AGEING: TOWARDS AGEFRIENDLY PRIMARY HEALTH CARE
17

18. 1.
-
/
/
2.
:
/
1.
-
/
/
/
2.
3.
4.
:
/
/
-
1.
-
2.
/

19. (Home
services)
(Home
care)
(Home nursing
services)
(Home
modification):
(Day care)
(Home-based &
Community Health
services)
(Respite care)
(Hospital day care)
(Intermediate care)
:
(Residential home)
(Nursing
home)
(Long-stay ward)