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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