Evaluation Public-private mixed model for oral health care in the Public Service District in Nakhon Ratchasima Province

Abstract

This study aimed to evaluate public-private mixed model in public service district in Nakhon Ratchasima. The study was conducted between October 2551 - September 2552,the study focused mainly by 1) rate of dental services, Used data from performance report. 2) model for service and support system used data from questionnaire and the conclusions of the meeting of three times among the staff and dental personnel from health centers and dentist from private dental clinic 3) client satisfaction form service in the public area. The study found that public and private dental clinics have to work cooperatively as organized oral health care networks increased access to services. The overall service in 3 Contacting Unit of Primary Care (CUP), first CUP from rate 6.3 to 14.2 persons/100 population, second CUP from 4.3 to 6.2 persons/ 100 population and the third CUP increased from 9 to 10.5 persons/100 population. During 1 year, 217 patients have received denture, 59.5 percent of total referred to oral treatment. The good management also affected the budget for the model at the lowest was 13.7 bath/person and the highest was 26.6 average at 19.6 bath. Satisfaction of the people was up to 91 percent and needs to have service with such parties. This model is suitable for urban areas which the private clinics are usual for oral care sources of most people. According to this model, public and private dental clinics have to work cooperatively, Intensive management and regulation systems are also needed, so the model developed in this successful operation and access to public services.