The Evaluation of Primary Health Care Servicing by Subdistrict Health Promotion Hospitals Transfered to Provincial Administrative Organization in Fiscal Year 2023*
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Abstract
As a result of the government transferring 3,263 Subdistrict Health Promotion Hospitals (SHPHs) from the Ministry of Public Health to Provincial Administrative Organizations of 49 provinces, this has led to doubts as to whether will the said transfer cause an impact on the services that the SHPHs is responsible for? Therefore, this research aims to evaluate the service outcomes of the SHPHs after the transfer. By answering the questions: (1) After the transfer, the services delivered to the people are better or worse than before. (2) What are the main weaknesses/strengths of the services after the transfer? Compared to before the transfer (3) to suggest ways to improve the services of the SHPHs to have increased service performance. For the conceptual framework of the research, the Star SHPHs model was used as the content framework for the evaluation. As for the research methodology, qualitative research methods were used. Triangulated data were collected from a sample of 32 SHPHs from 8 provinces, 4 regions. The data were analyzed and interpreted using the Atlas.ti program. The results found that 60 percent of post-transfer services are still like a transfer wrap the other 25 percent are likely to be better than before. Due to receiving an increase in budget and personnel and the remaining 10 percent said it was worse than before. This is because a number of personnel were not transferred. The main problem of the primary health care system is that the quality of the service is still much lower than the target. This is because the budget and manpower are still below standard. Therefore, to solve this problem, the government should consider developing manpower and budget to meet the needs.If the majority of people agree on this matter, permission to bet or operate legal online soccer betting businesses under close supervision and monitoring may be considered.
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References
Announcement of the Committee on Decentralization to Local Administrative Organizations regarding the criteria and procedures for transferring the mission of the Chaloem Phrakiat 60th Anniversary Nawaminthrachini Health Station and Subdistrict Health Promoting Hospital to the Provincial Administrative Organization. (2021, 19 October). Royal Gazette. Volume 134, special section 254 D., pages 14-15.
Chotchuangchatchai S. et al. (2022). Situation processing mechanisms and support for health policy and system technical work: the case of transferring subdistrict health promotion hospitals to the Provincial Administrative Organization. Health Systems Research Institute. https://kb.hsri.or.th/dspace/bitstream/handle /11228/5864/hs2965.pdf
Constitution of the Kingdom of Thailand, B.E. 2017. (6 April 2017). Royal Gazette, Volume 134, Section 40, pp. 2,6,11,14,15.
Health Systems Research Institute. (2023, 20 December). Transfer of Subdistrict Health Promotion Hospital, Health System Research Institute. https://hsiu.hsri.or.th/
Kulthammanusorn A. et al. (2018). Evaluating the transfer of primary care units to local government organizations: synthesizing lessons from 51 areas and policy options. Health Systems Research Institute.https://kb.hsri.or.th/dspace/bitstream/handle/11228 /4866/hs2401.pdf
Leesmith W. and Phannarunothai S.. (2016) The role and appropriate choices of the Ministry of Public Health after 10 years of health decentralization. Journal of Health Systems Research, 10 (3), 262-276.
Leethongdee S. (2011). Complete report on progress assessment and impact analysis in the implementation of the health decentralization plan. Health Systems Research
Institute.https://kb.hsri.or.th/dspace/bitstream/handle/11228/3103/hs1776.pdf
Office of Primary Health System Support. (2021). Guidelines for the development of starred health promotion hospitals (starred health promotion hospitals) year 2021. https://government.icti.co.th/uploads/2019071512183 43FXLFX0/20210301150359_1_PzMa4Y1.pdf
Phuangngam k., Chatchawan S., Ounaromlert T., Buakam T., Manarojananon S., and Chandai R.. (2012). Complete report on the project to analyze the situation of public health service provision. In the local government organization area. Health Systems Research Institute.
Primary Health System Act 2019. (2019, 30 April). Royal Gazette, Volume 136, Section 56 A.
Ratchatawan R. et al. (2022). Health service model of the Chaloem Phrakiat 60th Anniversary Nawaminthrachini Health Station and Subdistrict Health Promoting Hospital. After the transfer of missions to the Provincial Administrative Organization Using the mechanism of the Primary Health System Act 2019. Health Systems Research Institute.https://kb.hsri.or.th/dspace/bitstream/handle/11228 /5821/hs2941.pdf
Rifat A., Lang H. (1996). What is good primary care? What is good primary care 7-What is the evidence that it is "good" ?. Developing Primary Care Resource Pack, Jan 1996, M2-4. Cited in Srivanitchakorn S.. (2009)
Rongmuang D. et al. (2022). Providing services according to primary care service standards and service standards certification of subdistrict health promoting hospitals under the Provincial Administrative Organization. Health Systems Research Institute.
Schulberg, H. C., & Baker, F. (1968). Program evaluation models and the implementation of research findings. American Journal of Public Health and the Nation’s Health, 58(7), 1248-1255.
Srirattanaball C. and Saisum B.. (2023). Assessment of the impact on public health after the transfer of the Subdistrict Health Promoting Hospital to the Provincial Administrative Organization in fiscal year 2023: Phase. No. 1 Assessing warning signs of potential impacts on health status. From studying retrospective data and preparing case studies. Health Systems Research Institute.
Sriwanitchakorn S. (2009). Primary public health. Primary health care system and family medicine: definitions, meanings, and connections. The Thai Journal of primary care and family medicine. http://kb.hsri.or.th>dspace>handle.
Starfied, B. (1998). Primary care: balancing health needs, services and technology. London: Oxford University Press.
Sueasaengthong Y. and Kaewwichian R.. (2012). 5 years of transferring health centers to sub-district administrative organizations and municipalities: Public health decentralization 2007-2011. Public Health System Research Journal, 6(1), 86-99.
Suphawong C., Chunharas S., Damrikanlert L., Sriwanitchakorn S., Vetsutranon K., and Sirilak S.. (2009). Service manual of health promotion hospital. district. T Q P.
Tangcharoensathien W. et al. (2018). Study of workload and workforce productivity in Subdistrict Health Promoting Hospital (Subdistrict Health Promoting Hospital). https://kb.hsri.or.th/dspace/bitstream/handle /11228/4893 /hs2417.pdf
Theptarakarnphon S., Wattanasay S., Longkul J., Evanovich K., and Mongkonsamrit S.. (2023). People's views and expectations regarding the transfer of subdistrict health promotion hospitals to the management of local administrative organizations. Health Systems Research Institute.https://kb.hsri.or.th/dspace/bitstream/handle/11228/5929/hs3016.pdf
Tumkosit U. (2024). Research in public administration and social sciences: the science of knowledge and research methods. Bangkok: Faculty of Public Administration National Institute of Development Administration.
World Health Organization. (2007). Everybody's business -- strengthening health systems to improve health outcomes: WHO's framework for action. World Health Organization. Retrieved from https://iris.who.int/handle/10665/43918.