The Development of the Operating Model According to the Standards of the Hospital Promoting and Supporting Thai Traditional Medicine and Integrated Medicine in the Subdistrict Health Promoting Hospital After transferring to the Khon Kaen Provincial Administrative Organization

Abstract

This action research aimed to develop an operational model aligned with the standards of the Hospital Promoting and Supporting Thai Traditional Medicine and Integrated Medicine in the Subdistrict Health Promoting Hospital (HPSTT) after the transfer to the Khon Kaen Provincial Administrative Organization. The model was based on the McKinsey 7-S framework, divided into three phases: 1) situation analysis, 2) development of the operating model, and 3) evaluation of the operating model. Key informants included 12 stakeholders involved in implementing HPSTT standards and 8 HPSTTs. Research instruments included focus group discussion questionnaires, a 7-S internal management factors questionnaire, and an evaluation form for implementing HPSTT standards. Data were analyzed using descriptive statistics, inferential statistics (Wilcoxon signed rank test), and content analysis. The results showed that the HPSTT standards operational model should comprise the 7-S aspects: strategy, administrative structure, operational system, management style, personnel, competence, and shared values ​​within the organization. The operational model, developed in accordance with HPSTT standards, was evaluated for effectiveness. Before implementation, 12.5% of HPSTT were rated excellent, 75% very good, and 12.5% good. After implementation, 87.5% of HPSTT achieved an excellent rating, while 12.5% received a very good rating. Median scores for all the 7-S internal management factors demonstrated significant improvement between the pre- and post-implementation periods (p-values < 0.05). These results indicate that involving HPSTT personnel in the collaborative analysis of 7-S internal management factors and the development of strategic plans aligned with hospital operational strategies is likely critical for enhancing performance and meeting standards. It is recommended that workshops be conducted for all HPSTT members to further improve performance in accordance with established standards.