Good governance management model of the director of the sub-district health promoting hospital, Ubon Ratchathani Province

Abstract

The objectives of this research and development were as follows: 1) to study the factors influencing the administration of good governance among the directors of sub-district health promoting hospitals in Ubon Ratchathani Province, 2) To develop a good governance management model for the director of sub-district health-promoting hospitals in Ubon Ratchathani Province, and 3) to study the effects of the administration model of good governance among the directors of sub-district health promoting hospitals in Ubon Ratchathani Province. The study was divided into three phases. Phase 1 involved cross-sectional analytical research. The sample consisted of 317 directors of sub-district health promotion hospitals in Ubon Ratchathani Province. Data were collected using a questionnaire created by the researcher between December 1, 2022, and December 31, 2022. Multiple linear regression statistics were used to analyze the data for predictive factors. Phase 2 followed the concept of action research by Kemmis and McTaggart (PAOR) and comprised three rounds involving 55 public health workers as service recipients. Data were collected, categorized, and subjected to content analysis. Phase 3 was a quasi-experimental research aimed at studying the effect of the developed model in Ubon Ratchathani Province. The experimental group consisted of 20 directors of the Tambon Health Promoting Hospital in Muang District, Ubon Ratchathani Province, who received the good governance management program. Additionally, 30 subjects who received good governance guidelines were included. Data were analyzed using paired t-test statistics to compare mean score differences of variables within the group. The study identified five variables influencing the good governance management of the directors of sub-district health promoting hospitals: evaluation and inspection factors, departmental relations, accepting new changes, bachelor's degree, and knowledge of good governance management. These variables collectively explained 47.8% of the variation in factors influencing the good governance administration of the directors in Ubon Ratchathani Province (R²=0.478). The model for governance of the directors of sub-district health promoting hospitals in Ubon Ratchathani Province is known as the RSPME Model, consisting of the following components: 1) Relationship, 2) Social responsibility, 3) Participation, 4) Morality, and 5) Evaluation. After implementing the developed model, the directors of the Sub-District Health Promotion Hospital in Ubon Ratchathani Province demonstrated higher perception of their own competence in governance, positive attitudes towards good governance management, and increased participation in the management of the organization, with statistical significance at 0.05