The correlations between readiness perceptions and attitudes of health providers toward the five stars standard criteria of sub-district health promoting hospital quality development

Abstract

The mixed-methods descriptive study aimed to determine the correlations between readiness, perceptions and attitudes toward the five stars standard criteria of hospital quality development. The participants were 50 health providers included public health officers and health professional employees that worked at 16 sub-district health promoting hospitals (SD-HPHs) in Phrao district Chiangmai province. The questionnaires and focus group interview were used as a research tools consisted of 5 parts which were part 1 general informations, part 2 readiness by 4M management strategy, part 3 perception level, part 4 attitude level and part 5 focus group interview. The content validity was verified by 5 experts and its validity index was 0.83. The Alpha Cronbach's coefficient was 0.86. The data were analyzed by Pearson correlation coefficient.

The results revealed that the mean of the readiness by 4M management strategy was at a middle level ( =3.070, SD=0.5715). The mean of perceptions was at a middle level ( =3.346, SD=0.533). The mean of attitudes was at a high level ( =3.712 , SD=0.438). The correlations between the readiness and the attitudes was at a middle level, statistical significance. (r=0.366,P-value<0.009). It assumed that the readiness affected the attitudes of the participants group moderately. The readiness in each aspect was at a middle level. The participants were also concerned with the consumptions of the infrastructure development. The correlations between perception and attitudes was at a middle level, statistical significance (r=0.430,P-value<0.002). It assumed that  the recognitions of  the five stars standard criteria of SD-HPHs quality development affected the attitudes of the participants group moderately. They recognized the necessity and details on the evaluation criteria at a middle level. They expected to be certified and be happy at work. The other important factor was the relationship between the health providers and the community network that established sustainability in SD-HPHs development. The size of the SD-HPHs unit (service units in proportion to the population) did not affect the development method but affected budget allocations because there were more service units than other districts with a similar population proportion.