DEVELOPMENT OF A DECISION-MAKING MODEL FOR TUMBON HEALTH PROMOTING HOSPITAL PERSONNEL TO PROVINCIAL ADMINISTRATIVE ORGANIZATIONS
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Abstract
BACKGROUND: The pilot study in Chiangra province. It was found that 61.8% of Tumbon health promoting hospital personnel were at the level of uncertainty. Almost all of them require more information for decision-making. Therefore, there should be a decision-making model for public health personnel to make more effective decisions.
OBJECTIVE: To develop the decision-making model for Tumbon health promoting hospital personnel to provincial administrative organizations
METHODS: This research and development have 3 phases as follows: Phase 1 to survey the decision-making data of 300 public health personnel. Data were collected using a questionnaire and analyzed by frequency and percentage. Phase 2 to design and verify model 2 step, step 1 design model via qualitative research (Grounded Theory) from a working group of 30 people, step 2 verify the model by a sample of 738 public health personnel using a questionnaire and confirmatory factor analysis. Phase 3 to study the effectiveness of the model using quasi-experimental study designs, with a sample size of 40 people/ group, data were analyzed by basic statistical, frequency, percentage, mean and standard deviation, statistic reference z-test, independent t-test and Effect size of Cohen's d.
RESULTS: The decision-making model found that in phase 1, the decision-making situation towards the 41% not transferred, 34% were unsure, and 25% were transferred respectively. Phase 2 found that there should be 3 categories of learning issues: legal, organizational, and personnel, of which 3 factors were the confirmatory factors. Phase 3 found that the proportion of indecision in the experimental group was less than in the control group significantly (p=0.021, ES. = -2.23). As for the mean of knowledge and attitude, it was found that the model had an effect on the mean score. The experimental group was higher than the control group significantly (p=0.001, 0.003 and ES. = 0.75, 1.31, respectively).
CONCLUSION AND DISCUSSION: A decision-making model for Tumbon health promoting hospital personnel to provincial administrative organizations. It's an effective model that can be used as a guideline for learning management in public health personnel in the province.
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