Local Public Health Administration Conditions Before and After Transferring the Mission of Sub-District Health Promotion Hospitals to Sakon Nakhon Provincial Administrative Organization DOI:

Abstract

This research aims to (1) compare the state of local public health administration before and after the mission transfer of Sub-district Health Promotion Hospitals to the Sakon Nakhon Provincial Administration, and (2) to study the expected condition of local public health administration after the transfer of the mission of the Sub-district Health Promotion Hospital to the Sakon Nakhon Provincial Administration Organization. It was a purposive study in population, 144 representatives of officers in Sub-district Health Promotion Hospitals under the Sakon Nakhon Provincial Administration Organization in 2023. Questionnaire was used to collect data. Quantitative data were analyzed using mean, standard deviation, and Paired Sample T-test, and qualitative data were analyzed by content analysis.

          The research results showed that: The state of local health administration before and after the mission transfer of Sub-district Health Promotion Hospitals to the Sakon Nakhon Provincial Administration was statistically significantly different at the level of .05. Overall, the local Public health administration after the mission transfer had a significantly higher average score than before the mission transfer at .05. The expected state of local health administration after the mission transfer include: (1) organizational structure management; (2) personnel management; (3) budget, finance, accounting, and supplies management; (4) administration of medicines, medical supplies and devices; (5) management of primary health care and provision of primary care services; (6) management of health service information; and (7) supervision, monitoring and evaluation.