The effectiveness of Non-Communicable Diseases (NCDs) clinics at hospitals' quality development with the treatment results among diabetes mellitus and hypertension patients, Chiang Rai province

Abstract

This study is cross-sectional research aimed at examining the relationship between components of quality improvement in non-communicable diseases (NCDS) clinics and treatment outcomes for patients with diabetes and hypertension. The evaluation was based on data from 18 hospitals under the Chiang Rai Provincial Public Health Office.

The study method involved quality assessment through the NCDs Clinic Plus Online system from June to September 2024. Six components of quality improvement were evaluated: (1) Direction and policy, (2) Information system, (3) Service system and process improvement,
(4) Self-management support system, (5) Decision support system, and (6) Community service linkage. The treatment outcomes assessed included the percentage of diabetes patients who achieved good blood sugar control according to target criteria and the percentage of hypertension patients who achieved good blood pressure control according to target criteria. The data was collected and analyzed using descriptive statistics, Pearson’s correlation coefficient and multiple regression analysis.

The results found that the service system and process improvement component was significantly related to all other components (p<0.01). Direction and policy were significantly related to the information system and community service linkage (p<0.05). Self-management support and decision support systems were significantly related to community service linkage (p<0.05). Five out of the six quality improvement components had average scores above 80%. This study confirms the relationships among the six components of quality improvement in NCD clinics, supporting and providing a framework for enhancing service delivery and improving the quality of life for patients receiving services at NCD clinics in Chiang Rai province.