Enhancing Efficiencies of Subdistrict Health Promoting Hospital Post-Transfer of Missions to Local Government Organization
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This article aims to study and evaluate the efficiency of the administration of sub-district health-promoting hospitals and to provide recommendations for policy improvement of sub-district health-promotion hospitals in Nakhon Si Thammarat Province after the transfer of missions to local administrative organizations, using a mixed-methods research approach. The key informant group consisted of (1) executives of the Nakhon Si Thammarat Provincial Administrative Organization and (2) executives from the Ministry of Public Health. The sample group comprised 172 public health personnel working in sub-district health promotion hospitals in both professional and support sectors. The study area included (1) the Nakhon Si Thammarat Provincial Administrative Organization, (2) the Nakhon Si Thammarat Provincial Public Health Office, (3) district public health offices with sub-district health-promoting hospitals transferring their missions to the Provincial Administrative Organization, and (4) sub-district health-promoting hospitals that transferred their missions to the Provincial Administrative Organization in the first round. The study sought to determine at what level the efficiency of the administration of sub-district health-promotion hospitals in Nakhon Si Thammarat Province stands after the transfer of tasks to local administrative organizations. The findings revealed that service delivery, health workforce, health information systems, access to essential medicines, health financing, and leadership/governance are all at a high level. The average score ranges from 2.10 to 3.00, indicating the highest level of practice. The opinions of executives from the Ministry of Public Health and those of local administrative organizations showed both similarities and differences.
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