Introduction: Thailand's public health decentralization has shifted healthcare from centralized to local management, improving resource allocation and community engagement while facing challenges in maintaining service quality. This study examines non-communicable disease (NCD) healthcare delivery in Tham Phannara district between 2021-2024, analyzing patient demographics, healthcare utilization, and screening trends across 1,795 cases within Thailand's universal healthcare system.
Methods: Data collection from a community hospital encompassed three provider types (ICD-10 E10-E14, I10 – I15): hospitals (PCU), Ministry of Public Health Primary Care Units (MOHP PHC), and Local Administrative Organization Primary Care Units (LAO PHC). Analysis included demographics, NCD types (diabetes mellitus and hypertension), medical check-ups, and laboratory tests (LDL, cholesterol, FBS, HbA1c, and eGFR).
Results: Medical check-ups increased from 254 in 2021 to 1,795 in 2024, with LAO PHC showing highest patient volume (1,272 check-ups in 2024 versus 363 at hospitals and 159 at MOHP PHC). Female patients (67.60%), with males age 64.43 years. Hypertension cases (69.70%) exceeded diabetes cases (30.30%). PCU showed best glycemic 101.64 mg/dl control in 2023, while NPCU demonstrated optimal glycemic 102.35 mg/dl and lipid 102.35 mg/dl management in 2024. Kidney 73.92 ml/min/1.73m2 function remained stable despite minor declines.
Conclusion: The substantial increase in NCD screenings reflects improved healthcare access and growing chronic disease management needs. LAO PHC's emergence as a crucial primary care provider highlights decentralization's success. The high hypertension prevalence necessitates targeted interventions. Recommendations focus on enhancing primary healthcare service models to improve efficiency and equity.

Authors:
Phatlapha Kaewnu, Thaksin University, Thailand
Phatthira Thongphlat, Thaksin University, Thailand
Supawadee Suwanno, Thaksin University, Thailand
Thanittha Ditsuwan, Office of Disease Prevention and Control Region 12 Songkhla, Thailand
Vallop Ditsuwan, Thaksin University, Thailand

About the Presenter(s)
Ms.Phatlapha Kaewnu is a Public Health Officer at Ban Khao-Kwan Sub-district Health Promotion Hospital Nakhon Si Thammarat. and is pursuing a Master's at its Faculty of Health and Sports Science Thaksin University Thailand.

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