Effectiveness of an Integrated Model for Proactive Health Screening in Healthcare Service Network, Phromphiram District, Phitsanulok Province

Abstract

This study aimed to evaluate the effectiveness of developing an integrated proactive health screening model in the Phromphiram District Health Service Network, compare outcomes before and after model development, and identify success factors. A mixed-methods study was conducted during fiscal years 2023-2024 in the Phromphiram District Health Service Network, comprising one hospital, one community health center, and 19 Subdistrict Health Promotion Hospitals. The MOON+N Framework was applied for model development. Quantitative data were collected from the PP Fee Schedule database and satisfaction questionnaires administered to 307 service recipients and 264 service providers. Qualitative data were gathered through focus group discussions. The results showed that revenue from PP Fee Schedule allocation increased from 1,813,040 baht in fiscal year 2023 to 5,438,785 baht in fiscal year 2024, representing a 199.98% increase. Mental health screening coverage increased from 7.82% to 25.63%, respectively. Service recipient satisfaction was at the highest level (x̄=4.62), and service provider satisfaction was at a good level (x̄=4.38). Success factors included management support, teamwork, continuous learning and improvement, strong networks, efficient resource management, and effective communication. In conclusion, the developed integrated proactive health screening model was effective in increasing health screening coverage and service unit revenue and can be used as a prototype for implementation in other areas.