Local Administration on Public Health Technology of Nonthaburi Tambon Health Promoting Hospital in Nonthaburi Province

Abstract

Background and Aims: Health Information Technology Management in hospitals enhances patient care by ensuring accurate, secure, and accessible medical records. It streamlines workflows, reduces errors, and improves communication among healthcare providers, leading to better decision-making and patient outcomes. This study aimed to (1) study the health information technology management of             sub-district health promoting hospitals (SHPs) in Nonthaburi Province, (2) study  the health information system of sub-district health promoting hospitals (SHPs) in Nonthaburi Province, and (3) serve as a guideline for developing the health information system management of sub-district health promoting hospitals (SHPs) in Nonthaburi Province.

Methodology: This study used a mixed methods research by collecting data from 30 sub-district health promoting hospitals (Sor Por Sor) in Nonthaburi Province, consisting of quantitative research through a questionnaire with a sample of 400 service users from the Sor Por Sor with the largest number of patients to assess opinions on the use of health information technology, and qualitative research using a document study, such as the eHealth strategy of the Ministry of Public Health, and in-depth interviews with 25 executives and related officials. The research instruments consisted of  a quantitative questionnaire and a semi-structured interview form for collecting            in-depth data. The data collection process used to distribute questionnaires to service users through the Sor Por Sor and to schedule interviews through various channels. Data analysis was performed using descriptive statistics, such as frequency, percentage, and mean for quantitative data, and content analysis for qualitative data to present  the research results in a descriptive manner consistent with the study objectives.

Results: The findings revealed moderate performance across several domains, including IT structure and planning (3.43), technology (3.43), personnel (3.27), processes (3.39), control (3.37), and evaluation (3.43), with information quality rated slightly higher (3.55). The qualitative phase involved in-depth interviews with 25 administrators and personnel. It was found that the JHCIS system and Smart OSM application facilitate health data management and patient monitoring. However, challenges include limited personnel, system complexity, and unstable internet connectivity. Additional issues identified were a lack of skilled personnel, inadequate funding, and unclear management practices. The transition from JHCIS to Hosp U further exacerbated issues related to data transfer and insufficient training, compounded by ambiguous policies. To address these challenges, clear policy directives, personnel development, and sufficient resource allocation are essential. The study also recommends adopting the e-Claim system as a potential solution to streamline data management processes and enhance transparency in public health administration.

Conclusion: The findings highlight the moderate performance of health IT management, with strengths in information quality but challenges in personnel, system complexity, and resource limitations. Addressing these issues through clear policies, personnel development, and improved infrastructure is crucial for optimizing health data management and enhancing public health administration.