• Pornsak Ruekrisri คณะวิทยาการจัดการ มหาวิทยาลัยราชภัฏสกลนคร
  • Jitti Kittilertpaisarn คณะวิทยาการจัดการ มหาวิทยาลัยราชภัฏสกลนคร
  • Kanjana Vongsawut Sakonnakhon Rajabhat University
Keywords: The elements, The effectiveness hospital of sub-district health promotion hospital


The purpose of this research were to study the elements of effectiveness and the causal relationship of elements affecting the effectiveness of sub-district health promotion hospital in the 8th regional public health. The research were mix-method. The Qualitative research was conducted to analyze and synthesize content data, using semi-structured interview from key informants such as administrators, practitioners and service recipients of 3 masters of sub-district health promotion hospital in the 8th regional public health. The quantitative research has the sample consisted of 417 simple by random sampling methods. The Collected data from questionnaires was examined for content validity by five experts. The questionnaire have IOC was between 0.60-1.00 and the cronbach’s alpha coefficient was 0.96. They were analyzes the causal relationship by using the structural equation modeling.

            The findings showed that there were four elements which wer based on administrative, services, academic and community. The most element that affected the effectiveness of sub-district health promotion hospital was academic followed by community, administrative and services were 0.75, 0.74, 0.65 and 0.61. The elements of effectiveness hospital administrative of sub-district health promotion hospital were goodness of fit with empirical data with statistical values X2=1.66, p=0.19, X2/df=1.66, RMSEA=0.01, CFI=0.99, TLI=0.99 and SRMR=0.01. In addition, continuously development of academic knowledge for personnel in sub-district health promotion hospital was important to organizational effectiveness.


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Bureau of policy and strategy. (2016). Guideline for the star of sub-district health promotion hospital in Thailand. Nonthaburi : Ministry of public health. (In Thai)
_______. (2018). National strategic plan Public health 20 years (2017-2036). Nonthaburi : Ministry of public health. (In Thai)
Churat, C. (2018). Efficiency in service operation of Phattalung hospital. Journal of administrative and management, 26(2), 28-36. (In Thai)
Cohen, J. M., & Uphoff, N. T. (1980). Effective behavior in organization. New York : McGraw-Hill.
Damrongpanich, S. (2012). Mplus for behavioral and social research data annaysis. Mahasarakham : Mahasarakham university. (In Thai)
Department of health service support. (2009). Primary Care Award : PCA. Bangkok : National assembly library of buddhism. (In Thai)
_______. (2016). Primary Care Unit quality assessment. Nonthaburi : Ministry of public health. (In Thai)
Etzioni, A. (1964). Modern Organizations. Englewood Cliffs. New York : McGraw-Hill.
Harold, K. (2017). Project management: A systems approach to planning, scheduling, and controlling. USA : Wiley.
Hoy, W. K., & Miskle, J. W. (1991). Education administration: Theory, research and practice. New York : McGraw-Hill.
Keith, D. (1972). Human behavior at work human relations and organization behavior. New York : Ew Planner.
Luksanawisit, J. (2010). Public policy and sub-district health promotion hospital expectations. Thai journal of nursing council, 25(1), 11-22. (In Thai)
Ministry of public health. (2014). Strategy, KPI and Guidelines for Ministry of public health 2015. Nonthaburi : Ministry of public health. (In Thai)
Naiphinit, A., Krirksakul, P., & Promsaka na sakon nakhon, T. (2014). Adjustment under globalization. SKRU academic journal, 7(1), 2-15. (In Thai)
Organization for Economic Co-operation and Development. (2014). OECD review of health care quality: Norway. Retrieved November 17, 2017, from /publications/oecd-reviews-of-health-care-quality-norway-2014-9789264208469-en.htm (In Thai)
Penchansky, R., & Thomas, W. (1981). The concept of access: definition and relationship to consumer satisfaction. New York : McGraw-Hill.
Public health region 8th. (2017). The star of sub-district health promotion hospital health region 8th 2017. Udonthani : Public health region 8th. (In Thai)
Roland, D. M., Guthir, M. B., Chir, PhD., & Colin M. B. (2012). Primary medical care in the United Kingdom. J am board fam med, 25, 6-11.
Schein, E. H. (1970). Organizations Psychology (2nd ed.). New York : Prentice-Hall.
Schumacker, R. E., & Lomax, R. G. (2004). A beginner guide to structural equation modeling (2nd ed.). New York : Taylor & Francis group.
Steers, R. M. (1977). Organizational effectiveness: a behavioral view. Santa Monica, CaliFornia : Goodyear Publishing.
Storbacka, K., & Lehtinen, J. (2001). Customer relationship management: Creating competitive advantage through win-win relationship strategies. McGraw-Hill Companies.
World Health Organization. (2010). Primary care evaluation tool. Retrieved November 10, 2017, from 2010/primary-care-evaluation-tool-pcet.
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