Effects of a Health Establishment Development Program on Legal Standard Compliance in Bangkok Metropolitan Area

Abstract

This quasi-experimental study aimed to examine the effects of a healthy workplace development program on entrepreneurs’ knowledge, attitudes, and practices, as well as on compliance with legal standards among health - related establishments in Bangkok. The sample consisted of 143 licensed health establishments in Bangkok, selected through purposive sampling. The research instruments included a healthy workplace development program comprising a mentoring system, a consultant network, and the use of technology over
12 weeks period; a questionnaire assessing entrepreneurs’ knowledge, attitudes, and practices; and a health establishment inspection checklist. Data were analyzed using descriptive statistics and paired t-tests. The results indicated that, after participation in the program, the sample demonstrated significantly higher levels of knowledge, attitudes, and practices compared with baseline (p-value < 0.001). In addition, the proportion of establishments meeting regulatory standards increased from 88.1% to 100% following program implementation. These findings confirm that the healthy workplace development program effectively enhanced entrepreneurs’ knowledge, attitudes, and practices, as well as compliance with health establishment standards. Therefore, to ensure continuous adherence to standards, health service establishments should regularly conduct self-assessments, establish mentoring systems or professional advisory networks, and utilize technology to improve communication, training, and follow - up processes.