Journal of Health Policy, Law and Administration

Content

Anongnut Boonruengnam — 2026-09-01

Structural Reform of Clean Air Legislation: Comparative Lessons from Six Countries toward New Institutional Mechanisms and Regulatory Tools for Thailand

Prof Dr.Chardsumon Prutipinyo — 2026-09-01

This article analyzes Thailand's PM2.5 air pollution crisis, stemming from a fragmented legal framework and lacking of integrated mechanisms. The proposed Clean Air Act aims to establish a "Right to Clean Air" and establishing an integrated management mechanism. This documentary research compared clean air laws in six countries (USA, UK, Japan, South Korea, China, Philippines) based on key principles such as the right to clean air, the precautionary principle, and environmental rule of law. Evidence indicated that effective legislation required integrated governance structures, economic incentives, robust enforcement mechanisms, and strong public participation. Analysis of Thailand's current draft law revealed concerns regarding decentralization, the exclusion of the Pollutant Release and Transfer Register (PRTR) and citizen rights to sue related government agencies, the establishment of the Clean Air Fund, and cross-border pollution management. Recommendations are the following: improving the draft law by emphasizing co-governance, retaining scientific tools and access to justice mechanisms, establishing a transparent fund, and managing cross-border pollution, to ensure the law effectively addressing structural issues sustainably, and aligning with international standards.

French Consumer Protection against Influencer Advertising and the Challenges Facing Thai Law

Thanadchapon Kungsung — 2026-09-01

At present, business operators have increasingly turned to influencers as a channel for sales promotion. In some instances, influencers advertise products while providing inaccurate information, or they receive remuneration for advertising from business operators yet conceal that fact so as to lead consumers making erroneous decisions and suffering harm, and it is therefore necessary to regulate advertising by influencers. This article accordingly explains the legal measures on influencer advertising of the French Republic and of Thailand, together with an analysis of approaches to developing such law in Thailand. It is found that the French Republic has a law directly protecting consumers from influencer advertising, namely the Law aiming to regulate commercial influence and to combat the abuses of influencers on social media. As for Thailand, although rules on advertising have been prescribed under the Consumer Protection Act B.E. 2522 (1979), the Food Act B.E. 2522 (1979), the Drug Act B.E. 2510 (1967), and the Direct Sales and Direct Marketing Act B.E. 2545 (2002), no rules specifically governing advertising by influencers have been laid down. The author therefore proposes that a law specifically regulating influencer advertising should be enacted, which may be issued in the form of a ministerial regulation or a notification, taking the rules of the law of the French Republic as a guideline.

A Study of The Relationship Between Quality of Work Life, Organizational Culture, and Organizational Commitment among Professional Nurses: A Case Study of Medical School Hospital

Juthamas Chaluaysrimuang — 2026-09-01

This cross-sectional survey examined quality of work life, perceived organizational culture, and organizational commitment among professional nurses in a medical school hospital, a setting characterized by integrated mission of healthcare service delivery, education, and research. A total of 328 professional nurses completed a self-administered questionnaire. Data were analyzed using descriptive statistics, Chi-square test, Spearman’s rank correlation, and multiple linear regression.

The findings showed that organizational commitment was at a high level (72.6%), perceived organizational culture was at a high level (69.8%), whereas quality of work life was at a moderate level (50.9%). Quality of work life was strongly and positively associated with organizational commitment (r = 0.739, p < 0.001), as was perceived organizational culture (r = 0.753, p < 0.001). In the regression model, perceived organizational culture, quality of work life, and years of working experience jointly explained 69.7% of the variance in organizational commitment (Adjusted R² = 0.697).

The findings suggested that strengthening organizational culture and improving nurses’ quality of work life were important strategies for enhancing organizational commitment among professional nurses. In the context of healthcare organizations, these findings might be used to inform human resource management policies and workforce retention strategies, particularly those related to work environment improvement, professional support, and organizational development. Strengthening these areas might help reducing nurses’ turnover rate, promoting workforce stability, and supporting the long-term quality and sustainability of healthcare services.

Factors Associated with Office Syndrome Preventive Behaviors among Public Health Personnel in Health Region 11, Thailand

Nattha Meepat — 2026-09-01

This cross-sectional analytical study aimed to assess office syndrome preventive behaviors and examine associated factors based on the PRECEDE model among public health personnel in Health Region 11. Data were collected using a self-administered questionnaire from 292 participants selected through stratified random sampling. Descriptive statistics and chi-square tests were used for data analysis.

The results showed that most participants were female (77.7%) and aged 30–44 years (43.8%). Overweight and obesity were found in 59.2% of participants, while 54.4% reported musculoskeletal pain. Overall office syndrome preventive behaviors were at a moderate level (68.2%). Working posture and workplace environment management behaviors were at a moderate level, whereas the use of preventive equipment was low. Factors significantly associated with preventive behaviors (p < 0.05) included musculoskeletal pain, job satisfaction, workstation suitability, availability of ergonomic equipment, and organizational health promotion policies.

In conclusion, office syndrome preventive behaviors among public health personnel were at a moderate level and associated with individual, environmental, and organizational factors. Relevant organizations should promote ergonomic workplace environments and strengthen workplace health promotion measures to improve preventive behaviors among personnel.

This cross-sectional analytical study aimed to examine the level of office syndrome preventive behaviors, and identify factors associated with such behaviors among public health personnel in Health Region 11, Thailand. Data were collected using a structured questionnaire from 292 participants, recruited through stratified random sampling from Provincial Public Health Offices across seven provinces in Upper Southern Thailand. Data were analyzed using descriptive statistics and Chi-square test.

The results revealed that 59.2% of the participants were overweight or obese, while 54.4% reported cumulative musculoskeletal pain. Overall, office syndrome preventive behaviors were at a moderate level (68.2%). Preventive behaviors related to working posture and workplace environment management were also at a moderate level, whereas the use of preventive ergonomic equipment was at a low level. Factors significantly associated with office syndrome preventive behaviors (p < 0.05) included cumulative musculoskeletal pain, job satisfaction, workstation suitability, availability of office syndrome preventive equipment, and workplace health promotion policies.

In conclusion, office syndrome preventive behaviors among public health personnel remained at a moderate level, associated with individual, workplace environmental, and organizational factors. Therefore, relevant organizations should emphasize ergonomic workplace environments, by providing appropriate preventive equipment, and strengthen workplace health promotion policies, which were identified as factors associated with office syndrome preventive behaviors. These measures could contribute to the sustainable promotion of preventive behaviors among public health personnel.

Factors associated with dental service utilization among older adults under the single ID card policy: a case study of Ban Lat District, Phetchaburi Province

Raweephat Boonniyom — 2026-09-01

This quantitative cross-sectional analytical study investigated factors associated with dental service utilization among older adults in Ban Lat District, Phetchaburi Province, an area where oral health performance goals remained unmet. A sample of 304 participants was selected using multi-stage sampling. The research instrument demonstrated reliability with Cronbach’s alpha coefficients ranging from 0.719 to 0.932. Data were analyzed using descriptive statistics, Chi-square tests, and Binary Logistic Regression, with the model showing a good fit with empirical data (Hosmer-Lemeshow test, p = 0.757).

The results revealed that 79.3% of older adults had not utilized dental services within the past six months, despite having a moderate level of policy awareness. Significant predictors (p < 0.05) were: 1) Education level: those with secondary education or higher were 2.078 times more likely to utilize services than those with primary education or lower (95%CI = 1.084–3.986, p = 0.028); 2) Previous experience: those with prior dental service experience were 14.401 times more likely to use services (95%CI = 1.887–109.906, p = 0.010); and 3) Marital status: married individuals were less likely to utilize services compared to those who were single (OR = 0.328, 95%CI = 0.152–0.706, p = 0.004).

These findings highlighted an implementation gap in the current policy. It is recommended that public health agencies should implement proactive services in collaboration with Village Health Volunteers (VHVs) and local authorities, through community screening and NCD home-visit teams. Furthermore, improving appointment systems to reduce waiting times, and expanding benefits to cover individual tooth treatments were essential to meet older adults’ actual oral health needs.

Factors Influencing the Participation of Village Health Volunteer Leaders in Diabetes Prevention in Chainat Province

Saranyaporn Manthong — 2026-09-01

This cross-sectional analytical study aimed to investigate the factors influencing participation in diabetes prevention among village health volunteer leaders, in Chainat Province. The sample consisted of 315 village health volunteer leaders. Data were collected using questionnaires and analyzed using descriptive statistics and inferential statistics, including Chi-square analysis, Spearman’s rank correlation coefficient, and ordinal logistic regression analysis, with the statistical significance level set at 0.05.

The results of the ordinal logistic regression analysis revealed that the predictive factors significantly associated with participation in diabetes prevention among village health volunteer leaders were health literacy, social support, and transformational leadership. Village health volunteer leaders with a moderate health literacy level were 2.90 times more likely (p-value = 0.007, 95% CI: 1.338–6.300) than those with a low level, to participate in diabetes prevention. Regarding social support, those with high and moderate levels were 18.35 times (p-value < 0.001, 95% CI: 6.469–52.044) and 5.22 times (p-value < 0.001, 95% CI: 2.401–11.361), respectively, more likely to participate than those with low levels. In addition, village health volunteer leaders with high and moderate levels of transformational leadership were 72.48 times (p-value < 0.001, 95% CI: 23.238–226.085) and 4.62 times (p-value < 0.001, 95% CI: 2.225–9.600), respectively, more likely to participate than those with low levels.

The findings of this study provided empirical evidence for policymakers to plan and enhance the capacity and potential development of village health volunteer leaders in the future.

Factors Associated with Community Physical Therapists’specific Competency in Caring for Stroke Patients in the Ministry of Public Health’s Community Hospitals.

Piyaporn Tongsiri — 2026-09-01

This cross-sectional analytical research aimed to investigate factors associated with community physical therapists’ specific competencies in caring for stroke patients, at the Ministry of Public Health’s community hospitals. The sample consisted of 318 physical therapists who had at least one year experience in community physical therapy practice, in caring for stroke patients. Data were collected by using questionnaires and analyzed by using descriptive statistics, chi-square tests, and binary logistic regression analysis.

The results showed that specific competencies in caring for stroke patients were at a high level (67.6 %), while professional attitudes and work empowerment were at a moderate level. Competency was significantly associated with demographic factors, work experience, professional attitudes, and work empowerment. Significant predictors of competency included access to information (Adj.OR = 11.32, p < 0.001), recognition and appreciation (Adj.OR = 9.67, p = 0.014), access to resources (Adj.OR = 7.765, p < 0.001), and the affective aspect of professional attitudes (Adj.OR = 3.7, p = 0.047).

The study recommended that the Physical Therapy Council should explore channels for disseminating information related to physical therapy and relevant policies. The Ministry of Public Health should support rehabilitation equipment and promote the exchange of work experiences, to enhance professional competency and improve the effectiveness of practice.

The Medical Service Reimbursement Operation for High-Cost Cases under the Migrant Health Insurance Scheme, Ministry of Public Health

Thamonphan Jinpong — 2026-09-01

This mixed-methods study aimed to examine the operations and factors influencing Medical Service Reimbursement for High-Cost Cases of the Migrant Health Insurance Scheme, Ministry of Public Health. Quantitative data were derived from secondary data sets from the Ministry of Public Health, for fiscal years 2019–2023 (B.E. 2562–2566) and analyzed using descriptive statistics and multiple regression analysis. Qualitative data were collected through in-depth interviews with six key informants, including administrators and other relevant stakeholders, using semi-structured questionnaire.

Findings revealed that the number of health insurance cardholders peaked in 2020 (712,177 individuals) and declined to 538,377 in 2023, with community hospitals maintaining the highest proportion of cardholders. Factors significantly influencing reimbursement payments included the number of service users (the primary factor), outpatient treatment (which decreased costs), and being a central hospital, general migrant group, or dependents under 7 years old (which increased costs). The model explained 30.6% of the variance in expenditures (R²=0.306).

The fund continues to face financial sustainability challenges because insurance premiums do not reflect actual costs. Policy recommendations include adjusting the Adjusted Relative Weight (AdjRW) threshold from ≥ 4.00 to ≥ 2.00 to ensure hospitals receive appropriate compensation and to reduce unnecessary patient referrals. Additionally, the study suggests developing real-time data-reporting systems and advocating for legislative support to ensure comprehensive migrant coverage within the health system.

Job Performance among Medical Record Technicians in Community Hospitals, Ministry of Public Health, Thailand

Keswadee Phajuang — 2026-09-01

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.

Factors Influencing Research Competency of Health Professionals at The Queen Sirikit National Institute of Child Health

Kamolchanok Jaisaodee — 2026-08-31

This cross-sectional analytical research aimed to study the factors influencing the research competence of healthcare professionals at the Queen Sirikit National Institute of Child Health. The sample consisted of 322 healthcare professionals. Data was collected using questionnaires and analyzed using descriptive statistics, independent t-test, One-way ANOVA, and Pearson’s correlation and multiple linear regression. Statistical significance was set at p < 0.05.

The results showed that male healthcare professionals and physicians/dentists/pharmacists had significantly higher research competence scores than female healthcare professionals, including nurses/other allied health professionals (p < 0.05). Correlation analysis revealed that organizational factors (r = 0.439, p < 0.01), social and motivational factors (r = 0.388, p < 0.01), and self-confidence in research (r = 0.452, p < 0.01) had a statistically significant positive correlation with research competence.

They were positively associated with research competency at a statistically significant level. Multiple linear regression analysis indicated that research self-efficacy (β = 0.314, p < 0.001), organizational factors (β = 0.244, p < 0.001), and previous research training experience (β = 0.178, p < 0.001) were significant predictors of research competency among health professionals. The model explained 30% of the variance in research competency (Adjusted R² = 0.30).

This research suggested that management should promote the development of self-confidence in research, support a research-friendly environment, and provide motivation to enhance research competence and increase the potential for producing high-quality research.

Factors Associated with Perceived Service Quality among Clients of Thai Traditional and Alternative Medicine Services at Phaholpolpayuhasena Hospital, Kanchanaburi Province

Krittayaporn Nacharoen — 2026-09-01

This study was an analytical cross-sectional study. The objectives were to assess perceived service quality and to identify factors associated with service quality in Thai traditional and alternative medicine (TTAM) services among clients at Phaholpolpayuhasena Hospital. The sample consisted of 245 patients, selected by systematic random sampling. Data were collected using a self-administered questionnaire between March 9–31, 2026. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation, and multiple linear regression, at a significance level of p < 0.05.

The findings indicated that perceived service quality was at a very high level (Mean = 4.50, S.D. = 0.50). Factors significantly associated with perceived service quality included utilization of massage services (yes/no) (p = 0.032), perceived benefits (p < 0.001), and access to services (p < 0.001). The variables that significantly predicted perceived service quality were access to services (β = 0.635), perceived benefits (β = 0.161), and utilization of massage services (yes/no) (β = 0.097). Together, these variables explained 54.4% of the variance in perceived service quality (Adjusted R² = 0.544, p < 0.001).

Recommendations are: Hospital administrators should improve the perceived quality of TTAM services by enhancing service accessibility and promoting the benefits of Thai traditional medicine to increase client satisfaction and service utilization.

Association between Health Perception and Stigma Perception with Access to Healthcare Services among Patients attending a Sexually Transmitted Infections Clinic in Bangkok Metropolitan

Thanunyakorn Ma — 2026-09-01

This cross-sectional study aimed at determining factors related to healthcare services access by patients attending a sexually transmitted infections (STIs) clinic in Bangkok. The sample group consisted of 410 individuals. Data were collected using systematic sampling. The research instrument was a paper-based questionnaire. Descriptive statistics, Chi-square statistics and Spearman’s rank correlation statistics were analyzed.

The research findings revealed that the majority of patients were male (63.17%), followed by LGBTQ+ individuals and females (18.54% and 18.29%), respectively. The largest age group were between 25-34 years old (42.44%), with an average age of 33.63±9.51 years. The level of access to healthcare services was high 92.20% (mean 4.37, S.D. 0.46). The analysis found that personal factors had no statistically significant association with access to healthcare services (p > 0.05). Health perception and stigma perception showed moderated correlations with access to healthcare services (r = 0.403, 95% CI: 0.316, 0.483 and r = -0.336, 95% CI: -0.421, -0.244), which were statistically significant at the 0.01 level (p < 0.01).

STIs clinics can be applied as a guideline for managing and improving the quality of health services, such as matching physicians to the gender of patients, and developing effective communication skills among healthcare providers to reduce stigma.

Tortius Liability in the case of Parental Alienation

Natthawee Neammee — 2026-09-01

Parental alienation has been studied in the field of psychology for the purpose of resolving family law disputes. Such behavior may also cause harm to the targeted parent. This gives rise to two principal issues. The first issue concerns how the elements of tort liability should be interpreted in cases of parental alienation. The second issue concerns whether, and to what extent, it is appropriate to apply tort law to disputes arising within family relationships.

The two issues examined in this study are investigated through legal-dogmatic research, employing the comparative law method in the field of Comparative Nomoscopy. The study focuses on a comparative analysis of the legal systems of the United States of America, the Federative Republic of Brazil, and the Federal Republic of Germany.

With regard to the first issue, the comparative study found that Section 420 of the Thai Civil and Commercial Code constituted the principal provision applicable to such cases. The provision might be interpreted so that such conduct constituted a form of injury to health, and also as an infringement upon visitation rights and parental authority, depending on the circumstances of each case. Section 420 protects such interests as “rights of another kind” within the meaning of the provision.

With regard to the second issue, the study found that such cases were closely connected with problems arising from family relationships and therefore require specifically tailored legal solutions. Accordingly, the thesis proposes the introduction of additional provisions into Book II and Book V of the Thai Civil and Commercial Code.

Legal Issues and Civil Liability due to the Operation of Surgical Robots and Artificial Intelligence in Healthcare

Samrit Sengaiang — 2026-09-01

This research aimed to create a body of knowledge for a legal foundation on the application of modern technology, from the fundamental principles and mechanics of medical surgical robots, in order to understand their operational scope. Subsequently, the study conducts a comparative analysis of legal measures between Thailand and foreign jurisdictions to explore the differences, strengths, and limitations of existing regulations.

Ultimately, the primary objective of this research was to propose appropriate and up-to-date legal measures on safety standards to assure public confidence, utilizing a documentary research methodology. The findings revealed that in a comparative context, while foreign jurisdictions had implemented theories of direct hospital liability—such as "Negligent Credentialing"— but Thai law confined to vicarious liability as an employer under Section 425 and the Liability for Damages Arising from Unsafe Products Act B.E. 2551 (2008). These statutory provisions were inadequate in protecting consumers confronted with highly sophisticated innovations and scientific advancements (State of the Art Defense).

Consequently, the researcher proposed an integrated approach through the enactment of specific laws, or regulations to establish Standard Operating Procedures (SOPs) and clear training criteria, while expanding the scope of corporate liability for medical institutions to cover technological oversight. Additionally, product liability laws should be amended to include medical software, and a "No-fault Liability" compensation system should be implemented together with professional liability insurance, to balance medical innovation with the sustainable and fair protection of patients' rights.

Development of a Preoperative Clinical Risk Assessment Tool for Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery

Jitpattra Nganlasom — 2026-09-01

Postoperative delirium (POD) is a prevalent and severe complication in elderly patients undergoing hip fracture surgery. This retrospective cohort study aimed to develop a practical clinical risk prediction score for POD. We evaluated 115 patients (aged ≥60 years) who underwent hip fracture repair. Clinical data were retrospectively extracted and analyzed using multivariable logistic regression to identify independent predictors. The retained variables were assigned weighted points to construct a simple integer-based scoring system. The model's discriminative performance was assessed utilizing the area under the receiver operating characteristic curve (AUC), alongside calibration analysis.

The overall incidence of POD was 36.52%. The final prediction model incorporated seven preoperative predictors: advanced age (≥80 years), ASA physical status III–IV, dementia, urinary catheter use, insomnia, benzodiazepine use, and antipsychotic drug use. The total risk score ranged from 0 to 37 points. The model demonstrated excellent discriminative ability (AUC = 0.88) and adequate calibration. The optimal cut-off score of ≥11 achieved a sensitivity of 69.05%, specificity of 95.89%, and overall accuracy of 86.09%. Furthermore, a high-risk threshold of ≥13 provided an excellent specificity of 98.63% and a markedly elevated positive likelihood ratio of 46.92. In conclusion, this highly practical preoperative bedside tool effectively stratifies POD risk, facilitating early identification and the implementation of targeted prevention strategies in geriatric surgical care.

Sugar Tax and Public Health Policy in Thailand: A Legal and Policy Analysis

Puttamaporn Sinsap — 2026-09-01

The growing prevalence of Non-Communicable Diseases (NCDs) associated with the consumption of sugar-sweetened beverages has led many countries to adopt excise taxation as a legal instrument for promoting public health. In Thailand, a sugar-sweetened beverage (SSB) tax was introduced under the Excise Tax Act B.E. 2560 (2017) through a tiered tax structure based on sugar content. This study aims to analyze the structure and limitations of Thailand’s SSB excise tax, conducting a comparative analysis of relevant legal measures adopted in selected foreign jurisdictions, and propose appropriate legal and policy reforms for Thailand’s health taxation framework. The research employs a qualitative methodology based on documentary analysis of legal materials, academic literature, both domestic and international scholarly databases.

The findings indicate that Thailand’s excise tax on sugar-sweetened beverages has encouraged product reformulation by manufacturers and has contributed, to some extent, to reducing the consumption of sugar-sweetened beverages. However, its principal limitation lies not in the tax rate itself but in the lack of integration among tax measures, public health measures, information-based measures, marketing controls, and monitoring and evaluation systems. As a result, the sugar tax continues to operate primarily as a fiscal instrument rather than as a comprehensive health-oriented regulatory mechanism.

The study therefore recommends that Thailand transforms its sugar tax into a Health-Oriented Regulatory Framework by integrating tax policy with food law, consumer protection law, and measures addressing the Commercial Determinants of Health, to strengthen its effectiveness and long-term sustainability in reducing NCDs.

Components and indicators of creative leadership among health leaders in primary health care units, Trang Province

Adisak Srilaong — 2026-09-01

This study employed a quantitative research design. The objective of the research was to examine the components and indicators of creative leadership among healthcare leaders in primary care units in Thailand. A total of 35 variables were analyzed, with a sample size calculated for 9 times the initial sample size. A total sample size of 315 people was selected using simple random sampling. The instrument used was a questionnaire that had been validated by 7 experts, with a content validity index of 1.00 and a reliability coefficient of 0.86. Data was analyzed using exploratory factor analysis, with factors extracted using principal component analysis and orthogonal rotation using the Varimax method.

The study results of exploratory analysis showed that, the Kaiser – Mayer – Olkin - KMO - was .981 and Bartlett’s Test of Sphericity was 20118.993, both of which were statistically significant at the .001 level. There were a total of 4 components and 30 indicators. The Eigen values ranged from 1.044 to 27.717, with the percentage of variance ranged from 2.270 to 60.254, and the cumulative percentage of variance ranged from 60.254 to 71.165. The findings are as followed: 1) Vision and application skills (9 indicators), 2) Adaptability and open-mindedness (8 indicators), 3) Creative and imaginative skills (7 indicators), and 4) Emotional intelligence (6 indicators). The new knowledge gained from this research can be applied to the development of primary healthcare personnel based on these components and indicators.

Development and Evaluation of Knowledge Hub on Prevention and Solution for Drug Problems to Enhance the Effectiveness of Relapse Treatment in Thailand

Patchara Sinloyma — 2026-09-01

This study aimed to evaluate the systemic effectiveness of the Knowledge Hub on Prevention and Solution of Drug Problem (PSDP-Hub) for public health policies and community participation. Employing a 12-month Mixed Methods research design, integrated with Participatory Action Research (PAR), quantitative instruments were validated for content accuracy (IOC ≥ 0.67), showing acceptable internal consistency (Alpha = 0.79–0.91) and structural fit (CFI = 0.94, RMSEA = 0.06). Qualitative data were gathered via 12 semi-structured focus groups for thematic analysis. The findings indicated that the PSDP-Hub digital platform engaged 18,234 unique users across 77 provinces in Thailand, achieving a high overall user satisfaction rate (Mean = 4.48, SD = 0.58, t(1246) = 92.34, p < .001, Cohen's d = 2.55). Furthermore, multi-sectoral collaboration expanded to 34 organizations, with the Royal Police Cadet Academy serving as the central node (Network Density = 0.42, Clustering Coefficient = 0.68). Regarding youth prevention, the “1 Police Station 1 Model” initiative across 10 pilot stations successfully retained 935 high-risk youth (89.3%), yielding statistically significant post-test improvements (p < .001) in drug knowledge, risk assessment capacities, and self-esteem scores. In terms of rehabilitation effectiveness for drug-relapse cases through the community-based “Kaolieo Model” utilizing the Community-Based Treatment (CBT) approach among 108 voluntary participants, the 6-month completion rate reached 72.2%, with 6.5% achieving sustained abstinence and 21.3% showing a significant reduction in harmful substance use. Among the 78 graduates, multidimensional positive changes were observed in employment (42.3%), housing stability (87.2%), and family relationships (76.9%), while 89.7% avoided criminal recidivism during the program. These empirical insights demonstrated the feasibility of utilizing this collaborative framework to scale up and drive sustainable policy recommendations for addressing drug problems more extensively.

A Community Waste Bank Model for District-Level Prototype Development: A Case Study of Khao Samo Khon Sub-District Administrative Organization, Tha Wung District, Lopburi Province

Thitima Thongmee — 2026-09-01

Sustainable community waste management thru the waste bank mechanism is an important local policy. This study aimed to evaluate the sustainable development performance for the district-level model waste bank, case study: Khao Samo Khon Sub-district Administrative Organization, Tha Wung District, Lopburi Province. The CIPP Model evaluation framework was applied in this qualitative descriptive research, with cross-sectional data collection. The sample consisted of 20 members of the waste bank fund committee, selected through purposive sampling. The tool used was in-depth interviews, and data were analyzed through content analysis. The study found that the area faced roadside waste problems and upstream waste separation, but the local administrative organization highly accepted the policy. Input factors included social capital, with committees appointed by position, efficient management of existing resources without relying on the budget, a systematic accounting process, and step-by-step problem-solving. The output reflected a cleaner community and increased awareness of waste separation. However, there were still time constraints for the public and confidence in the fund's welfare. The researchers synthesized three models for sustainable development: 1) a model for managing time and infrastructure constraints, 2) a model for enhancing leadership and health networks, and 3) a model for ensuring confidence and community welfare mechanisms. Therefore, local administrative organizations should adapt these models to ensure the sustainable operation of community waste banks.

Factors Influencing Innovation and Technological Competency Among Personnel of the Samut Songkhram Provincial Public Health Office

Pattarakarn Tasee — 2026-09-01

This study aimed to 1) identify the general characteristics, organizational culture, leadership, innovation and technological competence; 2) determine the influence of general characteristics, organizational culture and leadership in innovation and technology on the innovation and technology competency among personnel of the Samut Songkhram Provincial Public Health Office. This survey research studied a sample of 163 personnel. A questionnaire was used to collect data. Descriptive statistics (frequencies, percentages, means, and standard deviations) and stepwise multiple linear regression, were analyzed.

The results revealed that 1) 75.5% of the respondents were female, with a mean age of 40.19 years. Most of them held a bachelor's degree, were government officials, and had 11 years or more of work experience. In addition, 74.4% had received training related to innovation skills development, or information and communication technology. The overall levels of leadership in innovation and technology were high, whereas organizational culture related to innovation and technology, and innovation and technology competency were moderate. 2) the factors significantly influencing innovation and technology competency (p > 0.05) included a master's degree, non-government official status, length of work experience, training participation, and leadership in innovation and technology.

The findings of this study can serve as a basis for developing personnel competencies in innovation, information and communication technology, and innovation and technology leadership. Such competency development can enhance work performance and support the organization in advancing toward becoming an innovative and technology-oriented organization.

The Development of Opisthorchiasis Prevention Model with community participation in Sri Khot Subdistrict, Chaturaphak Phiman District, Roi Et Province

Pennapa Muangnua — 2026-09-01

This study employed Participatory Action Research (PAR). The objectives were to develop of Opisthorchiasis prevention model with community participation in Sri Khot Subdistrict, Chaturaphak Phiman District. Roi Et Province.

The study sample consisted of 48 members of the Si Khot Subdistrict Health Assembly and 283 residents aged 15 years and above. The research process was conducted in four stages of the PAOR cycle (Planning, Action, Observation, Reflection) over a period of four months. Data was collected through in-depth interviews, focus group discussions and questionnaires. Data analysis was performed using descriptive statistics, inferential statistics (Wilcoxon Signed Rank Test), and content analysis.

The results showed that the developed Opisthorchiasis prevention model comprised 6 activities: (1) educational training, (2) developing health leaders, (3) raising community awareness, (4) behavior monitoring and follow-up, (5) fostering collaboration among network partners, and (6) establishing social measures for the prevention of Opisthorchiasis within the community. After implementation, the sample group showed statistically significant increases in mean scores for knowledge, health literacy, behavior, and participation in Opisthorchiasis prevention (p-value < 0.001).

The success factors included (1) active participation of network partners, (2) Leaders and core members helped drive the initiative to success, and (3) clear risk communication that enabled residents to adopt appropriate Opisthorchiasis prevention behaviors.

Factors Associated with Acceptance of Telemedicine Use among Patients with Psoriasis at the Institute of Dermatology, Department of Medical Services, Ministry of Public Health

Natthita Limpaiboon — 2026-09-01

Background and Objective: Telemedicine may support continuous follow-up care for patients with psoriasis, but evidence on acceptance among patients with actual service experience in specialized dermatology settings in Thailand is limited. This study examined factors associated with telemedicine acceptance.

Methods: This exploratory cross-sectional study included 60 patients with psoriasis aged ≥18 years who had previously used telemedicine at the Institute of Dermatology. Participants were recruited consecutively. A questionnaire assessed eight technology-acceptance domains. Data were analyzed using descriptive statistics and Spearman’s rank correlations; Fisher’s exact test and crude odds ratios were used as supplementary exploratory analyses.

Results: Mean global acceptance was 7.00/10. Acceptance was positively associated with perceived usefulness, ease of use, social influence, facilitating conditions, trust, satisfaction, and continuance intention, and negatively associated with technology anxiety, user resistance, and perceived risk. Associations were strong (|rₛ|=0.749–0.869; p<0.001). Demographic factors were not significantly associated with acceptance.

Conclusion: Telemedicine acceptance was associated with technology-related perceptions and service experience. Findings are exploratory because the study included only 60 prior users from one specialized institute which cannot establish causality. Larger multicenter studies are needed.

Factors Predicting Quality of Work Life Among Personnel at Sub-District Health Promoting Hospitals after the transfer to the Provincial Administrative Organization: A Case Study in Chonburi Province

Sirirat Hatthiya — 2026-09-01

This descriptive cross-sectional study aimed to assess the level of quality of work life (QWL), examining the relationships between personal characteristics, work motivation, organizational climate, and QWL, and identifying factors predicting QWL among personnel at Sub-district Health Promoting Hospitals (SHPHs) in Chonburi Province, after the transfer to the Provincial Administrative Organization. A total of 374 SHPH personnel were selected through stratified random sampling, with a response rate of 94.68%. Data were collected using a self-administered questionnaire and were analyzed for descriptive statistics, correlation analysis, and stepwise multiple regression analysis. Statistical significance was set at p < 0.05.

The findings revealed that the overall quality of work life among personnel in SHPHs was at a high level (Mean = 3.97, S.D. = 0.49). Work motivation and organizational climate were both at high levels (Mean = 4.04, S.D. = 0.51; Mean = 4.03, S.D. = 0.60, respectively). Work motivation (r = 0.87) and organizational climate (r = 0.79) were positively correlated with quality of work life. Furthermore, hygiene factors and motivational factors were significant predictors of QWL and jointly explained 76.2% of the variance in QWL (Adjusted R² = 0.762, p < 0.001).

Recommendations are: the administrators of the Chonburi Provincial Administrative Organization should implement policies to enhance the quality of work life of SHPH personnel by improving career advancement opportunities, working environment, and organizational climate.

Factors Affecting the Food Sanitation Conditions of Food Establishments in Phatthalung Municipality, Mueang Phatthalung District, Phatthalung Province

Pitsinee Dumkaew — 2026-09-01

This analytical cross-sectional study aimed to investigate factors affecting the food sanitation conditions of food establishments in Phatthalung Municipality, Mueang Phatthalung District, Phatthalung Province. The study included 128 food handlers. Data were collected using a food sanitation assessment form and a questionnaire on factors affecting food sanitation conditions, with reliability coefficients of 0.82 and 0.85, respectively. Data were analyzed using descriptive statistics and multiple logistic regression analysis. The results were presented as adjusted odds ratios with 95% confidence intervals

The results showed that 50.78% of food establishments met the food sanitation criteria. Factors significantly affecting food sanitation conditions at the 0.05 level were a high level of food sanitation knowledge among food handlers (AOR = 6.03, 95% CI = 1.24 - 29.34), a high level of infrastructure readiness (AOR = 14.92, 95% CI = 1.75 - 127.50), and a high level of perceived impact (AOR = 17.25, 95% CI = 1.81 - 164.86).

The findings indicate that predisposing factors, particularly food sanitation knowledge; enabling factors, particularly infrastructure readiness; and reinforcing factors, particularly perceived impact, affect food sanitation conditions. Government agencies should promote the development of food sanitation knowledge among food handlers and strengthen concrete policy support, such as providing necessary equipment, educational materials, and legal communication, to improve food sanitation conditions.

Factors Associated with Rational Antibiotic Use Behavior among Village Health Volunteers in Wang Takhian Subdistrict, Nong Mamong District, Chainat Province

Saowapa Klaewkasetkorn — 2026-09-01

This study was a single-area cross-sectional descriptive study aimed to investigate factors associated with rational antibiotic use behaviors. The sample consisted of 117 village health volunteers in (VHVs) Wang Takhian Subdistrict, Nong Mamong District, Chai Nat Province, selected through stratified random sampling. Data were collected using a questionnaire with a reliability coefficient of 0.976. Associations were analyzed using the Chi-square test, Fisher’s Exact Test, and Pearson’s Product-Moment Correlation Coefficient, at 0.05 statistical significance.

The results showed that the participants had a high level of perception regarding antibiotic use (M = 3.82, SD = 0.55), a high level of social support on health information received from healthcare personnel (M = 4.20, SD = 0.62), and a high level of rational antibiotic use behaviors (M = 4.31, SD = 0.60). Factors significantly and positively associated with rational antibiotic use behaviors at a high level included perceived susceptibility (r = 0.666, p < 0.001), perceived severity (r = 0.583, p < 0.001), and perceived benefits (r = 0.634, p < 0.001). Social support in the form of health information from healthcare personnel was positively associated with rational antibiotic use behaviors at a very high level (r = 0.752, p < 0.001).

The findings suggest that awareness of rational antibiotic use should be continuously promoted among VHVs and the general public. Healthcare professionals should provide regular information and guidance, while also developing health education materials and activities appropriate to the community context to promote rational antibiotic use behaviors and prevent antimicrobial resistance.

The Relationship Between Health Literacy and Glycated Hemoglobin (HbA1c) Levels Among Patients with Diabetes Mellitus Working as Rubber Tappers in Ban Pho Subdistrict, Mueang Trang District, Trang Province

Wanatchaporn Janthamunee — 2026-09-01

This analytical cross-sectional study examined health literacy and its association with glycated hemoglobin (HbA1c) among 102 rubber tappers, with diabetes, in Ban Pho Subdistrict, Mueang Trang District, Trang Province. Participants were selected by simple random sampling. Data were collected using a general information questionnaire and a K-shape health literacy questionnaire, covering five skills: access, understanding, questioning, decision-making, and application. The instrument had a content validity value of 0.75 and a Cronbach’s alpha of 0.86. Data was analyzed using descriptive statistics and Pearson’s correlation coefficient at a significance level of 0.05.

More than half of participants were female (62.75%), with a mean age of 64.87 years (SD = 8.87). Mean HbA1c was 7.62% (SD = 1.31), and 67.65% had uncontrolled HbA1c. Overall health literacy was high in 86.27% of participants, with a mean score of 3.25 (SD = 0.36). Information access had the highest mean score, whereas application had the lowest. Information access (r = -0.285, p = 0.004) and understanding (r = -0.239, p = 0.016) were significantly negatively correlated with HbA1c, while the other skills were not. These findings support strengthening access to, and understanding of health information through communication, tailored to the lifestyles of rubber tappers.