The Lessons Learned from the Dusit Model and the Feasibility of Applying Integrated Health Services in Urban Areas: A Qualitative Study in Thailand

Background Rapid urbanization has intensified the demand for effective, evidence-based models of integrated health services. However, significant gaps remain in translating such models into practice. This qualitative descriptive study explores lessons learned from the Dusit Model of integrated health services and evaluates its feasibility for adaptation in the Sai Mai District of Bangkok, Thailand. Methods Between May and December 2024, semi-structured interviews were conducted with three key stakeholder groups: administrators, healthcare providers, and patients. Data collection focused on four core components—technologies, institutions, resources, and stakeholders. All interviews were audio-recorded and analyzed systematically to ensure rigor and objectivity. Ethical approval was obtained from the Faculty of Medicine Vajira Hospital, Navamindradhiraj University, and all participants provided informed consent. Results The Dusit Model demonstrated strong potential as a blueprint for integrated urban healthcare, particularly through its use of digital platforms (e.g., Vajira@Home and V-Refer ) and its emphasis on inter-institutional collaboration. These features enhanced service efficiency and care continuity. Nonetheless, challenges were identified, including healthcare workforce shortages and limited digital literacy among older adults. The Sai Mai District was found to be well-positioned for model adoption, given its comparable demographics, robust healthcare network, and strong leadership. To optimize implementation, the district should prioritize workforce development in digital competencies and leverage public health centers as coordination hubs. Conclusions The Dusit Model demonstrates that digital integration and collaborative networks strengthen urban health systems. The Sai Mai District is well-positioned for adoption, provided staff receive targeted digital training and public health centers act as coordination hubs. By addressing a critical research gap, this study offers empirical evidence to guide scalable and sustainable integrated healthcare in rapidly urbanizing contexts.