The Model for Development of Potential for Healthcare Facility Operators to Comply with the Laws of Healthcare Act B.E. 2541 (1998), Revised Edition in Nakhon Phanom Provincial Public Health Office

Abstract

          This research aims to: 1) study the current status and issues in Development of  Potential for Healthcare Facility Operators to Comply with the Laws ofHealthcare Act B.E. 2541 (1998), Revised Edition, and 2) examine the assessment model for Development of  Potential for Healthcare Facility Operators to Comply with the Laws of Healthcare Act B.E. 2541 (1998), Revised Edition before and after participating in the program. The sample group consists of 122 healthcare facility operators in Nakhon Phanom province. The sample size was determined using Krejcie and Morgan's table and stratified random sampling. The research tools included structured interviews and self-assessment records for compliance with the healthcare facility law for non-overnight healthcare facilities (clinics). The statistics used include percentage, mean, standard deviation, and hypothesis testing using the dependent samples  t-test.
          The research findings indicate that: (1) The current status reveals problems and obstacles in law enforcement, including outdated laws, lenient penalties, insufficient state officials and support, ineffective control, incomplete violation inspections, overlapping authority among regulatory organizations, knowledge, understanding, and social behavior of service recipients, and changes in the environment and medical service business. (2) The post-development assessment results using the assessment model show that all 122 facilities that voluntarily participated in the development process met the assessment standards. The average overall assessment scores and scores for individual categories increased significantly at the .01 level.