The Evaluation of Budget Allocation of National Health Security Funds of Sub-District Health Promotion Hospitals, Nakhon Ratchasima Province.

Abstract

This research is mixed methods. The objective is to study situations, satisfaction, demand, and evaluation of budget allocation of National Health Security Funds of Sub-district Health Promotion Hospitals, Nakhon Ratchasima Province. The research instruments included document analysis, questionnaires, and in-depth interviews. The sample group consisted of 3 groups: Directors of Sub-district Health Promotion Hospitals 348 people, Stakeholders 45 people, and policy recipients 228 people. Data Analysis in quantitative data analyzes descriptive statistics including frequency, percentage, mean, standard deviation, and Pearson Correlation Coefficient. Qualitative data is used to categorize and classify data.

The results showed that (1) Sub-district Health Promotion Hospitals received funding from National Health Security Funds in the form of services provided to eligible people and services paid according to the performance quality criteria (2) Directors of Sub-district Health Promotion Hospitals were satisfied with a budget allocation of National Health Security Funds overall at very satisfied level ( =4.15, S.D. =.68). Demand overall at the most demanding level ( =4.29, S.D. =.76). (3) The evaluation of budget allocation of National Health Security Funds found that (3.1) contextual of the budget allocation of National Health Security Funds within the organization in accordance with the regulations of allocation of fixed cost. (3.2) Inputs: Management of budget allocation of National Health Security Funds is operational clear. (3.3) Process aspect: Policy recipients can use the budget of National Health Security Funds are used in various operations appropriately. (3.4) Outcome: Management of budget allocation of National Health Security Funds meets objectives. The overall evaluation is at a very good level of performance ( =4.21, S.D. =.69). The Financial Practice Handbook provided by Nakhon Ratchasima Health Provincial Office can be a very good role model in financial practice. Recommendation: Health Provincial Office should organize additional training on finance and knowledge to its personnel on an ongoing basis.