Development of Operational Model on Local Fund Health Insurance in Ratchaburi

Abstract

The purpose of this research and development were to develop operational model local health insurance fund and evaluate effectiveness of operational model on local health insurance. The sample consisted of 84 respondents on local health fund committees, divided into an experimental and comparative groups. The research instrument was an operational model for local fund health insurance. A questionnaires were operatational of local health fund committee. Data were analyzed by frequency, percentage, mean, standard deviation, t-test, and multiple regression analysis.
The results showed that: 1) development of an operational model on local fund health insurance in Ratchaburi consisted of five elements, principle, objectives, development process, conditions apply and measurement and evaluation. The local health insurance fund committee had knowledge, participate operation, social support from individuals and societies, attitude towards fund operations were low level, perceived benefits and perceived roles were moderate level. Factors influencing operational of local health insurance fund include awareness, knowledge, and fund support. The STAR model had 4 stages of development: situational study, problem planning, local health fund committee of development, control, monitoring, evaluation, and reflection. This model was appropriated, including at a high level. 2) Results of evaluation on efficiency operational model on local fund health insurance showed that after experimental, experimental group had knowledge score increased from 54.50% to 59.10%, perceived benefits increased by 54.50% to 70.50% and 70.50 % of increase was 88.60%, The experimental group had a high level of self-efficacy (90.90%). The experimental group had a significantly higher level of knowledge about health insurance fund than comparison group (p <.001), mean score was 16.07 (Mean = 16.07, SD = 2.34), comparison group had mean score 14.18 points (Mean = 14.18, SD = 2.18). After experiment, experimental group had a statistically significant difference (p <.001), experimental group had mean scores of 30.91 (Mean = 30.91, SD = 2.60), mean score was 28.63 (Mean = 28.63, SD = 3.37), experimental group had support score for fund, compared with control group (p <.001), mean score was 17.34 (Mean = 18.75, SD = 1.95), but mean score was 16.20 (Mean = 16.20, SD = 3.01), and after experiments, experimental group and comparison group had satisfaction scores for operation of health insurance fund, mean score was 79.80 (Mean = 79.80, SD = 6.22), mean score was 56.23 (Mean = 56.23, SD = 9.97).