Model Development of Medical Service Reimbursement for the Inpatient department, Suwannaphum Hospital, Roi-Et Province

Authors

  • Pidsamai Savisai Graduate students, Master Degree of Public Health, Mahasarakham University
  • Songkhamchai Leethongdissakul Associate Professor, Faculty of Public Health, Mahasarakham University
  • Surasak Thiabrithi Assistant Professor, Faculty of Public Health, Mahasarakham University

Keywords:

medical service reimbursement, model development, inpatient department, SVP Model, personnel competency

Abstract

           This action research aimed to develop a medical service reimbursement model for the inpatient department of Suwannaphum Hospital. The target group is comprised of 114 personnel involved in the reimbursement process. Research instruments included questionnaires and tools for operational system development. Quantitative data were analyzed using descriptive statistics (frequency, percentage, mean, standard deviation) and inferential statistics (paired t-test), while qualitative data were examined using content analysis.

The results showed that the newly developed operational process significantly improved reimbursement efficiency, increasing from 58% to 83.96% in the 2025 fiscal year, and generating additional revenue of 8,548,471.71 THB. The development of the reimbursement model had the following six steps: (1) contextual study and situation analysis, (2) stakeholder meetings to report problems and co-create solutions, (3) plan formulation and approval, (4) implementation of the action plan, (5) process evaluation, and (6) lesson-learned extraction through reflection and identification of improvement strategies.

Post-development evaluation indicated that personnel’s knowledge increased by an average of 2.87 points (SD = 2.17), which was statistically significant (p < .05) at the 95% confidence level. Operational skills increased by an average of 0.35 points (SD = 0.48), ability and readiness for implementation increased by 0.63 points (SD = 0.65), and participation in operations increased by 0.35 points (SD = 0.48). Key success factors were synthesized into a preliminary SVP Model consisting of: (1) an effective system (System), (2) active stakeholder participation (Participation), and (3) value creation with an emphasis on operational sustainability (Value Added).

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Published

2026-01-28

How to Cite

Savisai, P. ., Leethongdissakul, S. ., & Thiabrithi, S. . (2026). Model Development of Medical Service Reimbursement for the Inpatient department, Suwannaphum Hospital, Roi-Et Province. Public Health Policy and Laws Journal, 12(1), 173–186. retrieved from https://so05.tci-thaijo.org/index.php/journal_law/article/view/286094

Issue

Vol. 12 No. 1 (2026): January-April

Section

Original Article

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