Developing an Organizational Management Model and Adjusting the Mission after Transferring the Subdistrict Health Promoting Hospital of the District Public Health Office, Roi-Et Province

Abstract

The action research aims to develop an organizational management model and adjust missions after the transfer of a health promotion hospital of the District Public Health Office, Roi Et Province. The research was divided into 3 phases. The first phase; studies the transition situation, the second phase; develops the model, and the third phase; evaluates the development results. The sample group were 249 health personnels of all the District Public Health Office, by purposive sampling according to the inclusion criteria. The tools consisted of 3 quantitative tools. The quality of the instruments was checked by testing the reliability of the organizational attitude questionnaire, participation questionnaire, and satisfaction assessment questionnaire. Cronbach's alpha coefficients were equal to 0.88, 0.80 and 0.78, respectively. And 2 qualitative instruments, it was checked for content and construct validity by 3 experts. The descriptive statistics used to analyze the quantitative data and qualitative data was content analysis. The results found that; 1) Before the transfer, there were 109 health personnels of all the District Public Health Office. When the transfer occurred, the health personnel who did not intend to transfer must move to work at the District Public Health Office. As a result, the number of health personnel of all the District Public Health Office had increased to 249 peoples, there was no clear the organizational and mission adjustment model to support new health personnels. There found the problems in coordination and proactive public health operations in the area, problems in developing health indicators of the Provincial Public Health Office. 2) The organizational management model developed uses the participatory learning process consisting of 4 steps: 1) Planning by clarification meetings, creating a training course for participatory public administration approaches and developing the potential of a team of lecturers.2) Operation through training workshops, Planning for participatory organizational development observational study outside the area, knowledge sharing, creation of networks throughout the government sector, private and public sectors, adjusting the organization structure divided into 4 groups, clearly adjust the main mission, secondary missions, and supporting missions. 3) Observation step by following up and evaluating the empowerment model and creating communication line groups. And 4) reflecting step; on practice results by after action review and extracting new knowledge. 3) The development results showed that personnel participation in the development process was at a high level, with an average of 1.39, with the highest participation in organizational management, next was proactive operations in the area, mission adjustment and the development and evaluation of health indicators, respectively. And were satisfied with the development at the highest level, 78.7 percent.