Primary Care Service in Thailand After 5 Years of Being Driven by the district Health System

Abstract

Ministry of Public Health had driven primary care service system to promote the people good quality of life  by the District Health System (DHS) since 2013. This qualitative research aimed to study the situations of DHS  management during 2013-2017 and recommend the development of managing system. The data collected  from the network during April 2016 to March 2017, with self-generated interviews, the questions about the  development of DHS with triangular test. Statistical analysis using descriptive and thematic analyses. The  results showed that performance of the year 2013-2017 increased from 30.5, 50.0, 94.7, 100.0 and 100.0  percent each year. Primary care service systems were linked to all of the health system development plan.  The most operation issue was chronic patient care, 26.6%. The good thing was network engagement to find  the problems in area systemically. The capacity building were linked to all of service levels, information  systems use an online networks, monitoring by empowerment activities, integrated budgets in all sectors,  shared resources and had competitive leadership team. An obstacle includes the communication of the  policy that could not get through to sub-district level. In conclusion, the development of DHS brings benefits  according to the needs of the people. The focus policy should be on working in to the community,  communicate to the relevant ministries. In order to integrate the policy for staffs can make a deal coordination smoothly.