The Performance Assessment Model for the District Health Board in the Context of Transferring Sub-district Health Promotion Hospital, Khon Kaen Province

Abstract

        This action research study aims to developing the performance assessment model for the district health board in the context of transferring sub-district health promotion hospital, Khon Kaen province. Fifty- two participants involved in developing the model were 26 chiefs and assistant chiefs of district public health officers and 26 subdistrict health promotion hospital directors. The study was conducted in Khon Kaen province in 2022. Data was collected by using: 1) A problem analysis record form 2) a performance monitoring record form 3) an evaluation record according to UCCARE 4) an innovation evaluation form or good practices, and 5) a participation assessment form. Quantitative data were analyzed using descriptive statistics, and qualitative data was analyzed using content analysis. The results of the study found that:  Evaluation problems include four issues: 1) The committee does not understand innovation content, indicators, and methods for evaluating performance 2) Most of them did not participate in driving operations continuously, according to the roles of the committee 3) The results of the evaluation were not returned to relevant people to use in developing or solving problems, and 4) there was a lack of continuity of operations because of the results of the transfer policy for Sub district Health Promotion Hospital to local administrative organizations. Developing an evaluation model consisting of 1) developing potential in knowledge and understanding about performance evaluation 2) developing a team to evaluate innovations or good practices at the district or subdistrict level, and 3) summarizing results and lessons learned. Results of operations according to quality of life development according to the UCCARE 5-level framework. It was found that every district had the majority of the assessment results at level 4, passing the criteria that were not lower than level 3. In 2020, it passed the average criteria between 3.0-4.0. In 2021, the average criteria increased to 3.5–4.9, and in 2022, the average criteria increased to 4.5–5.0, and overall, the average score is at the highest level.

        The results of this study conclude that it is possible to develop the potential of the committee to have skills in performance evaluation. It helps to support the drive to achieve the goals. However, the main responsible agencies should create cooperation in a policy agreement between the Ministry of Public Health and the Department of Local Administration Ministry of Interior to drive work together to ensure continuity.