Health Promotion in Urban Community under the Standards of Primary Care System
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Date
2009-09-21
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
health care in the urban community under the standards of primary care system in the health insurance project. The population was people aged 15 years and older who registered in the health insurance project and used the Universal Health Care Coverage Scheme for the treatment at the specified health care centers. The sample was selected by simple random sampling and divided into two groups: 1) Pradit-Thorakarn community and 2) Soi Phaholyothin 45 community with health benefits for government workers. The data were collected in January 2003. The variables for comparing the access to health promotion included health education, service activities outside health centers, basic knowledge for self care, basic skills for emergency care and screening. One hundred and twenty-seven participants were interviewed using questionnaires. Data analysis was performed in descriptive statistics and tested the difference by the Chi-square. Findings showed that there were 67 and 60 subjects for the first and second groups, respectively. The first group (73.1%) had been educated for health promotion about appropriate eating but the second group (63.3%) had appropriate exercise. Both groups had support from health care providers for primary health care (83.6% and 61.7%), gained basic knowledge for self care when getting fever and common cold (89.6% and 70.0%), had basic skills for emergency care when experiencing epistaxis (79.1%and 53.3%), and had screening for hypertension (59.7% and 36.7%) and diabetes (38.8% and 35.0%), respectively. The difference between both groupsin support from health care providers in primary health care, basic skills for emergency care, and screening was statistically significant. The results of the studysuggested that the standards of primary care system in the health insurance project could improve the increase of the access to health promotion and community nurses play an important role for health promotion programs that lead to a good quality of life.
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Ramathibodi Nursing Journal; Vol. 14 No. 3, September - December 2008