Job Performance among Medical Record Technicians in Community Hospitals, Ministry of Public Health, Thailand
Keywords:
medical record technicians, work performance effectiveness, related stress, digital skills, organizational supportAbstract
This study employed a cross-sectional survey design to examine factors associated with the work performance effectiveness of medical record technicians in community hospitals, under the Office of the Permanent Secretary, Ministry of Public Health, Thailand. The sample consisted of 415 participants. Data were collected using a structured questionnaire and analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson’s product-moment correlation coefficient.
The findings revealed that 74.2% of the medical record technicians demonstrated a high level of work performance effectiveness (Mean = 3.9, S.D. = 0.5, 95% CI = 3.89–3.99). Factors significantly associated with work performance effectiveness at the 0.05 level included digital skills and organizational support, both of which showed moderate positive correlations. In contrast, age and length of work experience showed low positive correlations, whereas work-related stress showed a low negative correlation. Workload was not significantly associated with work performance effectiveness. In addition, sex, position, salary, and marital status were significantly associated with differences in work performance effectiveness, whereas educational level was not significantly associated with such differences.
Relevant agencies should promote and strengthen the digital skills of medical record technicians, provide appropriate resources and welfare support, and create opportunities for continuous professional development in competencies essential for job performance in order to enhance work performance effectiveness.
References
Becker, G. S. (1993). Human capital: A theoretical and empirical analysis, with special reference to education (3rd ed.). University of Chicago Press.
Campbell, J. P., & Wiernik, B. M. (2015). The modeling and assessment of work performance. Annual Review of Organizational Psychology and Organizational Behavior, 2, 47–74. https://doi.org/10.1146/annurev-orgpsych-032414-111427
Deelert, P., & Deelert, J. (2022). Leadership and medical record management in the digital era. Journal of Management Science Review, 24(2), 147–156.
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands resources model of burnout. Journal of Applied Psychology, 86(3), 499–512.
Division of Health Economics and Health Security, Office of the Permanent Secretary, Ministry of Public Health. (2025). Financial situation report of service units under the Office of the Permanent Secretary, Ministry of Public Health, Quarter 3 of fiscal year 2025. Retrieved September 5, 2025, from https://spd.moph.go.th/wp-content/uploads/2025/07/3.3-V1-Financial-Report-UP.pdf
Elifson, K. W., Runyon, R. P., & Haber, A. (1990). Fundamentals of social statistics (2nd ed.). McGraw-Hill.
Erika, S. Y., Irab, S. P., Ruru, Y., Sandjaja, B., Hasmi, & Makaba, S. (2023). Factors affecting the performance of medical records officials at public health centers in Jayapura City. International Journal of Research and Review, 10(7), 203–215. https://doi.org/10.52403/ijrr.20230745
Health Data Center, Ministry of Public Health. (n.d.). Outpatient utilization rate by health insurance scheme (visits per person per year). Retrieved September 7, 2025, from https://hdc.moph.go.th/center/public/standardreport/detail/4b35d96e225bf34a16774b13705250f4
Health Service Information Bureau. (n.d.). Social Security outpatient transaction system (SSOP). Retrieved September 5, 2025, from https://cs10.chi.or.th/ssopupload
Homans, G. C. (1958). Social behavior as exchange. American Journal of Sociology, 63(6), 597–606. Human Resource Management Division,
Office of the Permanent Secretary, Ministry of Public Health. (n.d.). Implementation of human resource management policy. Retrieved September 9, 2025, from https://hr.moph.go.th/site/hr_moph/?page_id=36723
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610.
Likert, R. (1932). A technique for the measurement of attitudes. Archives of Psychology, 22(140), 55.
Ministry of Public Health. (n.d.-a). Financial Data Hub. Retrieved September 5, 2025, from https://fdh.moph.go.th/hospital/
Ministry of Public Health. (n.d.-b). Health Data Center (HDC). Retrieved August 24, 2025, from https://hdc.moph.go.th/
National Health Security Office. (n.d.). e-Claim system. Retrieved September 5, 2025, from https://eclaim.nhso.go.th/Client/login?url=%2Fhome
National Health Security Office. (2025). Use of audit results as information for consideration of inpatient service payment for service units, fiscal year 2025. Retrieved September 5, 2025, from https://r8way.moph.go.th/r8wayNewadmin/page/upload_file/20250818170345.pdf
National Health Security Office Region 7 Khon Kaen. (n.d.). C/Deny/Verify list and correction guidelines. Retrieved September 5, 2025, from https://khonkaen2.nhso.go.th/poth/mis/search_c.php
Office of the Civil Service Commission. (n.d.). Position standard for medical record technician (2008). Retrieved March 6, 2025, from https://knowledge.ocsc.go.th/th/standard position/operation/41004/
Office of the Civil Service Commission. (2018). Digital skills of civil servants and public personnel for transformation toward digital government. Office of the Civil Service Commission. Retrieved September 21, 2025, from https://www.ocsc.go.th/?attachment_id=42306
Office of the Permanent Secretary, Ministry of Public Health. (2021). Manual for collecting and submitting data according to the standard health data structure (Version 2.4). Ministry of Public Health.
Office of the Permanent Secretary, Ministry of Public Health. (2022). Manual on organizational structure and workforce framework for regional administrative agencies (2022–2026) (p. 136). Ministry of Public Health.
Office of the Permanent Secretary, Ministry of Public Health. (2024). Annual public health workforce report2024. Division of Strategy and Planning. Retrieved September 9, 2025, from https://spd.moph.go.th/wp-content/uploads/2025/03/รายงานบุคลากรด้านสาธารณสุข-ประจำปี-25671.pdf
Pacheco, P. O., & Coello-Montecel, D. (2023). Does psychological empowerment mediate the relationship between digital competencies and job performance? Computers in Human Behavior, 140, 107575. https://doi.org/10.1016/j.chb.2022.107575
Paramita, N. K. S., & Suwandana, I. G. M. (2022). Effect of job stress, work conflict, and workload on employees’ performance. European Journal of Business and Management Research, 7(4), 125–128. https://doi.org/10.24018/ejbmr.2022.7.4.1508
Parker, D. F., & DeCotiis, T. A. (1983). Organizational determinants of job stress. Organizational Behavior and Human Performance, 32(2), 160–177. https://deepblue.lib.umich.edu/handle/2027.42/25099
Promree, N., & Bouphan, P. (2021). Critical success factors and organizational support affecting the performance of medical record officers in community hospitals, Health Region 7. KKU Research Journal (Graduate Studies), 21(2), 179–191.
Rajan, D., Dhar, P., John, A., Das, S., & Vasumathi, B. (2024). Relationship between sources of stress and demographic characteristics of the medical records technicians. African Journal of Biomedical Research, 27, 582–594. https://doi.org/10.53555/AJBR.v27i1S.1528
Reilly, M. D. (1982). Working wives and convenience consumption. Journal of Consumer Research, 8(4), 407–418.
Rhoades, L., & Eisenberger, R. (2002). Perceived organizational support: A review of the literature. Journal of Applied Psychology, 87(4), 698–714. https://doi.org/10.1037/0021-9010.87.4.698
Saengsaikaew, P. (2023). Digital work performance of personnel in the Department of Provincial Administration, Ministry of Interior [Master’s thesis, Sakon Nakhon Rajabhat University].
Sartika, M., Astuti, S. D., Chasanah, A. N., & Riyanto, F. (2023). Digital skills to improve work performance. International Journal of Accounting, Management, and Economics Research, 1(2), 33–40. https://doi.org/10.56696/ijamer.v1i2.14
Tanjai, C., & Bouphan, P. (2013). Job performance of medical record technician in community hospital in Public Health Region 10. KKU Research Journal (Graduate Studies), 13(1), 76–88.
Thai CaseMix Centre. (n.d.). Thai CaseMix Centre. Retrieved September 5, 2025, from https://www.tcmc.or.th/home-tcmc
Tuaymeerit, S. (2020). Development of a health data warehouse in Nakhon Ratchasima Province. Journal of Health Science, 29(1), 143–156.
Vichanuwat, S., & Sriratanaban, J. (2021). Completeness and correctness of the 52-file standard datasets for value-based healthcare indicators in diabetes mellitus. Journal of Health Systems Research, 15(4), 396–406.
Downloads
Published
How to Cite
Issue
Section
License
Disclaimer and Copyright Notice
The content and information presented in articles published in the Journal of Law and Public Health Policy represent the opinions and sole responsibility of the respective authors. The editorial board does not necessarily agree with or assume any responsibility for the views expressed.
All articles, data, content, images, and other materials published in the Journal of Law and Public Health Policy are the intellectual property of the journal. Any individual or organization wishing to reproduce, distribute, or otherwise use the entirety or any part of such materials must provide proper citation.
