Porntep Chotchaisuwat¹, Civilaiz Wanaratwichit¹

Background: Diabetes prevalence in Health Region 2, Thailand, is rising, while effective glycemic control among patients remains inadequate. Enhancing self-management among patients is essential to prevent complications and improve health outcomes. However, the factors contributing to the success of health service provision for supporting self-management of patients with diabetes have not been fully explored.

Objective: To identify key factors influencing health service provision supporting self-management among type 2 diabetes patients in Health Region 2, Thailand.

Materials and Methods: A cross-sectional study was applied. Three hundred seventy case managers from Sub-district Health Promoting Hospitals participated. Data was collected using a researcher-developed questionnaire and analyzed through descriptive statistics and multiple linear regression analysis.

Results: Service provision for diabetes self-management was rated at a high level overall, with a mean of 3.82. Seven significant factors consisting of equipment support, data preparedness, provider skills, village health volunteer (VHV) participation, patient participation, service direction, and the nursing profession, respectively and jointly predicted 60.5% of the variance in service delivery effectiveness (adjusted R²=0.605, p<0.05).

Conclusion: Effective diabetes self-management service models must integrate policy direction, resource provision, provider skill development, patient engagement, and community support through VHVs. Moving from provider-centered care to a collaborative approach to service provision can significantly enhance patient outcomes.

Received 16 May 2025 | Revised 15 September 2025 | Accepted 22 September 2025

DOI: 10.35755/jmedassocthai.2025.10.817-825-03130