Main Article Content
This qualitative study aimed to investigate the workload sufficiency of manpower and manpower management in District Health promotion Hospitals (DHPHs). Purposive sampling was applied to select 8 outstanding DHPHs from 4 geographic regions across the country. Focus group discussions were conducted, and all health personnel who working in selected settings participated. Descriptive statistics, and content analysis were applied for data analysis.
The main findings indicated that 1) Health personnel in DHPH spent their working hours for 60%-70% more than health promotion and prevention activities which were their major responsibility; 2) Comparing with staffing standard and current workload, there was shortage of health personnel in DHPH. They also complained about an imbalance between their effort and reward, they did not get overtime payment and career advancement; 3) Health personnel had to share 30% of their working hours for administrative and clerical jobs which led to decrease time to provide health services. These jobs consisted of performance reporting associated with MOPH mandatory indicators, financial and accounting reports, supply and inventory document and input data into management information system for various public agencies, etc. These findings suggested that, MOPH should improve staffing standard and allocation, and improve morale and optimize resources utilization. Moreover, development of administrative competency for directors of DHPH and reorientation of a mandatory reporting system need to be concerned as well.
บทความที่ได้รับการตีพิมพ์ เป็นลิขสิทธิ์ของวารสารวิทยาลัยพยาบาลบรมราชชนนี กรุงเทพ ไม่สามารถนำไปตีพิมพ์ซ้ำในวารสารฉบับอื่น
2. Ministry of Public Health. Health promotion workforce. Copied documents; (2015). (in Thai)
3. Tangcharoensathien, V. et al. A Study of Work load and productivity among health personnel in District Health Promotion Hospital, Research repoprt, 2016. (in Thai).
4. Ministry of Public Health .Strategy and Planning Division. Health Promotion Plan for the Decade 2007–2016. (2016) [cited 2016 Jul 17]. Available from: https://phpp.nationalhealth.or.th/นโยบายสาธารณะเพื่อสุขภาพ/.../112_89228def6829 (in Thai)
5. Sirivetsunthorn, A. Health Promotion Working: Practical Guidelines for Health Care Profession in Health Centers. Nursing journal of ministry of public health, 2013; 23(2), 94-102. (in Thai)
6. The drive and reform of the service system. Primary Care Cluster Implementation Guidelines for Service Units; 2016 [cited 2016 Jul 17]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/Guidelines%20PCC.pdf (in Thai)
7. Donabedian, A. Evaluating the Quality of Medical Care. Milbank Quarterly, 2005; 83, 691-729. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0009.2005.00397.x/abstract
8. Institute of Medicine (US) Committee on the Health Professions Education. Health Professions Education: A Bridge to Quality; 2003. Washington (DC): National Academies Press (US).
9. World Health Organization. Primary Health Care: The basis for health systems strengthening. New Delhi: World Health Organization Regional Office for South- East Asia; 2018