PCU Manual Admin 2

8/12/2019 PCU Manual Admin 2

1/64


2/64

...................................... 71 ................................................................. 19

............................................................. 21 .. ...............28 2554 ......................................................................................... 302 ..................................................................37 .......................... 39 ........................................................................... 45

............................................... 45 ......................................................... 48 ........................... 52 ...............56 .................................................. 58 .................................................. 62 .......................................................75 .......... ............ .......... 77

ISBN

: .

.

.

.

.

.

.

: 3 4

.. 11000 http://hph.moph.go.th

/ : :


3/64

3....................................83 ................................................................. 85 ................................................................93 ........................................93 ..............................................100

.................................. 104.................................108

...........................111 ..........114 ..............................................................................121

..

.. 10,000

..

.... .


4/64

6 7

9,770 2553 2,000 7,770 1 2553 9,770 2553 1,490

2554 2554 5,700 1,490 7,200

.....

....


5/64

8 9

1.

2.

3.

4.

1. 2. 3. 4. 5. 5

3

3 1

2 3

3

1 3

1.

2.

3.

2

4

1. 60


6/64

10 11

2. 910, 1011

3.

4.

12 . 3 The Best . 1

3 3

1.

2. PCA

3. Web site 5 11 The Best 5


7/64

12 13

2 1 2

2-3 2-3 3,000 3,000-7,000 7,000 7,200 500,000 700,000 900,000 10,000 2

829

4 (, )

1. 2.

1

3.

4. 150 2,000

4 7 1 3 7 3 1 2 3 +

4 4 4 4


8/64

14 15

1

2 .

3 . 7,000 .

4 7,776 5,509

71 29 4 4 .. 40

20 . .

4


9/64

16 17


10/64

18 19

1


11/64

20 21

..

1

u ....

.. Home Heal th Care

Home Ward .. (Disease Burden)


12/64

22 23

u ....

( ) Secondary Prevention (Early Diagnosis) ..

..

.. ..

.. (Audit) ..

.... 1 .... ..

.. ()


13/64


14/64

26 27

..

.. .. 2

u

(P&P) .. ..

.. 2554 . 1,490 2,000 .2554 6,000 ( 20 ) ..

..2554

..

> 3,000 300,000 40,000 150,000 3,000 - 7,000 400,000 40,000 243,000 >7,000 500,000 40,000 300,000


15/64

28 29

..

u

.. (.) ..

u

..

.. ..

..

u

..

u ..

..


16/64

30 31

2554

.. .. ( (CUP)) .. .. 1) (On toppayment) 2) (Itemize) 3) 4) . . (CUP)

1. (On toppayment) (On top payment) .. .. (CUP)

100 .. (CUP) 50 ...

u :

u : Home ward(5 : ) . /

u : ./

u :

2. (Itemize)2.1

(Itemize) 2554 9 1) ANC 2) PNC 3) (TSH) 4) EPIVaccine 5) 6) 7) 8) FP 9) /..

Individual Data . . .

2.2 OP/PP (IndividualData) . .


17/64

32 33

2.3 .. 330 UC .

3. .. .

3.1

(Area problem) .. CUP . .

3.2 ..

3.3 ..

(+..) - ... (NP) .. IT PCU Consultation

3.4 ..

4.

/

..... ... - ......


18/64

34 35

5. .. (CUP) . (CUP) ..

5.1 ..(CUP) (PP express demanded) .. (CUP) Fixed cost .. (CUP) CUP .

5.2 .. u.

..

u. .. 2553

.. 150 (75 2 ) .. 100,000 / 330 . 2554 .

u National Priority & central procurement (NPP) & (..)

... 5,000 1 3 330 2 CUP on top payment ..... CUP

1) on top payment 50 x 5,000 = 250,000

2) PP (Itemize) ( 2553 .)

u

EPI vaccine < 1 10 x 5 x 10 = 500u 200 x 50 = 10,000 u 20 x 250 = 5,000 uFP 30 x 40 = 1,200 3) 1,000 x 50 = 50,000 4) Individual data 3,000 Record x 8 =

24,000


19/64

36 37

5) 30,000 6) Area problem 50,000 7) 30,000 .. . = 355,700

:1. 1

...

2. 2, 3, 4 7 .

2. 5 6

2


20/64

38 39

2

..

( ) .

u .. (Goals)..

..

..

..


21/64

40 41

()

u .. (Mission)..

(Population Based Health System, ProblemBased Health System Area Based Health System) ..

1. (Data Base)

(OPD-Card, Refer note, Familyfolder, Community folder 18 ) ..

2. .. (Hospital Base) (Skype, Tele Medicine) . .. (., .. .

)

3. (Community Base,Community Health Care) . (SRM/SLM)


22/64

42 43

(.)

4. (Home Base, Home HealthCare, Home Ward) (Humanized HealthCare) (Patient CareTeam : PCT) . (Health Care Team :HCT) ..

(Practice Guideline) ., .

.. 5 (..) -- (3 . --)

1) / / (Humanized health care)

( )


23/64

44 45

2) (./.), (.. .) / NGOs

...

3) ( ) (,.) ( ) ()

.. ()

.. .. (3 .)

u

5

1.

- -

1.1 (Home visit) (Home Ward)

1.2

1.3

1.4


24/64

46 47

2. -

2.1 2.2

2.3 GIS

2.4

3.

-

3.1

3.2

3.3 //

3.4

4. -

4.1

4.2

4.3 .

4.4 /

(...)


25/64

48 49

5. -

5.1 (Empowerment)

5.2 .

u

(.)

(SRM)

1. : .. /

2.

3.


26/64

50 51

4. -

5. Family folder

6.

7.

..

..


27/64

52 53

u ..

. . . () . () .. ..

/ ../

. ..

( ) 3

.

.. . ..


28/64

54 55

3 . .1

...

.2

.3 (..) .

....

3 ..

.. -- .

3

. .


29/64

56 57

u ..

2545 13(3) 18(8) 47 48(4) (.) 3 (.) .. ..

1. ..

2.

..

3. .. . .... .. . 2-3 ...

4.

..

5.


30/64

58 59

(.) (.) .. (Local Health Manager)

u . .. 2550

1.

2.

3. .. 2540 (.. 2550)


31/64

60 61

(Synergy)

(?) (?)

(Synergy)


32/64

62 63

u

(Home health) (Self-care) (Home visit) (Home ward)

6

1 2 3

4 5 6

1 4

1. 2. 3. 4.

1. 3

1.1

1.2

1.3


33/64

64 65

2.

2.1

2.2 ..

2.3

3.

4.

..

2


34/64

66 67

1. 2.

1-2 3.

2-4 4.

4-6 5. 6.

3

4

u

2 1 1

u 2 // 6

u

5

4


35/64

68 69

u

: (ADL)

u :

u : / / 1-2

2-4 4-6

6

1

1 (Home Health Care) 1 (Home Visit) 1

u

u

u

u


36/64

70 71

INHOMESSS (bio psycho social spiritual)

I : (immobility) (Activities of daily living) (Instrumental activities of daily living)

N : (nutrition)

H : (housing)

O : (other people)

M : (medication)

E : (examination)

S : (services) .

S : (safety)

S : (spiritual)


37/64

72 73

1.

2.

3. 4.

15 BATHE ( Background situation) (Affect) (Troublingfor the patient) (Handingthe problem) (Empathy)

5. 6.

u

u SOAP

(Subjective) (Objective) (Assessment) (abdominal pain) active inactive (Plan) active

inactive


38/64

74 75

..

u

1.

...

Antibiotics Smart Use 2

u

u

2.

first expire in first out (FIFO) 3


39/64

76 77

3.

4.

u u (Name of pat ient)

u

u

u u

5.

..

6.

(Antibiotic smart use)

..

(Process evaluation) (Input evaluation) (3 .) ..


40/64

78 79

(self care) CUP . (Health Provider) (Health Manager) .. . (Strategic linked model) 4


41/64

80 81

//3.

3.1 .

3.2 3.3 3.4 . 3.5 .. .

...

4 .

4.1

4.2 4.3

// 1. ..

1.1 (1 :1,250)

1.2 1:5,000 ( 2-3 10,000 )

1.3 (SRM)

1.4 1.5 1.6 (

Web cam)1.7

1.8 ( )

2. ..

2.1 2.2 2.3

2.4 2.5

2.6


42/64

82 83

u

1. ....

2. ..

3. 4 3

3.1 .. 14 22

3.2 .. 3.4.1

3.3 .. 3.4.1, 3.4.2 3.4.3

4. ..

3


43/64

84 85

3

u /

1. 2. 3. 4. 5.

(..)

1.


44/64

86 87

2. / (Healthy Workplace)

3. .. (Empowerment) ..

.. .. .

4. (..)

.. .


45/64

88 89

5.

..

1.

2. .

3.

4.

5.

0-1 - -

- 0-6 2

- /

- ()

- - - - .

1-3 - -

-

- - -

- - - .

3-5 - -

- -

- -

- - /- .


46/64

90 91

-

-

-

6-14

-

- -

(10 )-

-

- -

- - - /- .-

15-20

- - /

-

-

-

- - HIV

- -

- /

- .-

- -

14-44

- - - -

- 6. ( )

-

- ( )

-

- -

- .-

45-59

- -

- 6. ( )

-

- ( )

- - /- .- -

- .-


47/64

92 93

15-59

- -

- 6. ( )

-

-

- - -

- .-

60

- -

-

-

- home health care/homevisit/home ward

- .

-

-

- - -

- .- -

u ..

(.) 12 . ////

1 ()

/ /

.... .///. .. //


48/64

94 95

. SRRT. // http://www.moph.go.th/ http://www.ddc.moph.go.th/... 1

..

1.

2. . 24 .

3. . . 0-2590-1882

0-2591-8579 [email protected]

.. .. 506

.. / ././. .

1. .... .

2. 506

/

..

..


49/64

96 97

.. 1) 2) 3) (5-10 ) 4) 5) 6)

..

2 ()

.. PDCA (Plan Do Check Action)

1. ..

2.

3. . 1

4. 5.

./ . /.

6. SRRT

7.

/


50/64

98 99

u

1.

2.

3 1) 2)

3)

3

/ / / ../ / / 1) 2) 3) 4)

..2552 84 1) 2) 3) 4) 5)

()

1.

2.

3. ..

4.


51/64

100 101

5.

6. ..

. .

u

u /

///

///

u home health care/home visit/homeward () 1, 3, 6,


52/64

102 103

( )

u /

u ; ;

u

/u 1

u

u ;

u (Respite care) / ; ;


53/64

104 105

u /-

u / ()

u

OTOP

. . ..

1.

1.1

1.2 . / .

1.3

1.4

2.


54/64

106 107

2.1 ( )

2.2 (Test kit)

( )

2.3

. . .

3.

. .

4.

..


55/64

108 109

1. (.)

2553 165 180 156 -2132. Website : www.fda.moph.go.th3. Website : http://www.dmsc.moph.go.th/dmsc2010/4. Website :

http://www.moph.go.th/moph-links-province.php

u

( ..)u

u

u

u u

.

u

(/)

u

u


56/64

110 111

u /

u

u .

www.klb.dmh.go.thwww.suicidethai.com/ebook ( )www.dmhweb.dmh.go.th/MCC/project.asp1667 1323

u

....

.. .. 2553


57/64

112 113

.. 1 2 150 .. .. .. 2545 () ..

1.

..

2.

1.

1.1 1.2 1.3

2.

/ ///


58/64

114 115

u (..)

..

(Community Medical Sciences)

(Community Medical Sciences).. 3 3

1.

2.

3.

(Community Medical Sciences)

.. .. .. (Community MedicalSciences)

1. /http://www.dmsc.moph.go.th2. http://www.dmsc.moph.go.th/webroot/testkit3. http://www.dmsc.moph.go.th/webroot/Plant/MPRI


59/64

116 117


60/64

118 119


61/64

120 121


62/64

122 123

. . ().

.

.

. . .

. . . . .

.

. . . .

PCA Primary Care Award : P&P, PP Diseases Prevention & Health Promotion : SRM Strategic Route Map : SLM Strategic Linkage Model : CUP Contracting Unit for Primary Care : OP Out Patient : ANC Antenatal Care : PNC Postnatal Care : TSH Thyroid Stimulating Hormone : EPI Expanded Program on Immunization : FP Family Planning : ADL Activities for Daily Living :


63/64

124

...

.

()

.

. . . . . . . () .. . . . .

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


64/64

PCU Manual Admin 2

Documents

Transcript of PCU Manual Admin 2