Organizational Climates Affecting The Performance Of Sub-District Health Promoting Hospital Director In District Health System Development in Udon Thani Province

Abstract

This cross sectional descriptive research aimed to study organizational climates affecting the performance of sub-district health promoting hospital directors in district health system development in UdonThani province. The samples were 109 personnel randomly selected by systematic random sampling from the 210 population. This study collected both quantitative and qualitative data. Focus group guideline was used to collect the data from 12 people’s key informants who can provide intensive information on the topics. The questionnaire was examined and verified by the three experts for content validity and tested for reliability in pilot study of 30 samples in NongKai  province and Alpha Coefficient was at 0.98. Data collected between March 21^st, 2017 - April 21^st ,2017. The data distribution was performed by descriptive statistics including percentage, mean, standard deviation, median, minimum, maximum. The Inferential statistics were Pearson product moment correlation and Stepwise multiple linear regressions.   The results showed that the performance of sub-district health promoting hospital directors in district health system development in UdonThani province were at high level with averages of 3.95 (S.D. = 0.53). The 0rganizational climates was found at high level with averages of 4.01 (S.D.=0.45). The organizational climates variable had moderate relationship with performance of sub-district health promoting hospital directors in district health system development in UdonThani province with statistical significance (r = 0.699, p-value < 0.001).  Three organizational climatesvariable; responsibility, conflict and risk can predict performance of sub-district health promoting hospital directors in district health system development in UdonThani province at 50.4 percentage. The organization should have proper in charge of specific task force, good conflict management and efficient risk management. These lead to successful district health system development in the future.