Internal Management of Local Health Security Fund according to McKinsey’s 7S Framework

Abstract

        Internal management of local health security fund which was very useful to find out and provided a good understanding to developed the organization to be more effective and successful. This study aimed to assess the level of internal management of local health security fund according to 7S McKinsey framework. A descriptive study was conducted among the sample who were involved in the management of local health security funds. The sample size calculation required 540 samples which were classified by proportional to size from Khon Kaen and Kalasin provinces, using simple random sampling. The tool was a self-administered questionnaire consisted of 3 parts: general information, factors affecting the success of local health security fund operation using 7s McKinsey framework , and other suggestions. The tool has been verified by experts and the reliability of Cronbach’s alpha coefficient was 0.87. The data were analyzed using descriptive      statistics: frequency, percentage, mean, standard deviation, chi-square test, 95% confidence interval, and Odds Ratio.           

          Results: The response rate was 89.12%. Most respondents were male, aged 50 years old or over. The overall internal management of the local health security fund’s level using the 7s McKinsey framework was high. The highest level was the value of working in the fund (4.07 (SD 0.75)), followed by the skills of personal was 4.05 (SD 0.72), and the personal aspect was 4.04 (SD 0.70) respectively. The education and social roles were statistically significant (p-value < 0.5) related to the internal management of local health security funds according to McKinsey’s 7S framework. Although overall internal management of local health security funds was a high level but the readiness of the work system still needs to be developed, including having sufficient materials to accomplish the task and having the technology to help the job achieve faster results, followed by strategic clarity, which is an analysis of both internal and external environments, as well as strategic goals.