Factors Associated with the Development of District Health System Networks by the District Quality of Life Development Committee in Ban Muang District Under the Context of Health Promotion Hospitals Transferred to Sakon Nakhon Provincial Administrative Organization

Abstract

        This cross-sectional survey research aimed to examine the factors and the level of district health system network development, as well as to determine the factors influencing this development under the context of transferring Sub-district Health Promoting Hospitals (SHPHs) to the Provincial Administrative Organization (PAO). The sample consisted of 230 members of the District Quality of Life Development Committee (DQLDC) and health personnel in Ban Muang District. The sample size was determined using a formula for a known population size, followed by stratified random sampling. Data were collected using questionnaires with reliability coefficients ranging from 0.703 to 0.987. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and multiple regression analysis, incorporating dummy variables for categorical data.

        The results revealed that the respondents possessed high levels of knowledge, attitudes, input factors, process factors, and organizational structure factors, alongside a high overall level of network development. Organizational structure, process factors, and knowledge regarding DQLDC roles collectively and significantly influenced the development of the district health system network, accounting for 72.4% of the variance (R² = .724). These findings can be practically applied to establish agreements for cross-organizational resource integration and to develop collective leadership, thereby ensuring seamless and continuous primary health care services.