The Effects of Adjusting Administrative Processes to Enhance Efficiency in Primary Health Care Service Delivery at the Sakon Nakhon Provincial Public Health Office after the Transfer of the Responsibilities of the Sub-district Health Promoting Hospitals to the Sakon Nakhon Provincial Administrative Organization

Abstract

This study was a quasi-experimental, single-group research that examined the effects of increasing efficiency in primary health care service operations of Sakon Nakhon Provincial Public Health Office after transferring the mission of sub-district health promoting hospitals to Sakon Nakhon Provincial Administrative Organization. The population consisted of personnel working in Sakon Nakhon Provincial Public Health Office and all district public health offices, totaling 230 people. The sample group comprised 135 volunteers. The research instruments included: 1) the experimental instrument, which was the revised administrative process model, and 2) the data collection instrument, which was a questionnaire that had been checked for content validity by 3 experts, with an IOC value of 0.88 and an overall reliability of 0.91. The statistics used in the analysis were frequency distribution, percentage, mean, standard deviation, median, minimum and maximum values, and the analysis of the difference in means used the Paired Samples Test.
            The results of the study found that the efficiency of primary health care service operations of Sakon Nakhon Provincial Public Health Office increased statistically significantly at .05 level (Mean diff = 0.32, 95% CI = 0.25 to 0.40, t = 10.76, p-value <0.001). From the research results, it was suggested that: 1) clear common indicators should have been defined, reducing the complexity of indicators and increasing the clarity of implementation; 2) the collaboration mechanism should have been continuously strengthened; 3) the integration of resources between areas should have been promoted and the preparation of joint action plans encouraged; and 4) the capabilities of personnel should have been developed and their readiness enhanced to be consistent with the new working model.