The Development of a Public Health Operational Model in Accordance with the Roles of the District Public Health Office Following the Transfer of Subdistrict Health Promoting Hospital Responsibilities to the Provincial Administrative Organization
Keywords:
Task Transfer, District Public Health Office, Operational ModelAbstract
This participatory action research aimed to investigate the existing problems, develop an operational model, and assess the effectiveness of public health operations in accordance with the roles of District Public Health Offices following the transfer of Subdistrict Health Promoting Hospital responsibilities to Provincial Administrative Organizations (PAO). The sample was purposively selected and consisted of 88 public health personnel working in District Public Health Offices where such transfers had taken place. The participants included: 1) 11 district public health officers, and 2) 77 staff members working within the District Public Health Offices. Data were collected through document reviews, questionnaires, interviews, focus group discussions, and group dialogues during the period of September to December 2024. The data were analyzed using descriptive statistics and content analysis.
The findings revealed that the developed model involved strengthening collaboration between District Public Health Offices and Provincial Administrative Organizations (PAOs). This collaboration includes conducting continuous assessments of community health needs to analyze problems, foster shared understanding, and implement performance evaluations, with reporting of key indicators to relevant agencies. Under this model, the role of District Public Health Offices shifts toward coordination and the provision of technical health information. This process led to the development of the NAKHON Model. The evaluation of the model's effectiveness indicated a high level of success (M = 2.75, SD = 0.60). Based on the research findings, it is recommended that the model be advanced as a policy proposal and adapted for implementation in accordance with the specific contexts of each locality.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ วิทยาลัยพยาบาลบรมราชชนนี นครศรีธรรมราช
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