An Evaluation Research Study on the Management and Development of Human Resources at Sub-District Health Promotion Hospitals Transferred to the Thai Provincial Administrative Organizations

Authors

  • Udom Tumkosit Graduate School of Public Administration, National Institute of Development Administration (NIDA).
  • Werawat Punnitamai Graduate School of Public Administration, National Institute of Development Administration (NIDA).
  • Surachai Phromphan Independent Researcher

Keywords:

Manpower management, human resource development, subdistrict health promotion hospital

Abstract

This research aims to evaluate the management and development of human resources at sub-district health promoting hospitals transferred to Thai provincial administrative organizations. It focuses on the impact on workforce post-transfer, reviewing literature to develop a conceptual framework with nine guiding research questions. A qualitative methodology was used, gathering data from 32 SHPHs across eight provinces in four regions. Findings indicate a positive change in workforce numbers post-transfer, ongoing issues with workforce shortages, and facing skill deficiencies and morale. The findings express that an urgent need of state-led workforce development to equip local health personnel, in both quantity and quality, to meet professionally established standards. Both academic and managerial recommendations for those involved are finally provided.

References

Announcement of the Committee on Decentralization to Local Administrative Organizations Regarding Criteria and Procedures. Transferring the Mission of the Chaloem Phrakiat 60th Anniversary Nawamintharachini Health Station and Subdistrict Health Promotion Hospital to the Provincial Administrative Organization [Special section]. (2021). Royal Gazette, 134(254D), 14-15.

Association of Provincial Administrative Organizations of Thailand. (2021). Subdistrict Health Promotion Hospital to Provincial Administrative Organization: Another Step towards Decentralization to Local Administrative Organizations. Pathum Thani: Association of Provincial Administrative Organizations of Thailand.

Buchan, J. (2006). Health sector reform and human resources: Lessons from the United Kingdom. Health Policy & Planning, 15, 319-325.

Charoenchang, P., Kerdmuang, S., & Klumphon, S. (2016). Professional competency in community public health of public health academics working in Thai primary care units. Ministry of Public Health Nursing Journal, 26(1), 40-51.

Health Systems Research Institute. (2023). Transfer of Health System Hospital, Health System Research Institute. Retrieved on December 20, 2023 from https://hsiu.hsri.or.th/.

Health Systems Research Institute. (2024). Path to Transfer Teaching Missions/Subdistrict Health Promotion Hospital to Local Administrative Organization from the Year 1999-2024, Information as of 8 February 2024. Retrieved February 10, 2024 from https://hsiu.hsri.or.th/.

Hfocus News Agency. (2023). NHRC Opens Plan to Produce "Family Medicine Doctors" to Support Primary Care Physician Policy. Retrieved on December 20, 2023 from https://www.hfocus.org/content/ 2023/11/28815.

Mathew, G. C., Ramanathan, H. N., & Arabhi, P. R. (2017). A study on the effectiveness of Markov analysis – A tool for human resource supply forecasting. International Journal of Engineering Trends and Technology, 49(4), 244-249.

Office of the Decentralization Commission for Local Government Organizations. (n.d.). Guidelines for Transferring Missions of the Chaloem Phrakiat 60th Anniversary Nawaminthrachini Health Station and Subdistrict Health Promoting Hospital to the Provincial Administrative Organization. Bangkok: Office of the Permanent Secretary & Office of the Prime Minister.

Phanthunen, P., Jirawattanapaisan, T., Khawnuan, B., Bamrung, A., Phathaiya, N., & Noree, T. (2018). Analysis of health manpower needs for Thailand's secondary service system. In the year B.E. 2026. Public Health Systems Research Journal, 12(2), 205-220.

Punnitamai, W. (2014). Evaluating a local administrator training program: An empirical study of the Thai local administrator development program. Thai Journal of Public Administration, 12(2), 97-116.

Punnitamai, W., Jongaramrueng, N., & Sanpanich, S. (2024). Humanized HRD Strategies via the 9Ds Flexicurity Model on the Administration of Leadership Development Programs in Thai Public Sector During the COVID-19 Pandemic. Paper presented at the meeting of the 18th National Conference on Public Administration, Kasetsart University, Bangkok.

Regulations of the Ministry of Interior regarding the designation of other benefits as special cases in the form of annual rewards to local government employees as other expenses of local administrative organizations, B.E. 2014 [Special section]. (2014). Royal Gazette, 131(78D), 1-3.

Sornkasetrin, A. et al. (2022). Policy Proposals for Health Manpower Management During the Transition Period from the Transfer of Subdistrict Health Promotion Hospitals to the Provincial Administrative Organization. Health Systems Research Institute (HSRI).

Sueasaengthong, Y., & Kaewwichian, R. (2012). 5 years of the transfer of health stations to sub-district administrative organizations and municipalities: Public health decentralization 2007-2011. Public Health System Research Journal, 6(1), 86- 99.

Tangcharoensathien, V., Sawaengdee, K., Rajataram, B., Muangyim, K., Sarakshetrin, A., Viriya, R. C., et al. (2016). Study of Workload and Workforce Productivity among Health Personnel in District Health Promotion Hospitals. Health Systems Research Institute. Retrieved from https://kb.hsri.or.th/dspace/bitstream/handle/11228/4893/hs2417.pdf.

Thanomchayathawat, B., Chukumnird, S., Lillahkul, N., Noin, J., Ratchathawan, R., Junwin, B., et al. (2023). Human resource management provided by the Queen Sirikit Health Centers and subdistrict health promotion hospitals transferred to the management of the provincial administrative organizations using the mechanism of the Primary Health System Act (B.E. 2562). Health Systems Research Institute. Retrieved from https://kb.hsri.or.th/dspace/bitstream/handle/11228/5930/hs 3018.pdf.

Thiwakarakot, W. (2009). Satisfaction and Impacts After the Transfer of Public Health Personnel to Subdistrict Administrative Organization. Unpublished Master’s Thesis, Mahidol University.

Downloads

Published

2024-06-30