Factors Affecting Public Perception of the One ID Card for All Healthcare Policy: A Case Study of Ban Mamuang En Health Promoting Hospital, Khao Phanom District, Krabi Province

Abstract

This study aimed to 1) examine factors affecting awareness, and 2) estimate mean scores for psychosocial factors, communication and information exposure, health service use behavior and experience, and policy awareness among residents in the Ban Mamuang En Subdistrict Health Promoting Hospital area, Khao Phanom District, Krabi Province. This cross-sectional analytical study included 174 individuals aged 20 years and older with Universal Health Coverage entitlements, selected through stratified random sampling from four villages. Data were collected via a questionnaire and analyzed using 95% confidence intervals for means and multiple linear regression analysis. The mean sample age was 50.15 years (95% CI: 47.91–52.39). The psychosocial factor score was at the highest level (x̄ = 4.34), while communication and information exposure, health service use behavior and experience, and policy awareness were all at a high level (x̄ = 3.80, 3.50, and 3.86, respectively). Factors significantly affecting policy awareness (p-value <0.05) were health service use experience, health facility selection behavior, communication and information exposure, and average monthly income of 10,001–15,000 baht. The 12 variables together explained 38% of the variance in policy awareness (Adjusted R² = 0.38). Developing communication channels through village health volunteers and promoting service use experience under the policy are key mechanisms for increasing policy awareness in rural areas.