Management Conditions of Sub-district Health Promotion Hospitals According to Personnel Perceptions After Transferring Missions to the Pathum Thani Provincial Administrative Organization

Abstract

          The objectives of this study were to 1) study the management conditions of sub-district health promotion hospitals, 2) analyze problems and obstacles in the management of sub-district health promotion hospitals, and 3) propose guidelines for improving and developing sub-district health promotion hospitals to the Pathum Thani Provincial Administrative Organization. The study population was 71 civil servants working in 13 sub-district health promotion hospitals who had transferred their duties and were selected by purposive sampling. The study instrument was a questionnaire. The data were analyzed by frequency, percentage, and content analysis.

          The research results revealed that 1) Pathum Thani Provincial Administrative Organization has set a 3-year personnel plan for sub-district health promotion hospitals, which was structured into 3 groups: Public Health Administration Group, Disease Prevention and Control Promotion Group, and Medical Practice Group. The personnel were recruited through transfer/relocation and competitive examination. The personnel development plan was developed by sending them for training and further education. The strengthening motivation was achieved by improving job position frameworks and allocating bonuses based on evaluation criteria. 2) The problems and obstacles in the management include the shortage of finance, accounting personnel, and procurement personnel. The concerns of personnel who change careers are not considered, and the budget allocation is not allocated according to what the law stipulates. 3) The guidelines for improving and developing sub-district health promotion hospitals should recruit and fill additional personnel according to the structure framework specified by the size of the sub-district health promotion hospital, and should find a new area to construct a sub-district health promotion hospital with a narrow area.