Developing an Organizational Management Model and Adjusting the Mission of the District Public Health Office after Transferring the Subdistrict Health Promoting hospital, Roi-Et Province

Abstract

Abstract

               The purpose of this action research was to develop an organizational management model and adjust the mission of the District Public Health Office after transferring the Subdistrict Health Promoting hospital, Roi-Et Province. The research is divided into 3 phases, the first phase being a study of the situation, phase 2 being model development, and phase 3 being the evaluation of development results. The sample group were 249 people who are the public health personnel of the District Public Health Office in Roi-Et province, by purposive sampling according to the inclusion criteria. The tools consisted of 3 quantitative tools and 2 qualitative tools. The content validity was check by three experts. And testing the reliability of the questionnaire, the alpha coefficient (Cronbach's Alpha) was obtained 0.8017. The statistics used to analyzed the quantitative data were descriptive statistics, for qualitative data was used content analysis. The results found that 4 steps for developing of organizational management models and adjustment of missions of District Public Health Offices, Including, 1) Planning steps : by evaluating the situation during the transition period drafting and improving personnel training curriculum selection of a team of lecturers for the zone and meeting to clarify the sample group. 2) Operation steps : by workshop participatory public administration through participatory learning process training workshops using participatory learning processes for personnel. Organizing the organizational structure by dividing internal work groups into 4 work groups. Adjusting 4 main missions, 1 side missions and 2 support missions, observational study, knowledge sharing, selecting and developing the District Public Health Office model, driving the organization's mission and creating networks in both the government and public sectors. 3) Observational steps by creating a Line group for communication and support knowledge media, empowerment assessment and organizing district public health forums to monitor progress and obstacles every month. And 4) the reflecting on practice results by organizing a forum to learn lessons and extract new knowledge sets that form organizational development and mission adjustments of the District Public Health Office. The results of evaluating the participation of personnel in organizational management and mission adjustment and found that the majority of the sample group were involved. In the development process is at a high level. and were satisfied with the development process at the highest level. The results of the study will be useful to the District Public Health Office that has transferred the Subdistrict Health Promoting Hospital. By applying the concept of participatory public administration and participatory learning process       in developing the organizational management model and adjusting the mission of the District Public Health Office according to the organization context for keep up with the changing situation and towards achieving the gold according to health policy.