Mechanism of Driven Access to Health Promotion Services of Ineligible Population According to the National Health Rights of Nakhon Ratchasima Province

Abstract

This research aimed to present the access to health promotion system in 2013-2017 in Nakhon Ratchasima. Integrated Methods both quantitative and qualitative were used Analytical Research by Prospective. The population of this study was 32 hospitals and 303 people of Ineligible Right Population. The sample included 28 hospitals and 235 people through stratified random sampling method. The research instruments included the questionnaires  developer by the researcher. The data were collected during 2013-2017. Data analysis were conducted using Pair T-test, chi-square tests, Pearson Product Moment Correlation Coefficient, and Stepwise Multiple Regression by STATA version 10.The analysis is divided into 3 parts  Part 1 : Registration in  Nation Health Security Organization (NHSO)  from Ineligible Right Nakhon Ratchasima Program 90.77%. The factors affecting to develop model health promotion  Ineligible Right people the universal coverage scheme in Nation. There were significant variables influencing the performance of unit administation organization such as population, staff and author’s health. These factors had 40.71 percent of predictability (R²= 0.4071,p-value <0.001).  Part2 : The study indicated that After continuing development activities, people have access to health services more than before activities. ANC for Pregnant (p-value = 0.0415), Family planning for wives aged 15-44 (p-value = 0.0182), Counseling ( p-value = 0.0045) ,Dental care (p-value = 0.0001), Checkup And risk groups (p-value <0.001), home health care (p-value <0.001), Personal health education (p-value <0.001) with statistical significance at 0.01 and 0.05, respectively. The service recipients were satisfied with the 72.58% Part3 : Reduce the cost of medical services 40.28%. The results of this study are systematic in many sectors. Both public and private. Can integrate and improve access to other services. Especially those who are difficult to access. In order to create health and reduce illness, there is a better quality of life.