การศึกษาเปรียบเทียบการดำเนินงานตามเกณฑ์คุณภาพมาตรฐานบริการปฐมภูมิ พ.ศ. 2566 ของโรงพยาบาลส่งเสริมสุขภาพตำบลที่ถ่ายโอนภารกิจของกระทรวงสาธารณสุข

Lapatrada Numkham; Kantapat Boonwan; Kittiyaporn Choksawadphinyo

Authors

Lapatrada Numkham Faculty of Nursing, Rattana Bundit University
Kantapat Boonwan Faculty of Nursing, Rattana Bundit University
Kittiyaporn Choksawadphinyo Faculty of Nursing, Rattana Bundit University

Keywords:

primary-care quality standards criteria, management guidelines for sub-district health promoting hospitals, transfer of duties to provincial administrative organizations

Abstract

Introduction: The transfer of sub-district health promoting hospitals to the provincial administrative organizations is one of the government’s policies to facilitate access to healthcare for local people. However, the quality of services after implementing this policy has not been examined.

Research objectives: To study and compare the performance of subdistrict health promoting hospitals that transferred its missions according to the 2023 primary-care service quality standards of the Ministry of Public Health among the three provinces of Khon Kaen, Prachinburi and Suphanburi.

Research methodology: A cross-sectional study was conducted, collecting data from 144 subdistrict health-promoting hospitals across three provinces, using the 2023 primary-care service quality assessment form of the Primary Healthcare System Support Office, Ministry of Public Health. Data were analyzed using descriptive statistics and Kruskal-Wallis Test.

Results: The average score of the primary- care service quality assessment of all three provinces in all eight parts were statistically significantly different in 4 parts: 1) Management system, 2) personnel arrangement and service potential, 3) primary healthcare service system, with statistical difference levels of p < .001, and 4) medical and public-health laboratory system, with a statistical difference level of p < .05.

Conclusions: Management system, personnel arrangement and service potential, primary healthcare service system and medical and public-health laboratory systems differed among the three provinces.

Implications: Primary care units should utilize the evaluation results to improve their services to achieve comprehensive coverage across all aspects of care. Subdistrict Health Promoting Hospital administrators, in particular, should analyze their staffing needs and forward them to the Provincial Administrative Organization for overall analysis. This implication could inform the development of staffing frameworks and the allocation of adequate resources to Sub-district Health Promoting Hospitals.

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References

Department Of Local Administration. Laws and regulations related to the decentralization to Local Administrative Organizations [Internet]. 2022 [cited 2024 Jan 12]. Available from: https://www.dla.go.th/upload/ebook/column/2023/5/2365_6294.pdf (in Thai)

Office Of The Committee For Decentralization To Local Authorities, Office Of The Permanent Secretary, The Prime Minister's Office. Guidelines for the implementation of the transfer of Queen Sirikit Health Centers and Sub-district Health Promoting Hospitals to Provincial Administrative Organizations [Internet]. 2022 [cited 2024 Mar 24]. Available from: https://drive.google.com/file/d/1aIdKh0TwdEiVLRlHB5Jdm95EFAKHyhAF/view (in Thai)

Jungtrakul S. Transfer of Subdistrict Health Promoting Hospitals to Local Administration Organizations [Internet]. 2023 [Cited 2023 Mar 22]. Available from: https://healthserv.net/10594 (in Thai)

Sudhipongpracha T, Choksettakit W, Phuripongthanawat P, Kittiyasophon U, Sathatham N, Onphothong Y. Project to synthesize proposals and design policies for transferring Sub-District Health Promotion Hospitals to Provincial Administrative Organizations. Bangkok: Smile Copy;2021. (in Thai)

White F. Primary health care and public health: foundations of universal health systems. Medical Principles and Practice 2015;24(2):103-16.

Primary Health Care System Support Office. Guidelines for developing Star-rated Subdistrict Health Promoting Hospitals (Star-rated Subdistrict Health Promoting Hospitals) [Internet]. 2021 [Cited 2023 Mar 22]. Available from: https://drive.google.com/file/d/1aCDXtrAjIYPlDgn403Jz-d_6fEWp4U3J/view (in Thai)

Focus in-depth health system. Reveals "6 provinces" that transferred 100% of Sub-District Hospitals to the Provincial Administrative Organization [Internet]. 2023 [Cited 2023 Mar 22]. Available from: https://www.hfocus.org/content/2022/10/26111 (in Thai)

Tumkosit U, Renliang LR, Srimuang J. The policy evaluative research project on the transference of Tambol-Promotion-Hospitals to Provincial Administration Organization, Part 3 Research Sub-Project No.1 Primary health service provision of Subdistrict Promotion Hospitals of Provincial Administration [Internet]. 2024 [Cited 2024 Oct 28]. Available from: https://kb.hsri.or.th/dspace/handle/11228/6131 (in Thai)

Primary Care System Support Office, Ministry of Public Health. Primary care service quality standards manual 2023. Bangkok: War Veterans Organization Printing Office under Royal Patronage; 2023. (in Thai)

Althubaiti A. Sample size determination: a practical guide for health researchers. Journal Of General and Family Medicine 2023;24(2):72-8.

Gizaw Z, Astale T, Kassie GM. What improves access to primary healthcare services in rural communities? a systematic review. BMC Primary Care 2022;23(1):1-16.

Tongkum P. Development of the primary health care system after the transferring of the Sub-District Health Promoting Hospital to the Provincial Administrative Organization: a case study of the Sub-District Health Promoting Hospital in Nakhon Ratchasima Province. Journal of Health Research and Development Nakhon Ratchasima Provincial Public Health Office 2024;10(1):176-98. (in Thai)

Raksasataya A, Boontan N, Theunman J, Srivanichakorn S. Characteristics of work, problems, obstacles and needs of Thai family physicians. Journal of Primary Care and Family Medicine 2024;7(3):263-74. (in Thai)

Noree T. Development on policy options for doctors working in Sub-District Health-Promoting Hospitals [Internet]. 2024 [Cited 2024 Oct 28]. Available from: https://kb.hsri.or.th/dspace/handle/11228/6180 (in Thai)

Sornkasetthrin A, Sriyasak A, Chantra R, Nimwatanakul S, Krirkgualthorn T, Chuenklin T, et al. Policy proposal of health manpower management in a transitional period from Sub-District Health Promotion Hospitals to Provincial Administrative Organizations. BCNNON Health Science Research Journal 2024;18(1):121-32. (in Thai)

Tumkosit U, Patamasiriwat D, Meemak W, Punnitamai W, Thammakoranonta N, Mahakakanjana C, et al. The policy evaluative research project on the transference of Tambol-Promotion-Hospitals to Provincial Administration Organization, Part 2 Holistic of primary health care system [Internet]. 2024 [Cited 2024 Oct 28]. Available from: https://kb.hsri.or.th/dspace/handle/11228/6130 (in Thai)