Effectiveness of the Primary Care Units Administrative in Chiang Mai

Abstract

              The objectives of this research were to examine the administrative effectiveness of Primary Care Units (PCUs) in Chiang Mai and examine the impact of organizational, personnel, administrative, and environmental factors affecting to the organization effectiveness. The research population was 181 PCUs in Chiang Mai province. 125 samples were sampling proportionally to the population size. There were 3 questionnaires to seek general information, administrative factors, and administrative effectiveness of the primary care units. Their validity of 0.67 to 1.00 was measured by the index of concurrence. Their reliability of 0.739 to 0.977 was measured by Cronbach alpha. The data was gathered between 1st December 2008 to 30th April 2009 by interviewing 375 people who were head officers, administrative officers, academic officers, public health officers, and nurses. Descriptive statistics and hierarchy regression were applied to analyze the data. The research result illustrated that the average of the administrative effectiveness of the PCUs was 85.1 percent. It showed that the factors affecting administration of the PCUs ranked from the most important factor were 1) change management 2) career of population 3) community participation in health services 4) decentralization 5) gender 6) working duration 7) working technology 8) number of staffs 9) heath service characteristic 10) job allocation 11) training for primary care and 12) health dependency. The factors’ predictability was 61.1 percent. The Chiang Mai Public Health Office and its routine service units have applied the related factors to plan and develop their administrative effectiveness. However, it should have qualitative study regarding its outcomes holistically, integration and continuously in order to explain the factors’ impacts and completely apply to the community appropriately.