Main Article Content
This futuristic research aimed to analyze and assess the model for health care system development in districts on the Thai-Lao borders. The research was conducted by the field research method collecting the data by focus-group techniques from 60 samples who were leaders of the partaking networks. They were key personnel from six districts, 10 persons each. In-depth interviews were conducted with 17 experts from five disciplines. The research was carried out from November 1st, 2017 to February 28th, 2018. The data were analysed by content analysis. Descriptive statistic was used (percentage, mode, inter-quartile range).
The results showed that the model for health care system development in the Thai-Lao border districts, implemented according to apply UCCARE, consisted of six elements interconnected with one another systematically. They were: 1) unity of district health team (U), 2) customer focus (C), 3) community participation (C), 4) appreciation inquiry (A), 5) resource sharing (R), and 6) essential health service (E). However, due to differences in geographical and sociocultural and several other contexts of Thailand-Laos border, it was found that the appropriate heath care systems should have 10 key components 28 sub-components and 75 important points, which 80 % of suitability, high level of possibility (mode level 4 and up), and inter-quartile range less than 1.00. The 4 key components added in the previous model (CCCC: 4 C): captaincy (C), communication (C), Commitment (C), and Culture (C). Therefore, the Appropriate Thailand-Laos Border District Health Care System or DHS@Thai-Laos’s border (4C+U+CARE+C) should be concluded as follows
Article published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals
Department of Foreign Trade Ministry of Commerce; 2013. (in Thai).
2. Manachareon P. Study and development of public health cooperation in the Eastern region for
solving public health problems. Bangkok: Diplomatic Management Program, Class 6, 2014, Institute
of Foreign Affairs, Devawongworaphot Ministry of Foreign Affairs; 2014. (in Thai).
3. Office of Policy and Strategy. National Health Development Plan No. 11 (2012-2016). Nonthaburi:
Ministry of Public Health; 2012. (in Thai).
4. International Cooperation Agency. Guidelines for border health operations Supports the entry into
the ASEAN community. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2014.
5. Office of the Thai Health Security Research and Development Institute, Health Systems Research
Institute. The use of health services for Lao patients in Thailand: a case study of the impact on
Thai public hospitals; 2012. (in Thai).
6. Yongying P, Tienthavorn V, Tanvatanakul V, Tekhanmak K, Chaoniyom V. Districts Health Systems
on the Thailand-Laos Border: Situations and Major Problematic Conditions. Thailand Journal of
Health Promotion and Environmental Health.2017;40(2_03):28-40. (in Thai).
7. Yongying P, Tienthavorn V, Tanvatanakul V, Tekhanmak K, Jaidee P, Chaoniyom V. The direction
and developing process of Districts’ Health Systems on the Thailand-Laos Border. Journal of
Boromarajonani College of Nursing, Bangkok 2019;35(1-1):175-86. (in Thai).
8. Community Health System Research and Development Institute. Evaluation guidelines for developing
DHS. Community Health Research and Development Institute Foundation; 2014. (in Thai).
9. Ashananuphap S. District Health System: DHS: Experience the difference. Nonthaburi: Sahamitprinting
& Publishing Company; 2014. (in Thai).
10. World Health Organization. Monitoring the building blocks of health systems: A handbook of
indicators and their measurement strategies. Geneva: WHO Document Production Services; 2010.
11. Cooperrider DL, Whitney DA. positive revolution in change: Appreciative inquiry. Available from
12. Jensen C. Delphi in Depth: Power Techniques from the Experts Berkeley. Singapore: n.p.; 1996.
13. Kitpridaborisuththi B. Social sciences research methodology. Bangkok: Chamchuri Product printing;
2011. (in Thai).
14. Rattanasajjadham K, Yamkasikorn M, Thanvatakul V, Suptapan V, et al. Research report on status
and strategies for promoting and supporting local wisdom concerning economic self-reliance in
the eastern region of Thailand. Nonthaburi: Office of the National Research Council of Thailand;
2003. (in Thai).
15. Health Network Leader, Male Health Volunteer Branch, 46, (interviewed on January 7, 2018).
16. Health Network Leader branch of public health, female, 30, (interviewed on January 19, 2018).
17. Health Network Leader branch of public health, male, 47, (interviewed on January 7, 2018).
18. Health Network Leader branch of locally government, male,34, (interviewed on January 28, 2018).
19. Tantiwetchakul S. Blow from inside Heart of development In His Majesty King Rama 9. Available
from https://mgronline.com/onlinesection/detail/9590000115284. 2016. (in Thai).
20. Berlo DK. The process of communication. New York: The Free Press;1960.
21. Health Network Leader branch of government and security, male, 47, (interviewed on January 7,
2018). (in Thai).
22. Health Network Leader branch of government and security, male, 44, (interviewed on January 19,
2018). (in Thai).
23. Health Network Leader branch of government and security, male, 59, (interviewed on January 9,
2018). (in Thai).
24. Health Network Leader branch of sub-district health service, male, 53, (interviewed on January
7, 2018). (in Thai).
25. Health Network Leader branch of locally government, female,40, (interviewed on January
17, 2018). (in Thai).
26. Health Network Leader branch of sub-district health service, female, 47, (interviewed on January
17, 2018). (in Thai).
27. Health Network Leader branch of district health service, female, 46, (interviewed on January
7, 2018). (in Thai).
28. Health Network Leader branch of public health, male, 51, (interviewed on January 19, 2018).
29. Health Network Leader branch of locally government, female,45, (interviewed on January 9, 2018).
30. Government Gazette. Office of the Prime Minister's Regulation on the Development of Quality of
Life at the Area Level, 2018. (135), Special Episode 54 D; March 9, 2018. (in Thai).
31. Mangchit P. Kanato M. and Kittima Mamen. Study of guidelines for the development of District
health networks. Journal of Faculty of Education Khon Kaen University; 2013. (in Thai).
32. Srivanichakorn S. ed. all. Hospital and community health system drive. Bangkok: Office of Health
Promotion Foundation, Community Health System Research and Development Office, ASEAN
Health Development Institute Mahidol University, PA Living Company Limited; 2011. (in Thai).
33. Rujiwankul S, Leethongdee S, and Suwanpan A. Develop a district health system management
model with participatory learning of local networks: a case study of Khun Han District, Sisaket
Province. Journal of Graduate School, Pitchayarat, Ubon Ratchathani Rajabhat University
2015;10(2):117-25. (in Thai).
34. Sosom B, Phrakotphon P, Suvannakha Y, Chaiyarit A, Sithan S, Soisisawat M, Chantapong S. Levels
of Quality of Life and Method to Develop Quality of Life in Thai Chronically ill patients. Health
Systems Research Institute; 2016. (in Thai).
35. Thienthavorn V. Communication for driving public policy, surveillance, prevention and control
Diabetes, high blood pressure Case study in Sing Buri province. Bangkok: Ph.D. Dissertation Program
(Political Communication) College of Political Communication Krirk University; 2015. (in Thai).
36. Sirikun C, Phakdeekul W. Assessing opinions on the development of district health service network
(DHS) in Sakon Nakhon province. Journal of Community Health Development Khon Kaen University
2014;2(1):1-11. (in Thai).