The Praboromarajchanok Institute (PBRI) Model for Non-Communicable Diseases in Sustainable Primary Care in Rural Thailand: Evidence from Four Regions of Thailand
1
Boromarajonani College of Nursing, Suphanburi, Boromarajonani College of Nursing, Suphanburi Faculty of Nursing, Praboromarajchanok Institute, Suphanburi, Thailand
Popul. Med. 2026;8(Supplement Supplement 1):A1837
ABSTRACT
ABSTRACT:
This research and development study aimed to develop and evaluate the Praboromarajchanok Institute (PBRI) Model, an integrated framework linking health education institutions with the primary health care system to improve community-based screening and health status classification among at-risk populations and people with chronic diseases. The model applied the Seven-Color Ball innovation and emphasized multisectoral collaboration across individual, family, community, and policy levels to promote health behavior change and support sustainable care in the context of Thailand’s health workforce shortage. A research and development design was employed. Qualitative data were collected through focus group discussions with 240 community stakeholders from eight subdistricts, and quantitative health data were obtained from 3,670 participants over 12 months and analyzed using the PBRI database.Qualitative findings demonstrated a collaborative design and implementation process across 39 campuses of the Praboromarajchanok Institute, integrating academic services, teaching and learning, research and innovation, and cultural preservation into proactive primary health care delivery. Three key themes emerged: a community-based approach through context understanding, equitable access and community engagement, and strengthening community networking to foster a sense of belonging. Village health volunteers served as the main operational mechanism, working with citizens, families, public and private organizations, and educational institutions through the Home–Temple–School collaboration. Quantitative results showed a total reduction in health-related expenditures of 2,609,260 Thai baht among 3,670 participants across four regions of Thailand. Community satisfaction with health partnership networks increased in all study areas, and at-risk groups and individuals with chronic conditions demonstrated sustained improvements in health behaviors, self-care knowledge, and skills. Overall, the findings indicate that the PBRI Model enhances equitable access, community engagement, and a sense of belonging, while strengthening the resilience and long-term sustainability of the primary health care system.
This research and development study aimed to develop and evaluate the Praboromarajchanok Institute (PBRI) Model, an integrated framework linking health education institutions with the primary health care system to improve community-based screening and health status classification among at-risk populations and people with chronic diseases. The model applied the Seven-Color Ball innovation and emphasized multisectoral collaboration across individual, family, community, and policy levels to promote health behavior change and support sustainable care in the context of Thailand’s health workforce shortage. A research and development design was employed. Qualitative data were collected through focus group discussions with 240 community stakeholders from eight subdistricts, and quantitative health data were obtained from 3,670 participants over 12 months and analyzed using the PBRI database.Qualitative findings demonstrated a collaborative design and implementation process across 39 campuses of the Praboromarajchanok Institute, integrating academic services, teaching and learning, research and innovation, and cultural preservation into proactive primary health care delivery. Three key themes emerged: a community-based approach through context understanding, equitable access and community engagement, and strengthening community networking to foster a sense of belonging. Village health volunteers served as the main operational mechanism, working with citizens, families, public and private organizations, and educational institutions through the Home–Temple–School collaboration. Quantitative results showed a total reduction in health-related expenditures of 2,609,260 Thai baht among 3,670 participants across four regions of Thailand. Community satisfaction with health partnership networks increased in all study areas, and at-risk groups and individuals with chronic conditions demonstrated sustained improvements in health behaviors, self-care knowledge, and skills. Overall, the findings indicate that the PBRI Model enhances equitable access, community engagement, and a sense of belonging, while strengthening the resilience and long-term sustainability of the primary health care system.
| eISSN: | 2654-1459 |
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