Main Article Content
This descriptive qualitative research aimed to explore the roles, barriers and problem solving of primary care nurses in participation of the management of District Health System (DHS) in community hospitals, Health Service Networks Region 12. The conceptual framework for this study was the situation specific of the management of the DHS. Informants were 30 primary care nurses responsible for the management of DHS in 10 community hospitals. Data were collected using group interview. Descriptive statistics and content analysis were used to analyze the data. The results showed that the primary care nurses participated in the management of DHS by being 1) a coordinator between healthcare team and the local governing bodies, 2) a leader in working with the community, 3) a motivator to involve people and community to participate in managing the health system, 4) a role model in creating generosity working atmosphere, 5) a supporter of a continuous monitoring the DHS performance, 6) a coach for public health human resource development, and 7) a proactive healthcare provider. The major barriers were the cooperation among healthcare team and others and the misunderstanding that the district health system should only be managed by the public health unit. Assigning responsibility among the healthcare team and the involvement of all stakeholders especially those in the leading positions were implemented. The study results suggest that primary care nurses should strengthen their role as a coordinator and regularly monitor the progression of DHS while anticipating an involvement of local backbones.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Junthong, A. Driving the health system at the district level Thailand edition. 2014 Oct 10 In: slideshare.net [Internet]. [cited 2020 Apr 22]. Available from: https://www.slideshare.net/AuampornJunthong/dhs-40127968.
Saelee D, Tiptiantae C, Tansuthepweerawong C,et al. Drive district health system (DHS). Rural medical foundation is sponsored by the health promotion foundation [Internet]. 2014 [cited 2014 Nov 28]. Available from: https://www.slideshare.net/AuampornJunthong/dhs40127968.
Jittanun P, Pedrachatachad U. Community health nursing: service dimension, 2 nd ed. Songkhla: Chanmuang publishing; 2016. Thai.
Chokekerd M, Manorath P. Model of promoting network collaboration to implement for driving the sustainable strengthening of district disease control under Tron district health system in Uttaradit Province. Journal of ODPC 10 th Ubon Ratchathani. 2016; 14(2): 55-71. Thai.
Panadumrong A. Education exchange R2R meet the DHS and ministry of health policies [Internet]. 2018 [cited 2018 Jul 16]. Available from: http://r2rthailand.org/download/4_Grand_060759_13.00%20-%2014.30_A3.pdf.
Ministry of Public Health. National Health Development Plan Issue 12 (2017-2021) [Internet]. 2016 [cited 2020 Feb 16]. Available from: http://dmsic.moph.go.th/index/download/699.
National Health Commission. Ministry of Public Health. District Thai Health Report 2012-2017 [Internet]. 2018 [cited 2020 Apr 5]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/RHP_Report_final.pdf.
Aumtani A. Qualitative research in nursing 3 rd ed. Bangkok: Chulalongkorn University; 2016.Thai.
Lathrop B. Nursing leadership in addressing the social determinants of health. Policy, Politics, & Nursing Practice. 2013; 14(1): 41-7.doi: 1527154413489887/10.1177.
Pakaiya N, Hongthong P, Phetthong Yok P, et al. Health manpower management to drive primary care systems and the district health system in Thailand [Internet]. 2018 [cited 2020 Apr 5]. Available from: https://248652-897248-raikfcquaxqncofqfm.stackpathdns.com/wpcontent/uploads/2019/07/HRH-primarycarereport25-7-18.pdf
Kawbangpood N. The relationship between change leaders and corporate culture case study: Phuket municipality. Academic resources.2011; 22(1): 85-99. Thai.
Nursing Division. Community nursing standards. Pathumtani: Suetawan; 2016. Thai.
Archanuphab S, District Health System development (DHS) experience the difference. Nontaburi: Sahamitr Printing and publishing; 2014. Thai.
Thuay Meerit S, Team. Policy recommendations for the development of the district health system: Case studies representing 4 regions of Thailand [Internet]. 2017. [cited 2020 Apr 5]. Available from: http://www.korathealth.com/journalkorat/?action=journal&year=2560.
Rujiwankul S, Leethongdee S, Suwanpan A. The Developed Model for District Health System through Participatory Knowledge Management and Learning Process withinLocal Networks: A Case Study of Khun Han District, Si Sa Ket Province. Journal of Graduate School, Pitchayarat, Ubon Ratchathani Rajabhat University. 2015; 10(2):117-25. Thai.
Sonthichai A, Kramuthakan R, Sanjai A, et al.Development of a training curriculum on healthstrategy management in primary health care.SCNJ. 2018; 5(3): 69-83. Thai.
Healthcare Accreditation. Hospital and healthcare standards, 4 th ed. Bangkok: Dee Wan One Company Limited; 2018. Thai.
Thipthengthae C. Evaluation of health network performance at district level of health service network 5, conference on monitoring and evaluation of District Health System management. Ratchaburi: Boromarajonani College of Nursing.2016. 1-15. Thai.
Meechat W. Organizational structure: Organization management, 7 th ed. Bangkok: Samlada limited company. 2014. Thai.
Mitgitti R. Community-engaged implementation of public healthcare policies: a challenging role of community nurses. Thai Journal of Nursing Council. 2016; 31(3): 26-36. Thai.
Lophi R, Leethongdee S, Kaewphithun N.Empowering the community health network for the successful development of tuberculosis treatment in Klang Dong Sub-district, Pak Chong District, Nakhon Ratchasima Province.DPC 9 J. 2018; 24(1): 15-23. Thai.
Ubali, C. Conflict management among local community leaders: a case study in Ta Kien Thong Sub-district Khitchakoot District Chanthaburi Province. JOPAG. 2014; 5(1): 181-95.