KEY SUCCESS FACTORS AND COMMUNICATION AFFECTING THE NATIONAL HEALTH SECURITY OPERATION OF SUB-DISTRICT HEALTH PROMOTING HOSPITAL DIRECTORS IN KHON KAEN PROVINCE

Abstract

This cross-sectional descriptive research aimed to investigate key success factors and communication affecting the national health security operation of sub-district health promoting hospital directors in Khon Kaen province. The study was conducted among the population of sub-district health promoting hospital directors in Khon Kaen province.       Data were collected from a total of 171 respondents out of 248 in the population, who answered questionnaires. Additionally, 12 key informants were interviewed using in-depth interview guidelines for qualitative data gathering. The survey underwent examination and validation by three experts for content validity and was tested for reliability in a pilot study, yielding a Cronbach's alpha coefficient of 0.97. Data collection took place from January 25^th to February 22^nd, 2024. Data analysis was conducted using descriptive and inferential statistics at a significance level of 0.05. The results indicate that the overall levels of key success factors, communication, and the national health security operation of sub-district health promoting hospital directors in Khon Kaen province were high, with averages of 4.23 (S.D.=0.49), 4.14 (S.D.= 0.45), and 4.15 (S.D.=0.45), respectively. Key success factors and communication showed a moderate positive relationship with the national health security operation of sub-district health promoting hospital directors in Khon Kaen province (r=0.688, p-value<0.001) and (r=0.585, p-value<0.001), respectively. Three variables were identified: key success factors in improving the quality of medical care and the image of the service facility, communication and follow-up to create understanding, and cooperation. Together, these variables could jointly predict the functional aspect of the national health security operation of sub-district health promoting hospital directors at 54.7% (R²=0.547, p-value<0.001).