PCU Manual General

8/12/2019 PCU Manual General

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. . . . .

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1168 . 22 . 109000-2511-5855 0-2939-2122e-mail : [email protected] /www.thainhf.org


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.. (.)

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15 (Supporting System) 15

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- 23- 23- 24- 24- 25- (CUP) 25

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80

92


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- 171 175

24 177

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(..)

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.. 11 5 5 1


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CUP (ContractinUnit of Primary care)

.. CUP

..

..


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..

CUP

..

.. [email protected]


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1


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3.3.3

(..)

..2552-2555 1,001

.. 2 .. ..

1


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()

(catchment area) (home ward)


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15

(

(Supporting System)

/

5 - 10

1


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16

2552 2552

1,000 ( 2552) 2553 (1 255- 30 2553) 1,000 2,000 2553 - 2555 9,762 .. (first responder)

(home ward)

3 1) .. 2) 3) ..


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3)

4) 5)

6) ..


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2


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( 24)

(..)

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(KM) ( (.) ((.) (.)

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( )

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..

2.9

1. : .. ..

2. : ..

. .. (.)

200,000 2552


25/200

25

Area-based) CUP .. (efficiency)

(family folder)

2

(CUP)

(primary care)

2


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26

1.

1.1 Online .. ..

(real time) .. (best practice)

1.2 .

..

1.3

.. ..


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27

2. : (CUP)

(operating budget) .

3. : ( .. PCU CMU) ..

.. ..

4. : .. . , ,

2


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.. . . .. (.) ..

..

.. ..


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29

..

2 ( 1 ..

1. 14,793 2553

829 .. 2,151 1.355 5 8.55

2. 2,700 ..

3. . : CUP

.. .. 2 2553 .

2


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3


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313 ..

.. 2

..

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()


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333 ..


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: ..

.. 5

1. :

2. 1 : ()


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4. ()

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1-5

.. 2 1-3 3-5


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1-5

1 - 3 3 - 5 ()

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- -

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)

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)

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2. .. .

3. .. . /

4. ..

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2. ..

() . .

3. .. .5 1

4.

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..

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:

3 ()

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(15-20 )

..

..

.


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..

..

() . - - /

-

- website e-mail

- ..

.

.. (.) .


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453 ..

..

()

- To Be Number One

/ ( . .) ./ / .

- /

-

- website e-mail

- ..

.


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:

..

1.

. ..


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2. ()

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3. ..

..

.. ..


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- ..

- ..

35

/

/

.e-mail website ..

(/)/ .


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/

/

1. . e-mail,

//2. . ../ 2

//

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.. ..

. . ..


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/

/

1. . e-mail,

//2. . ../ 2

//

.

.

- (ANC).. . . e-mail .

. .. . ..

- .. ()


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()

/

/

.e-mailwebsite

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. .. /

..


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()

/

/

.e-mail

..

.. e-mail website ..

.. . . . (..) /./


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/

/

.e-mail

.

..

e-mail Website . .

()

.. (.)-


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573 ..

()

/

/

1. . e-mail,

//2. . .. / 2

//

.

.. .. (HHC) e-mail website

(ClinicalPractice Guideline : CPG)

.

..


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()

/

/

..// (MODEL ) VCD

.. . .

2

.

..


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593 ..

()

/

/

() ( ) ..

. . ..

. ()..

.

. .. (HHC)


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613 ..


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633 ..

(..)

6 /

()

/

/

( )

(Communication Base Rehabilitition : CBR ..


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1 ..

//

. . (.)

( ...

2550)

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:


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673 ..

.: /

-////

- /- /

- -

- - - /

/

- ///

- / /

-

-


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(Accessibility)

(Continuity of Care)

(Integrated Care)

-

- - home care, day care, chronic care

end of life care

(Holistic Care)

-

- (poly-pharmacy)

- (fall and gait disorders)- /-

-


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693 ..

(Co-ordination of Care) /

(Community Empowerment)

3-6 home health care


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70

. (economy of scale) / ... .

.. ../ oxygen ..

/

home health care/home visit/home ward (

) ..


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713 ..

/

. - - - -

/

homhealth care/home care/home visit / / / (homward round) /(clinical assessment)

(Respite Care)

..


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/

.

()

./


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773 ..


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:

..

1.

2.

/


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793 ..

/ - -

3.

()


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80


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813 ..

: (Spectrum)


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82

(depression) (dependency)

3


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833 ..

Inform

ed

Motiva

tion

Prepared

Better outcome for chronic conditions

3 3


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84

1.

2. 3. 4.

??

Health Promotion &Prevention

Early detection and Screening

Health Promotion & Prevention

/

()

(

)

()

1. 2.

3. 4. 5.

CVD risksceening

(Delivery System Design)


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(

)

( )

()


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( )


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873 ..

- /////

-

( &)

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-

-

-

-


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1.

2.

4.

3.


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4.

5.

6.

..


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3.

1. 6

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(

3.

1


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1. /

1. / 2.

2

//

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/


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..

2.

1. 2.

2

3.

/


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3.

/ 4.

5. /

.. ( 2 1)

.. .. /

1. .

2. .


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:

1 :

. .

1 4 100%


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2 : ()

3

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6 :

3 16.00

254


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5


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1. / /

2.

/

- 506 Health Center Information System

HCIS- / 506

(HCIS)

-

-

- . // 2


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1153 ..

/ ..

1. Rectal Swab Culture2.

3.

..

1.

2.

3. (5-10 )

4. 5. 6.

..


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-

(Family Folder) - 1

- 1

3

.

- (Surveillance and Rapid Response TeamSRRT)

- http://203.157.15.4/wesr

- http://www.mophgo.th/ http://www.ddc.moph.go.th/

- 1

- 2


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1173 ..

- (Surveillance and Repid Respons

Team : SRRT

3. Tools : ..

(Carry Blair) (Rectal Swab Culture)

fresh stool Acute Flaccid Paralysis : AFP

Sterile

4. ..

24

0-2590-1882 0-2591-857 [email protected]


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1213 ..

4. (

)

5. .

/- . - .

- .

- )

)

/

- -


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- 15

- 5

.. 6

1.

1.1 1.2 1.3 1.4

1.5

2.

2.1 2.2 ( 1

, 2544)


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3. 3.1

1. 2. 3. 3

( ..2551 ..2549 )


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124

Albendazole (400 mg.) Diethylca

bamazine citrate : DEC (6mg./kg.) DEC 40

W. bancrofti 6 mg./kg. single dose 6 B. malayi 6 mg./kg. 6 6 - (

)

3.2 ..

70 4-5 / 3


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1253 ..

1. 2,500 100 (schizon

2. - - - 39 -

- - - - 4

3. 6 4. 3

4.

.506 (probabcase) (confirmed case)

)

()


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1273 ..

6.4

..


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1.

1. 2. 3. (

)

/ /

- 6 10-15

- -


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1293 ..

- -

- - - - -

2.

. . . (Diarrhea Effective Case Management)

-

-

- 1 2 -


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3.

- - - 2%- -

- -

5

1. , 2551 39-422. , 2542 76-1153. , 2551 27-30


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5

5

- -

- - 6

()


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1333 ..

1.

2. 3. 4.

5.

1. 2. 1

3. 3.1 0.02 ( 8 )3.2 0.08 ( 50 )3.3 8 ( 5,000 )3.4 0.25 ( 150 )

4. 5 0.5


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2. 1 -- 4 4 2

3. 2 34. 4 -- 5

5

5. 6. 1

7. 6 1

..2548

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1353 ..

2 : 2-3 33 : 4-5 --

5

:

x 100

0-1 = MMR

0-1

90 4 ( ) (Templete)

90 (/)

1.


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136

2. (

)

3.

4. 18

5.

6. SRRT

7. ( )

8. 15 (Acute Flaccid Paralysis : AFP) ( .. 2548)


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1373 ..

1. -

2. AFP

3.

(..) (././.)

1. -1.1 .3/1 (

..2547 44) (.) VMI (Vendor Managmen

Inventory)


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138

1.2 ( .

2547 34-35) 1.3

1.4 - ( ..2547 42) 1 ..

2. 2.1 ..2547

2.2 2 2.3 1 2.4

( .2547 33) .


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1.

1.1

1.2

(


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1413 ..

./.

./. .

)

2.

3. 3 ././

4.

5. ( HIV CD4 ) ( ) HIV ././.


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142

6. HIV ././.

././.

7. (antenatal care : ANC) HI

8. (routine laboratory testing) .. UA stool exam ( ) (grams stain) ( ) wet smear ( Trichomonas Vaginalis) KOH () ./.

9. HIV HIV Antibody (rapid test)

10. PAP Smear ././. ( HIV VIA )


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1433 ..

11. HIV ..

. Directly Observed Therapy : DOT

12. (Volunteer Counsellinand Testing Programs : VCT)

13.

14.

15.

16.

17. HIV (couple counselingfamily counseling)

18.

19. HIV


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20. HI

21. HIV

22. 506/1

506

23.

1. ./. HIV PCR CD4 TPH

VDRL urine PCR ././. CD4 24

2. ././.

3. HIV ./

.


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1453 ..

4. HIV ././.

5. ././. ././.

6. HIV /./

7.

8. HIV

9. HIV

10. HIV


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2


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1473 ..

1.

1

2.

3.

4.


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148

5.

6. . . .. .

7.

1.

2.

3.


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4.

5.

6.

7.


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1513 ..

.. 2

2 2

.

..

.. .. () /


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1.

1.1

-

-

-

1.2 1.2.1 1.2.2

- .. .

- . ..

- 1.2.3

- .


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1533 ..

- -

Flow chart 1 1

2 3

4 5

6 7

8 9 5

10 11 12 2 ( 7) ( .


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Flow 1

- .- -

...

-

-

.


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2. 2.1

2.1.1 1

2.1.2 ()

2.1.3 ()2.1.4 (

)2.2

2.2.1 1

2.3 2.3.1 10

2.3.2 (2.3.3 (

)2.3.4 (

)


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158

()

(risassessment) (risk management) 1) 2) 3) 4) 5)

(r isk communication) (..)

..


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.. 3

1)

2) 3)

1. ... ..2522 ... ..2535

-

2.

3.


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1. .. . ..

2. .

3. .. -


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4. . ..

5. ..


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.

..

. .

.


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..

..

(

)

2

()

(

1. 2. 3. 4.


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.. ..

..

..

1. 6 /

/ 2. 3.

PDCA (Plan, Do, Check, Act)4. 5. HHC (Home Health Care)

. 6. (End of Life Care)7. 24

5 1. 2. 3. 4. 5.


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()

( )

1. 2.

3. ( )

4.

- ()

- ()5.

- -


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..

. . . ..


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..

..

.. ..

2

(.)


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24

24

()

.. 24

( )

() ..


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..

(Home visit, Home health care, Home ward)

(Self-care

(Home ward)

. . , 6

1 2

3 4 5


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182

2. ,

2.1

, , ,

2.2 .

2.3

3.


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4.

4.1 ,

, ,

4.2 ,

4.3

2


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1. 2.

1-2 3.

2-4 4.

4-6 5. 6.

3


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4 *

2

1

1

2 / /

6

*

5

4


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(ADL)

:

: / /

1-2 2-4 4-6

6


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N : (nutrition) ,

H : (housing) 1

O : (other people)

M : (medication)

E : (examination)

S : (services) , .

S : (safety) , , ,


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S : (spiritual)

1.

2.

3.

4. 15 BATHE (backgrounsituation), (affect), (troubling for the patient), (handinthe problem), (empathy)

5.

6.


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SOA

(subjective) , ,

(objective)

(assessment)

(abdominal pain) active inactive

(plan) , active inactive


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, ..


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Home ward

/

.

/

/

/

/

/

/

//


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..

1.

2. ( )

3. ( )

( ) ( : . )


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1

(PCU) 2

1 ..2547

2


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PCU 3

PCU (Primary Care Unit)

PCU

3 .. 2548


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3 1) 2) 3)

CUP

..2544 (Contracting Unit for Primary care : CUP. ..2547 ...

( .)


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Documents

PCU Manual General