Quality of Primary Health Care Services Provided by Health Personnel in Sub-district Health Promoting Hospitals after the Transfer of Responsibilities to the Kalasin Provincial Administrative Organization
Keywords:
Primary care services, Quality, Sub-district health promoting hospital, TransferringAbstract
The transfer of sub-district health promoting hospitals to provincial administrative organizations represents a decentralization of power to local levels, and this has impacted the delivery of services to local populations. This study aimed to examine the quality of primary health care services provided by health personnel in sub-district health promotion hospitals after the transfer of responsibilities to the Kalasin Provincial Administrative Organization. The study was conducted with the entire population of 206 health personnel in 51 sub-district health promoting hospitals. Data were collected using a questionnaire developed by the researchers which applied Donabedian’s framework for quality assessment, comprising three sections: 1) personal characteristics, 2) service quality in three domains–structure, process, and outcomes related to staff satisfaction with their own performance, and 3) opinions and suggestions for service quality improvement. Data were analyzed using descriptive statistics, including frequency, percentage, median, mean, and range. Data from comments and suggestions for service quality improvement were summarized by categorizing and tabulating frequencies.
The results indicated that, after the transfer of responsibilities to the Kalasin Provincial Administrative Organization, overall service quality among health personnel in sub-district health promotion hospitals was rated highly (M = 3.73, SD = .43). Specifically, the process domain was rated high (M = 3.88, SD = .59), structural quality was moderate (M = 3.58, SD = .47), and the outcome domain, measured as staff satisfaction with their own performance, was also high (M = 3.86, SD = .47).
The findings of this study can serve as a baseline for relevant organizations in providing services and planning service quality improvements for sub-district health promotion hospitals. Recommendations include enhancing structural aspects and developing personnel capacity.
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