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Stakeholder perspectives towards schizophrenia care at the sub-district level in rural Thailand

Stakeholder perspectives towards schizophrenia care at the sub-district level in rural Thailand
Stakeholder perspectives towards schizophrenia care at the sub-district level in rural Thailand
For the period 2012-2016, the Thai 11th National Health Development Plan focuses on the accessibility and equity of mental health care by using community collaborations in order to ‘strengthen and empower the sub-district health system’. In reality, demands and supply should be balanced, based on available resources. Therefore, including the patients’, caregivers’ and health care providers’ perspectives for schizophrenia care improvement is considered helpful to gain an in-depth understanding of the community mental health nursing care situation; this endeavour is aimed at improving mental health nursing practices, based on available resources.
There has been no previous research exploring stakeholders’ perspectives of care at the primary level in the rural Thai community. This qualitative study aims to provide an in-depth understanding of both service users’ and service providers’ views. Semi-structured interviews were carried out with 40 participants within three groups, which involved patients with schizophrenia, their caregivers, the primary care staff in the community, and the supervisory teams in the community and psychiatric hospitals. Interviews were transcribed verbatim, translated into English and analysed using thematic analysis. Each group of participants was analysed individually to provide specific and integrated themes. Three key areas relating to all three groups are 1) the lived experience, 2) the importance of medication and 3) the service and support needs. The results illustrate the complexity of the Thai situation, due to poverty within a rural environment and conflicting views regarding the need to move away from a biomedical model of care. The results will be used to inform community mental health nursing practice and education in Thailand.
University of Southampton
Kingsaiyhod, Boonthan
08e45ea3-d0c5-425e-af51-eb203fcfa0db
Kingsaiyhod, Boonthan
08e45ea3-d0c5-425e-af51-eb203fcfa0db
Donovan-Hall, Margaret
8941f380-e096-4f6d-84a0-9da88ae1d7ad
Carpenter, Diane
936c407f-ce4b-40db-9a7c-6a932e639237
Gobbi, Mary
829a5669-2d52-44ef-be96-bc57bf20bea0

Kingsaiyhod, Boonthan (2016) Stakeholder perspectives towards schizophrenia care at the sub-district level in rural Thailand. University of Southampton, Doctoral Thesis, 347pp.

Record type: Thesis (Doctoral)

Abstract

For the period 2012-2016, the Thai 11th National Health Development Plan focuses on the accessibility and equity of mental health care by using community collaborations in order to ‘strengthen and empower the sub-district health system’. In reality, demands and supply should be balanced, based on available resources. Therefore, including the patients’, caregivers’ and health care providers’ perspectives for schizophrenia care improvement is considered helpful to gain an in-depth understanding of the community mental health nursing care situation; this endeavour is aimed at improving mental health nursing practices, based on available resources.
There has been no previous research exploring stakeholders’ perspectives of care at the primary level in the rural Thai community. This qualitative study aims to provide an in-depth understanding of both service users’ and service providers’ views. Semi-structured interviews were carried out with 40 participants within three groups, which involved patients with schizophrenia, their caregivers, the primary care staff in the community, and the supervisory teams in the community and psychiatric hospitals. Interviews were transcribed verbatim, translated into English and analysed using thematic analysis. Each group of participants was analysed individually to provide specific and integrated themes. Three key areas relating to all three groups are 1) the lived experience, 2) the importance of medication and 3) the service and support needs. The results illustrate the complexity of the Thai situation, due to poverty within a rural environment and conflicting views regarding the need to move away from a biomedical model of care. The results will be used to inform community mental health nursing practice and education in Thailand.

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More information

Published date: 1 May 2016
Organisations: University of Southampton, Centre for Innovation & Leadership

Identifiers

Local EPrints ID: 407445
URI: http://eprints.soton.ac.uk/id/eprint/407445
PURE UUID: 2e280240-c1f0-48bb-9df7-bc4e92a82594

Catalogue record

Date deposited: 08 Apr 2017 01:02
Last modified: 14 Mar 2019 06:00

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Contributors

Author: Boonthan Kingsaiyhod
Thesis advisor: Margaret Donovan-Hall
Thesis advisor: Diane Carpenter
Thesis advisor: Mary Gobbi

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