The development of an operational model for the Green and Clean Sub-district Health Promoting Hospital (GCSh.) under the transfer of the Sub-district Health Promoting Hospital to the Nakhon Ratchasima Provincial Administrative Organization

Abstract

This action research aims to study the current situation, develop an operational model, and evaluate the implementation of the Green and Clean Sub-district Health Promoting Hospital (GCSh.) under the transfer of Sub-district Health Promoting Hospitals to the Nakhon Ratchasima Provincial Administrative Organization. The research sample was purposively selected, including 18 executives, 30 operational staff, and 72 network partners involved in the implementation. The research instruments consisted of document analysis, in-depth interviews, focus group discussions, local development monitoring forms, and assessments of accuracy, suitability, and feasibility. Quantitative data were analyzed using mean, percentage, and standard deviation, while qualitative data were analyzed by categorizing, grouping, and conducting content analysis.

               The research findings revealed that (1) the current situation of the two affiliated Sub-district Health Promoting Hospitals showed that 9 out of the target 51 hospitals (17.6%) met the environmental health standards according to the GCSh. criteria. Problematic components were identified, including unclear policies, non-integrated strategic plans, staff lacking knowledge and competence, unclear budgets, lack of participation from the CUP and network partners, inadequate information technology systems, and the failure of key hospital processes to meet standards, among others. (2) The development of the operational model consists of 1 goal, 9 key components, and 25 activities. The 9 key components include the development of partnership policies; integrated strategic plan development and management; personnel development; guidelines for support in budgeting, materials, equipment, and infrastructure; information technology system development; support systems by CUP and network partners; control, monitoring, and quality standards evaluation systems; compliance with laws; and development of 6 key hospital processes. (3) The evaluation of the model’s accuracy, suitability, and feasibility was rated as high. Success evaluation showed that 2 relevant indicators met their targets fully.The study recommends that the Provincial Public Health Office and the Provincial Administrative Organization jointly take primary responsibility in seriously implementing the GCSh. operational.