The Relation among Local Health Insurance Fund Empowerment Local Administrative Organization and Community Health System Management Chiang Rai Provice

Abstract

This research aim to study relationship among Tambon Health Fund, empowerment local administrative organization and community health system management Chiang Rai province Method: is cross-sectional descriptive research. The quantitative and qualitative tools, namely questionnaires and semi-structured interviews were used. The samples were the Board Chairman of the Tambon Health Fund Management Committee or Fund Secretary, totaling 143 people.  The purposive sampling was collected during March 1- May 31, 2019.Data were analyzed using descriptive statistics, percentage, mean, minimum value, the highest value. The standard deviation and analytical statistics are Pearson product moment correlation coefficient.  And qualitative analysis Is descriptive analysis.  Result: The study management of Tambon Health Fund was at a high level (x̄ =3.93, SD=0.525). Empowerment for local government organizations was at a high level (x̄ = 3.79, SD =0.569. And community health system management at a good level (Mean=17.69). The relationship between the management of Tambon health funds and the empowerment of  local government organizations, it was found that the overall success District health fund management has a high level of a positive relationship with empowerment of local government organizations (r= .607, p-value<0.001). Summary and suggestions: The management of the Tambon Health Fund had a positive relationship high level with the empowerment of the local administrative organization with statistical significance. With the local administrative organization being supported Get information Get resources Get job opportunities (Kanter, 1997), And is related to the organization of health systems in the community such as health promotion, disease prevention, health rehabilitation and proactive primary care.  National Health Committee should focus on empowerment of the local administrative organization in managing the Tambon Health Fund to achieve. And providing feedback in a positive way, such as accepting, praising, supporting, or allocating resources to work sufficiently and efficiently. According to the intention of the National Health Security Act 2002, that is, the fund must support the health systems in the community. Which will lead to the sustainable well-being of the people.