Results-Based Management Factors and Key Success Factors Affecting the Operation of District-Level Disease and Health Threat Surveillance and Investigation Team Standards among Public Health Officers in Sub-District Health Promoting Hospitals in Nakhon Phanom Province

Abstract

This study is a cross-sectional descriptive research aimed at examining results-based management factors and success factors affecting the operational performance of district-level disease surveillance and investigation teams, as well as identifying obstacles and recommendations regarding the operational standards of district disease surveillance and health hazard teams among public health officers in sub-district health promoting hospitals in Nakhon Phanom Province. The study population consisted of 201 public health officers, with data collected from 149 samples (85.14% of the calculated sample size, increased by 20% to account for attrition) using simple random sampling. The instruments used were a questionnaire and an in-depth interview guide, and data were analyzed using Pearson's Product Moment Correlation Coefficient and Stepwise Multiple Regression Analysis at a significance level of 0.05. The results revealed that results-based management factors and success factors had a high level of correlation with operational performance (r= 0.756, p-value<0.001 and r=0.805, p-value<0.001, respectively), with four variables selected into the regression equation in order: the success factor of building understanding and fostering cooperation, the success factor of inter-agency and network linkage, the results-based management factor of accountable responsibility, and the success factor of support and monitoring by administrators at all levels. It was concluded that these four independent variables collectively predicted operational performance at 69.50% (R²=0.695, p-value<0.001), and the findings can serve as guidelines for relevant agencies to promote knowledge exchange, establish mentoring systems, and develop network partnerships to enhance personnel capacity and operational efficiency, while instituting continuous external monitoring mechanisms to improve quality, transparency, and readiness in responding to diseases and health hazards in the area.