Factors Affecting Outcome of District-level Health Centers Management to Achieve the Requirements for Primary Care Unit Registration

บทคัดย่อ

This cross-sectional predictive research was aimed to investigate factors
affecting the outcome perception of district-level health center management to achieve
the requirements for Primary Care Unit registration. The 120 samples were heads
of district-level health centers, drawn by multi-stage random sampling technique.
The data were collected by using a self-administered questionnaire, constructed
by the researchers. The data were also obtained from the registration records at
the Primary Care Unit. The questionnaire had reliability at 0.78-0.98. Data were
analyzed using SPSS program and presented in numbers, means, standard
deviations, mean percentages, and stepwise multiple regression analysis.
The study revealed that heads of district-level health center had perceived at
the high level in support from administrators and at the middle level in evaluation
of the performance of the organizational culture and the performance of their
subordinates. The supporting factors affecting the management of district-level
health center to achieve the criteria for registration of primary care unit (Y) at 0.05
(p<0.05) significant level were the support of administrators (X1) and the
performance of their subordinates (X5), which could predict at 29.5% (R2 = 0.295).
The predictive standard equation was Y = 0.397 X1 +0.256 X5.
The Ministry of Public Health should support and improve on management
support, morale, performance, and primary care unit registration.