Development of an Operational Model for Advancing the 30 Baht Universal Healthcare with a Single National ID Card Policy in Nakhon Ratchasima Province

Abstract

This study employs an action research methodology with the following objectives: (1) to analyze the situation and readiness for the implementation of the 30 Baht Universal Healthcare with a Single National ID Card policy; (2) to develop an operational model for advancing the upgraded policy; and (3) to evaluate the outcomes of the developed operational model in Nakhon Ratchasima Province. The sample included 25 administrators, 26 provincial-level practitioners, 32 district-level practitioners, 413 medical and public health personnel, and 600 service recipients. Research instruments comprised document analysis forms, in-depth interview guides, focus group discussion protocols, and questionnaires. Qualitative data were analyzed by categorizing and classifying the findings, while quantitative data were analyzed for frequencies, percentages, means, and standard deviations.

               The research findings revealed that (1) the 30 Baht Universal Healthcare with a Single National ID Card policy is prioritized for reducing service congestion among the public. In terms of human resources, there was operational readiness; however, resource and equipment shortages were noted. Budgetary support was provided by local public health service units. The management structure of the operational model remained unclear. Identified problems and solutions included insufficient knowledge and understanding among personnel regarding the policy’s implementation. To address this, public health service units organized training sessions to enhance staff knowledge of the policy. (2) The researcher, in collaboration with relevant stakeholders, developed an operational model for advancing the upgraded policy in Nakhon Ratchasima Province based on the KORAT 5G Model, which comprises (2.1) good access, (2.2) good data, (2.3) good service, (2.4) good governance, and (2.5) good collaboration. (3) The overall results of the implementation showed a high level of satisfaction ( = 4.11, S.D. = 0.62) and the highest level of overall demand ( = 4.25, S.D. = 0.62). The developed operational model was practical and contributed to increased efficiency in service delivery. Recommendations include the development of user-friendly public relations materials and the regular assessment of cybersecurity risks.