An Administrative Model Of The Local Health Security Fund In Buriram Province

Abstract

                The objectives of this research were to 1)study the current conditions, factors of success, problems of the local health security fund in Buriram Province, 2) to create and develop an administrative model of the local health security fund in Buriram Province, by using mixed research methods.  Divided the research into four phases. The sample of quantitative research consisted of 365 informants from 24 local health security funds, and they were selected via stratified random sampling based on the proportion of the potential funds.  The qualitative research was also conducted by using      a focus group discussion and participatory observation. The samples were composed of 169 participants from 12 funds. Research instruments were questionnaires and a focus group discussion. Data was analyzed by using frequency, percentage, mean, standard deviation and content analysis. An administration model was  created and develop, and the model quality was examined by 12 experts via a panel discussion. The suitability and the possibility of  the model was assessed by 30 experts in the research area.
         The research results were as follows :
         The fund^’s current conditions investigated by the quantitative research found that the committee opined the operation was overall at a high level (=3.94). Moreover, two aspects of building public participation ; and building awareness, understanding, attention towards roles, missions, and performance of the funds were found at a moderate level while other aspects were found at a high level. (=3.12,3.50). For the quantitative research results, the first 5 aspects needed to be urgently developed as the committee prioritized were building public participation and building awareness, understanding, attention towards roles, missions, and performance of the funds, developing the fund committee’ s potential, controlling and, monitoring, evaluation, and planning, respectively. Having assessed and checked  the model quality by the experts, the administrative model of the local health security fund consisted of three components: 1) For the main component, that needed to be urgently developed, consisted of six sub–components. 2) For the secondary components, needed to be preserved, consisted of four sub–components. 3) For the extra component, needed to be added, consisted of four sub–components. Having assessed suitability and possibility of the model, it showed that suitability of its all components was overall found at a high level (= 4.45).  Possibility of its all components was also overall found at a high level (= 4.08)