The Evaluation of Quality Improvement Criteria of Tambon Health Promoting Hospital (Star Hospital), Surat Thani Province
DOI:
https://doi.org/10.62992/ijphap.v1i1.19Keywords:
Project Evaluation, Tambon Health Promoting HospitalAbstract
Background: Thailand government has announced a policy to improve the health service system to have better quality and be more effective. Surat Thani Provincial Public Health Office has operated according to the policy of assessment and development for the quality criteria of Star sub-district health promoting hospital which has been operating since 2017. There is still a lack of information about factors related to operations and satisfaction of the service users to support the management system. To provide people with equal access to services, it is necessary to assess the quality development of Star Hospital.
Objectives: This evaluation study aimed to evaluate the quality improvement criteria of Tambon Health Promoting Hospital (Star Hospital) in Surat Thani Province.
Methods: 166 places of Tambon Health Promoting Hospital of Surat Thani have been selected by using work manual for quality improvement criteria of Tambon Health Promoting Hospital (Star Hospital) between 2019-2021. 17 directors of Tambon Health Promoting Hospital were interviewed in-depth and 68 staffs responded the questionnaire including context, input, process and outcome of an operation of Star Hospital criteria. 400 participants responded the perception of self-care and satisfaction questionnaire. Descriptive statistics including frequency percentage, mean, minimum, maximum and standard deviation were used to analyze the data and content analysis were used to analyze the quantitative data.
Results: CIPP model observed that the hospital has a policy with clear guideline for development, has developed infrastructure and people have access to more services resulting in reduction of the use of outpatient services. However, there were insufficient staffs, no multidisciplinary team and budget, no MOU for working group at the district level, limited integration with partners. The level of Star Hospital criteria was high of context, input, process and product with average score of 18.6 (S.D=2.2), 34.1 (S.D=2.9), 39.3 (S.D=3.9) and 30.3 (S.D=2.9) respectively. Similarly, part of perception of self-care were high levels with 58.5% average score 13.7 (S.D=2.9, Min -Max =14-17). The satisfaction scores were high level with 95.3% average score 61.2 (S.D = 4.6, Min-Max= 38-66).
Conclusion: Inputs should be provided including; personal, budget and material from network hospital for developing quality of service system and enhancing participation from all sectors including public sector, private sector, and people in the community
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