FACTORS OF MANAGEMENT THAT AFFECT THE SERVICE EFFICIENCY OF SUBDISTRICT HEALTH PROMOTING HOSPITALS AFTER THE TRANSFER OF HEALTH RESPONSIBILITIES TO KHON KAEN PROVINCIAL ADMINISTRATIVE ORGANIZATION

Abstract

Here's an academic English translation of the research abstract: "The objectives of this research were: 1) to study the efficiency of health services provided by Sub-district Health Promoting Hospitals (HPHs) after the transfer of health responsibilities to Khon Kaen Provincial Administrative Organization (PAO); 2) to examine administrative factors affecting the efficiency of health services at HPHs post-transfer to Khon Kaen PAO; and 3) to determine guidelines for improving the efficiency of health services at HPHs following the transfer to Khon Kaen PAO. This study employed a mixed-methods approach. The study population consisted of 2,000 operational staff at HPHs in Khon Kaen Province. The sample size was calculated using Taro Yamane's formula with a 0.05 margin of error, resulting in 334 participants. Quantitative data were collected through questionnaires, which were content-validated by three experts, yielding an IOC value of 0.84. Reliability testing was conducted with a non-sample group of 30 individuals, resulting in a Cronbach's alpha coefficient of 0.86. Qualitative data were gathered through interviews using guided questions. Key informants, selected through purposive sampling, included three PAO executives and ten HPH directors. Multiple regression analysis was used for quantitative data analysis, while content analysis was applied to qualitative data. The findings revealed that technological factors had the most significant impact on the efficiency of health services at HPHs, followed by management factors, and lastly, personnel factors. Thus, the efficiency of health services at HPHs is primarily influenced by the implementation of technology in data management, consistent administrative practices, and appropriate allocation of personnel to tasks.