Factors Affecting Collaborative Governance for Ageing Health Promotion in Urban Areas of Local Health Security Fund, Region 12th Songkhla

Authors

  • Sanya Yueran Students of the Doctor of Public Health Program Faculty of Public Health Naresuan University
  • Archin Songthap Faculty of Public Health, Naresuan University

Keywords:

Ageing Health Promotion, Collaborative Governance, Local Health Security Fund (LHSF)

Abstract

This cross-sectional descriptive study aimed to determine factors for collaborative governance in ageing health promotion in urban areas of the Local Health Security Fund (LHSF) of Region 12th. A total of 270 subjects, 30 per each of the 9 municipalities, using multi-stage random sampling. They were recruited from committees as well as from an elderly group. Data were collected using a questionnaire including two parts: 1) knowledge about fund management and ageing health promotion, and 2) collaborative governance. The questionnaire was verified by 5 experts, yielding a content validity of 0.80 – 1.00, and a reliability of 0.72 and 0.98, respectively. Data were analyzed by descriptive statistics such as frequency, percentage, mean and standard deviation, while inferential statistic was a stepwise-multiple regression analysis.

Results showed that collaborative governance for ageing health promotion in urban areas of local health security fund, Region 12 was at high level (M=4.22, SD=0.54). Collaborative governance consisted of 2 main parts including collaborative governance mechanism, which was observed at a high level (M=4.19, SD=0.49). Collaborative governance process was also at high level (M = 4.17, SD = 0.48). Factors that can explain the variation in collaborative governance included monitoring and evaluation (β =0.294), resource management (β=0.213), organization culture (β=0.147), public relations (β=0.154), leadership management (β=0.109) and knowledge management (β=0.127). These factors coincide with the collaborative governance at 74.80 %.

The findings from the study can be utilized as a guideline for related committees for the betterment of elderly health promotion, especially for: a) monitoring and evaluation, b) resource management, c) culture organization, d) public relations, e) leadership management, and f) knowledge management.

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Published

2020-10-01