HEALTH STATUS AND HEALTH SERVICE NEEDS OF PEOPLE IN THE SUPERVISION OF PANYANANTHAPHIKKHU MEDICAL CENTER, CHONPRATHAN, SRINAKHARINWIROT UNIVERSITY

Abstract

Both structural and behavioral of the global population dynamics are different proportions. The aging population is increasing and the number of working age is declining that affecting the health service needs which may change. The purpose was to survey research about the health status and health service needs of 1,537 people in the area of responsibility of Panyananthaphikkhu Chonprathan Medical Center. They randomly selected by multistage random sampling from 7 primary care units. Data were collected using a 3-month questionnaire. Descriptive statistical analysis included frequency and percentage. The results showed that the number of elderly in the sample, Pakkret District and Nonthaburi Province were 34.1%, 47%, and 45% respectively. Most of the average monthly income was less than 10,000 baht (51.1%). They were general workers, did not have a total occupation (45.3%), had an income of more than 25,000 baht (10.6%) had the burden of raising the welfare of the elderly and other social welfare such as the elderly allowance, Universal Health Coverage Rights affected the health of the working-age population. There was a proportion of physical inactivity (23.1%) and a healthy diet regularly in the categories of fish/lean meat/nuts (72.9%) and fruits and vegetables (80.5%). Non-communicable disease was the most common (92.3%). Hypertension was the most common disease (65.8%) People did not receive annual health check-ups (31.3%). Cervical cancer screening and breast self-examination were not performed 51% and 48% respectively and never had a dental examination (42.4%). Universal coverage health insurance privileges (57.2%) when they were sick, they went to a health facility (88.8%) and chose a public health facility (82.3%) because it was convenient to access (74.4%), but still had problems using health services (16.4%) due to a delayed service system (56.6%) and insufficient health care personnel (31.1%). In the group that did not use a health facility, they chose to buy their medicine over the counter (57.1%). People in Pakkret District have already entered the super-aged society. People (10.6%) had the burden of raising various social welfare benefits. Convenient transportation was an important factor in the health service needs. People had a high demand for public health care services resulting in delayed service systems and an insufficient number of personnel.