Guideline for the financial management In Sub-district Health Promoting Hospital, Nawa District Nakhon Phanom Province

Abstract

Objectives : To study about financial situation and develop guideline for the financial management In Sub-district Health Promoting Hospital, Nawa District Nakhon Phanom Province. Materials and method : This research was action research: AR . Researchers were five of chief finance officers of Contracting Unit for Primary Care, Nawa district, nine of directors of Sub-district health promoting hospital and ten of district public health coordination committees. Research instrument: 1. Survey of the management of financial In Sub-district Health Promoting Hospital. 2. Question of group conversation and data source in –depth interviews. 3. Meeting process observation form of chief finance officers and district public health coordination committees.The research procedures were planning, action, reflection, and re- planning. This research had data analysis by quantitative data, frequency distribution, average and percentage, and content analysis Results : Research findings were as financial situation in nine Sub-district Health Promoting Hospitals, Nawa District Nakhon Phanom Province. In fiscal year 2015and 2016 had finance balance as 3,304,864.65 and 2,775,055.12 baths or average with Sub-district Health Promoting Hospital as 367,207.18 and 308,339.46 baths respectively. In receipts (not money from Village Health Volunteer and Sub-district fund) total fix cost 50.47% ,quality and outcome framework 23.95% , employee compensation expense 56.09% compensation 33.57, material cost 5.88%, proportion of expenditure per receipts 106.96. It means that expenditure more than receipts Guideline for the financial management In Sub-district Health Promoting Hospital in 2017 on plan management report and stay alerted: data analysis and report every month. Reduction of expenses: No employ personnel ,Give main hospital had employee for Sub-district Health Promoting Hospital and reduce the duration of duty from 4 hour left 2 hour. Increase revenue: Main hospital should increase fixcost.The Sub-district Health Promoting Hospital precipitates performance according to indicators quality and outcome framework and Thai traditional medicine service, register to direct pay system of Sub district Administrative Organization and social security disbursement Conclusion : The financial situation had downward trend, expenditure more than receipts, therefore the guideline for main hospital should increase the money fix cost and employ the professional employee for Health Promoting Hospital. Health Promoting Hospital has to follow up and report the financial situation every month.The Sub-district Health Promoting Hospital precipitates performance according to indicators quality and outcome framework and Thai traditional medicine service, register to direct pay system of Sub district Administrative Organization and social security disbursement