The Policy Recommendations to Develop the Role of Academic Centers in Supporting the Operation of Sub-district Health Promoting Hospitals under the Provincial Administrative Organization
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Abstract
Background: The transfer of Sub-district Health Promoting Hospitals (SHPHs) to the jurisdiction of Provincial Administrative Organizations (PAOs) has marked a significant shift in Thailand’s primary healthcare system. The Ministry of Public Health plays a crucial role in supporting the operations of these SHPHs to enhance the quality of primary health services.
Objective: To formulate policy recommendations to develop the role of academic centers in supporting the operations of SHPHs under the provincial administrative organization.
Methods: This study employed a qualitative research design. The study areas were selected using stratified purposive sampling, choosing one province from each of the five health regions where academic centers are located. A total of 151 key informants were recruited, comprising personnel from both the Ministry of Public Health and the Ministry of Interior. Data were collected through semi-structured interviews, focus group discussions, and public hearings. The content validity of the interview tools ranged from 0.6 to 1.00. Qualitative data were analyzed using data categorization and content analysis.
Results: The findings suggest three key policy recommendations: (1) Academic centers should provide technical support to SHPHs to help them achieve performance indicators and deliver quality, contextually relevant primary healthcare services that meet the need of the local population; (2) Inter-departmental academic collaboration should be integrated before coordinating with PAOs and local health boards to reduce redundancy in technical support; and (3) The role of academic centers in working with PAOs should be clarified by establishing joint performance indicators for monitoring and evaluating SHPH operations toward the goal of achieving quality SHPHs.
Conclusion: Academic centers play a vital role in the stewardship of the healthcare system by providing technical support in collaboration with healthcare service units at all levels.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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