An Evaluation of Public Participation in Developing the Primary Health System by Sub-district Health Promotion Hospitals Transferred to Provincial Administrative Organizations
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Abstract
The development of a primary health care system managed by Subdistrict Health Promoting Hospitals (SHPHs) relies on the capacity for effective health self-management. Achieving this objective requires strong cooperation between SHPHs and local residents. This study aims to evaluate public attitudes toward the primary health care system managed by SHPHs, following its transfer from the Ministry of Public Health (MoPH) to Provincial Administrative Organizations (PAO) in the 2023 fiscal year. A mixed-method research methodology was employed, incorporating group interviews and discussions, involving 32 SHPHs with 55 participants each, totaling 1,744 individuals.
The research findings indicate that: (1) Following the transfer, the majority of the public perceived an improvement in SHPH service activities, particularly in terms of accessibility, equity, and service satisfaction. (2) Trust in SHPH services was high. (3) Positive attitudes were observed regarding public participation in health care for individuals, families, and communities. These results suggest that if the government robustly supports the primary health care system in alignment with the established strategy, it is highly likely to foster public cooperation in achieving self-care health goals.
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References
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