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Open Access Assessing the implementation of the family care team in the district health system of health region 2, Thailand

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

Background: The family care team (FCT) was established to improve the quality of care. This study aimed to explore the perceptions of FCT implementation and describe the challenges inherent in implementing the FCT.

Methods: Forty in-depth interviews were conducted. The interviewees consisted of five primary care managers in the provincial medical health office, five directors of community hospitals, five administrators in district health offices, ten subdistrict health-promoting hospital directors, representatives from ten local organizations, and five heads of village health volunteers. Data were collected in accordance with semistructured interview guidelines and analyzed by thematic analysis.

Results: Participants’ expressed their opinions through five themes: (1) the role and scope of practice, (2) the communication in collaboration of the FCT, (3) the management of the FCT, (4) the impact of the FCT on the team members’ feelings and primary care performance, and (5) the main challenges, including the insufficiency of a teamwork culture and a biomedical approach.

Conclusion: The information suggests the importance of issues such as the clarification of the team members’ roles and managers’ roles, communication within and across FCTs, and the preparation for training of interprofessionals to enhance collaborative management to achieve the optimal care for people in the district health system.
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Keywords: Family care team; district health system; interprofessional collaboration; primary care

Document Type: Research Article

Publication date: 01 February 2018

This article was made available online on 11 October 2017 as a Fast Track article with title: "Assessing the implementation of the family care team in the district health system of health region 2, Thailand".

More about this publication?
  • Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript http://www.compuscript.com on behalf of the Chinese General Practice Press http://www.chinagp.net.

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