Development of Primary Healthcare Service System by Provincial Administrative Organizations: A Case Study of Nong Bua Lam Phu Province

Abstract

This study aims to examine the primary healthcare service delivery situation of Provincial Administrative Organizations (PAOs). It analyzes the components of the primary healthcare system, including its structure, processes, and operational outcomes. It also proposes guidelines for improving the primary healthcare system of the PAOs. This system is a new model that designates the PAO as the main administrative unit and subdistrict health promotion hospitals as operational units. Qualitative research methods were used in Nong Bua Lam Phu province from April to October 2025. Data collection included document analysis, in-depth interviews, focus groups, participant observation, and participation in various activities. The informants included 9 executives from Provincial Administrative Organizations, public health department staff, 39 personnel from 6 subdistrict health promotion hospitals, and 35 representatives from various agencies, community groups, and organizations. The study identified issues in administration, service delivery, and network collaboration. In response, it drafted guidelines focused on three areas: seven administrative measures, four service support and supervision strategies, and approaches for strengthening network collaboration. Policy Recommendations for Provincial Administrative Organizations: In terms of management, emphasis should be placed on systematic operations, establishing effective monitoring mechanisms, developing data management systems, and leveraging collaborative networks through health committees and local health development plans. This will enable the creation of effective action plans for primary healthcare services that meet the public's needs.