Organizational Support and Key Success Factors Affecting The Performance According to Thai Traditional Medicine Service Standards among Public Health Officers at Sub-District Health Promoting Hospitals Roi-Et Province

Abstract

This cross-sectional analytical study aimed at investigate the organizational support and key success factors that affect the performance of public health officials in accordance with the standards of traditional Thai medicine services at sub-district health promoting hospitals in Roi-Et Province, Thailand. The study included all 229 eligible participants. A total of 194 completed questionnaires were returned (response rate 84.7%). Data were collected using questionnaires with content validity verified by three experts. The Index of Item-Objective Congruence (IOC) exceeded 0.50 for all items, and the reliability analysis showed a Cronbach's Alpha coefficient of 0.98. Qualitative data were collected through in-depth interviews with 12 key informants using interview guidelines. Data were analyzed using descriptive statistics including frequency, percentage, mean, standard deviation and inferential statistics, specifically Pearson’s correlation coefficient and stepwise linear regression analysis, with statistical significance level set at p <0.05 and in-depth interviews to collect qualitative data.

The results indicated that the overall level of organizational support, key success factors, and performance according to the standards of traditional Thai medicine services among public health officials in sub-district health promoting hospitals in Roi-Et Province were high, with means of 3.95 (S.D. = 0.56), 4.00 (S.D. = 0.56), and 3.98 (S.D. = 0.56), respectively. Furthermore, the overall organizational support and success factors had a strong positive correlation with the performance according to the standards of traditional Thai medicine services, which was statistically significant (r = 0.724, p-value <0.001) and (r = 0.775, p-value <0.001), respectively. The four predictor variables composed of key success factors related to improving the image of health services, organizational support concerning management, organizational support concerning personnel, and key success factors related to the connection between sub-district health promoting hospitals and with the main hospital together positively.

Predicted the performance of public health officials according to the standards of traditional Thai medicine services at the sub-district health promoting hospitals in Roi-Et province Thailand, explained 64.0% of the variance. (R² = 0.640, p-value <0.001)