Situation of the Tambon Health Promoting Hospital after enchance to the Tambon Health Promoting Hospital policy

Abstract

This qualitative research aim to study the situation of the Phitsanulok Tambon Health Promoting Hospital after the enchancement to the Tambon Health Promoting Hospital policy. Data was collectted by indepth interview,focus group and parcipatory observations and was analyzed using content analysis approach. Taget group recruited by purposive sampling were director of Tambon Health Promoting Hospital, director of Hospital or the head of Health District or the responsible for primary care. The results showed the Tambon Health Promoting Hospital reserved the development of primary careservive. The

node and network of Tambon Health Promoting Hospital format were set up by geography and appropriate to management but

without the use of shared resources. The board of Tambon Health Promoting Hospital was based on the standard of Ministry of Health. The officers of Tambon Health Promoting Hospital were the leaders of board. The physical improvements is good result to reputations. The medical equipment and others did not meet with the need and low quality equipment. The budget received is not changed. Lack of personnel,did not fully comply with the requirements. The work were more both proactive and reactive. There were the support and connected service from the host hospital i.e service,resource, supplies, personnel,

knowledge and quality development. The problems were lack of personnel and CUP management should be done with District Health System and to manage the network.