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ข้อมูลทั่วไป. วิสัยทัศน์จังหวัดกำแพงเพชร. “ ผู้นำการผลิตและแปรรูปเกษตรปลอดภัย และการท่องเที่ยวถิ่นมรดกโลก ”. Position การพัฒนา. เมืองเกษตรปลอดภัย อุตสาหกรรมแปรรูป ท่องเที่ยวถิ่นมรดกโลกและธรรมชาติ. ประเด็นยุทธศาสตร์. 1. ส่งเสริมและพัฒนาการผลิต การแปรรูป และการตลาดสินค้าเกษตร

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Position

  • 1.

  • 2.

  • 3.


  • 2568

1.

2.

1.

2.

[GG]

[IP-OP]

3.

4.

[GG]

[PP]

3.

4.

E0 = 80

HALE = 72


  • 11

  • 78

  • 956 /27

  • 25 (3 ./22 .)

  • 64 . /1 .

GPP 2 ( 55)

20% 52%

(20%)

11.7%

.

.

.

.

728,631 ( 1% POP ) 253,170

3

=13.73 %

8,600 .(1.7% )

60 %

22 %

18 %

.


2556

2547

361,867 | 366,764

360,001 | 365,435

21.41% 67.10%

18.25 % 66.18%

9.93% 46.70%

13.73 % 48.32%


(Life Expectancy)

E0 = 80 , HALE = 72


3.85 %

14.52 %

0.41 %


* 8 156

(410 ) 1

/

. 90 2

.. . 4

5

2

64

17

128

130

52

. 60 2

. 30 5

. 10 1

Ext.OPD 1

.. 25

.. 46

.2

.. 121


  • 1 : 5,000

  • 3 1 : 5,717

  • 1 : 6,807

  • 1 : 5,000

  • 3 1 : 9,328

  • 1 : 11,561

  • 1 : 8,000

  • 3 1 : 13,884

  • 1 : 15,497

  • 1 : 951

  • 3 1 : 702

  • 1 : 730

99 - .8 , .20 - .. 71

. 11,957


( FTE)

( .)


10

E0 = 80 , HALE = 72


,

,

,

/

25% 2568


ICD10


ICD10


10 (.-..57)


OP Visit

Operating Activity : Workload

()

NCD = 20-25%

10


IP Visit

Operating Activity : Workload

  • 50% Admit .

  • 1/3 Refer

  • Acute Appendicitis

  • Labour Pain

  • UGIH

NCD = 20-25%

10


MIS


  • 123 Data Center (Monitoring Data)

  • 43 . 2557


.. 2557

15 2557

4 : 95

:


DHS

  • : 66.72

100 %


PP(Service Plan)

215,661,173

Service Plan


Service Plan

215,661,173

4 -> 25 -> 614

30 ..2557


2557

  • 3

  • ER,EMS


2557


2557


1


12

60

ANC<12 = 68.3 %

ANC 5 = 65.0 %

  • 5 ( 38 wk 2)

  • 12 wk 1 (12 wk)

  • key

  • key


2,500 7

LBW = 16.9 %

LBW 2557

2557

1. 60.0 %

2. 4.0 %

3.

3.1 40.4 %

3.2 (IUGR )38.2%

3.3 20 27.7 %

- ANC

-

-


1 Hct < 33 10

Hct1 , Hct2 Hct


  • 2 TSH

TSH 11.2 ./ 3

2556 - 2557

WHO: 3-19.9%


6

Breast feeding = 35.0 %

6


5

2557


2556

25 1,000


15

, N=8


  • 12 wk

  • .

/

  • 18 3,537,565

  • .

  • ANC

  • LR

  • 14 628,770

  • SERVICE PLAN

  • Case conference

  • 2 187,670

  • 2 24,300


  • 0-5

21 4,243,695


/


(3 ) 54

1.

2.

3.

4. 2


(.6) 45

1.

2. 2

13 3,805,362


6-12 15


2554

IQ 95.2 (/ 68 )


IQ/EQ

.1 8 148


/-

1. /// 1

2. (Individualized Educational Program)

3. .1 .6


  • 13



<20

1.

2.

3.


-

2554-2557


1.

2.

2557 11-20


2553 5,302 1,259 4,043

92.09 %

4.73 %

1.56 %


1.

2.


TO BE NUMBER ONE

1. TO BE NUMBER ONE = 179,633 (98%)

2. TO BE NUMBER ONE = 263 ( 18%)

3. TO BE NUMBER ONE 39


-

////// // / /

6,739,940

  • - 105

  • 56 (3,495,400 .)

  • . 45 (2,805,340 .)

  • ... 4

  • (439,00 .)

58.45 %


(I20-I25)

2556-2557

23


91.45%

85.97%


DM-HT


32 -


() 15

2557 DM 2,846 0.78%

2557 HT 8,200 2.24%


///

+

  • -/DM/HT

  • -DM/HT 15

-Pre-DM/HT

-

  • -Clinic NCD

  • -

  • -


6

(, , , , CKD, )

  • 3 . 2 . -

  • - .

  • -

Pre- DM

Pre-HT

3 . 2 .

/

Intervention

- /

( . )

- DPAC ()

- (MobileDPAC)


- 6

70


6

/ 50


4 5

1.

2.

3.

4.

5.



= 20,816,664

= 1,322,335

= 1,814,556

= 14,497,515

= 5,826,928


30-70

30-60 2557


(70)

1 2


----

  • 100 %


  • Buddha Based Learning (BBL)

Environmental

Health

Health Literacy

3. 3. 1.

.

///

+ + +


1)

2) PRE DM HT

3) Re-admitt

4) Hb A1C

  • 7) Safe sex &Teenage pregnancy

    8) Depressive disorder

    9)

3 .

3 .

3 =234

5,000,000


Health Social Setting

582

40

186

11

11 LTC

213

3


Health Social Setting

Health social setting

(./..)

Clinic

......


71

Human Approach .

/ .(/)

1. 7

2.

14

3. 50

- 35 - 5 - 10


Clinic

Setting


. .


- (I60-I69)

190


Ischemic Stroke

  • SFT (Stroke Fast Track)


/


4 52

1

2.

3.

13 780,771


408


()

2557 408 96.08


-

1. 2,400,000.-

2. . 1,523,851

3. 45 846,958.43

4,770,809.43


2556 = 5.11 2557 = 4.20


49.26%


  • (Service Plan)


2557

6

15,595 24.13

18 0.12

571 78.63

1 0.18

2557 2556 5

2557 2556 5


2557


2557

280

957 (29.25%)

65

78

(83.33%)

18

27 (66.66%)


2557

3

5

4

.7

.

.2

.

.3

.

.6

.7

.


2557

GEN 2

9 8

.3

.

.5

.

.1 .

.4 .

.10 .

.11,.13

.

.5 .

.1 .


Dengue Serotype, 2004-2014 (week 30)


(.) .. - .. 2557

.. - .. 2557


Public Health

  • War room (Web-conference) 1

  • ( Hotline , SFR online )/ ( MIS )

  • SRRT

  • Day 0-3-10 7 ( ) - HI , CI < 10 4

  • Big Cleaning Day /. (DHS)

  • ,


Medicine

  • Monitor shock ./. Platelet

  • ./. PCR AFRIMS

  • .. 2557 : 5 2557

  • 2 .

  • Service Plan


2550-2556 2557 (1 . 30 .57)


(> 90%)


(MDR TB)

2555 1 ( 1)

2556 5 ( 3 / 1/ 1)

2557 3 ( 2 / 1)


= 90

=4

DOT


( 90)

(DOT) .

(ARV)

5. (MDR-TB)

  • (DOT)


2


-


2557 16


A S 85


./.

  • -

  • - 2 - .


50

. .


3 2557

Top tens Pdx

Top tens Pdx


  • 0.5 UGIH ,STEMI , Anemia ,Delivery , Appendic ( 5 Node ) SK , Case elective Node

  • Thai refer (2 )

  • 4. . Service plan


(STEMI)

/ ( 70)


(STEMI)

15%


6.5 2556 10


15

31

:


(Psychosocial Clinic)

OSCC

70


ANC - LR - WCC ( 70)


70

9 755,580 , 11 1,415,763


Mini MERT,MCATT,SRRT 80

Mini MERT

50

MCATT

18.18 ()

SRRT

100


L.A.



. . . +.( )


Service Plan 2557


Service Plan 2557


CMI 2556-2557(.-.57)

1.2

0.8

0.6


AdjRW2557(56-57) (<0.5 O800 Z370 Z380 )


.

2556

2557


  • 10 AdjRW<0.5


../.

45 . .. 67 132

/

1. Unit 28

2.

3.

7 2,104,522


DM/HT ./..

> 50

= 55.42 %

= 56.11 %


HbA1c



57.3%

3.7%(413 )

Laser 154


e-GFR

CKD Clinic


CKD clinic . F1

CKD Clinic .

NCD

- 100%

- 1-2,8 2557


80


2,500 28

2,500 28


DHS

  • Service Plan & Quality

  • 1. 2. . 3. -/

5 Node ,

.

25:46 /132

DHS

.

PCA 2 = 9 1 = 2

  • 3 -> 4

  • PMQA PCA HA.

  • ODOP 2.4 28

  • 1.Long term care, 2.Modified CKD Clinic

  • 3.Teenage Preg. 4.CA Liver : Liver fluke ,

  • 5. . 6.

  • DM&HT

  • 4.8 (4,865 )

  • HA 7 ( 5 )

  • 2557

  • . //

  • . , Re-opening OR

  • Referral system: 5 Labour,UGIH,

  • Apendicitiis, Anemia ,Colles' fracture

  • LAB LA 6

  • 4


DHS

  • 100

  • 2 3

    - -

  • DHS-PCA Appreciation DHML

    -

DHS

  • 3 11

  • ODOP 28

  • 2,488,920


7

2= 4 2557

.

.

.

.

.

.

.


3


(FTE / Population based Service based)

.

CHRO

Service Plan

Service Plan 3

( (Emergency Nurse Practitioner) )


. 96.22 909 58 851 . 1 . 850 ( 99.88) 499 . 449 ( 89.98)


  • (CFO)

  • -

  • FAI HGR


7 3-57


.


/ 2557

3.4

80%



MOC Per Productivity+Gov.Sp

(HGR)


3 2557


3 2557


: 10

/

()

/ 56 10,995,486 3.66 %

16 587,517 0.74 % 34

. 2556 1.67

9.06


2556/2557 ( 9 )

. 5.74 / . 9.06


2556/2557 ( 9 )

10.84 / . 4.76


2556/2557 ( 9 )

3.68



: ED:NED -> .80:20 . 90:10

( ED )

. 80 / . 90


: ED:NED -> .80:20 . 90:10

ED: . 85/ . 90



:OPD VISIT


: OPD VISIT


: OPD VISIT


: OPD VISIT


/

20


1.

2.

3.

4. 2556 2557

5. 2557


- 1


4


= 5

1

2

3

4

5

  • -

  • - .

  • 2

  • 1.

  • 2.

  • 20 ( = 2,939,125 )

  • - 428 576 (74.31 %)

  • /


2557



5

  • 1.

  • 2.

3.

  • 4.

  • Primary GMP. 49 62 = 79.03 %

  • 1 () 100 %

  • CFGT 80.28 %

  • . 1

14 2,330,145

  • 715 ./ 704 .= 98.46 %

  • 2 104 = 90.43 %

  • 91.67 %

  • 5.


2557




60


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