Factors Affecting the Service System Development in Sub-District Health PromotingHospitals, Petchaburi Province

Abstract

The purposes of this survey research were to study these factors of personal factors, management process, motivation for working to affecting the development of service system and study affecting of the development of service system in sub- district health promoting hospitals in Petchaburi province.The study was conducted by purposive sampling of a group of the directors and staffs who were responsible in health service delivery from 117 sub-district health promoting hospitals in Petchaburi Province, with 2 persons per place and totally 234 persons. Data were collected by using a questionnaire with the reliability value of Cronbach’s alpha coefficient of 0.98 Statistics used for data analysis were descriptive statistics and stepwise multiple regression analysis The results revealed as follows: 1) The most of samples were female 71.4 percentages with average age 41.49 years, get married, finished a bachelor’s degree, 20 years of work experiences, and average incomes about 29,177 baht per month. The factor of total management process and motivation for working was at high level. 2) The total development of health services system were at a high level. 3) The factors affecting the developing health service system were sex, management process and motivation for working significantly at 0.05 and could co-predict the development of service system 76.3 percentages. 4) The important of problem were incomplete of data base development, staff work load, high expectation of people for service, and no awareness for health promotion. The suggestions for the provincial managers should consider management process and motivation for working data to continuous such as staffs supporting pay for performance and should develop data base, link to data owners and data development teams. The staffs supporting should develop system service by focusing of people participation, create positive attitude for health promotion for developing of service system in sub- district health and relevance to their lifestyle and context.