ความคิดเห็นของผู้ปฏิบัติงานสังกัดสำนักงานสาธารณสุขอำเภอ ต่อการประสานงานร่วมกับโรงพยาบาลชุมชน / ทรรศนีย์ โสรัจธรรมกุล = Opinion of district health officers pertaining to co-ordination with community hospitals / Tussanee Sorujthamakul
The purposes of this descriptive study were to explore the opinion of district health officers on importance and current situation pertaining to coordination with community hospitals, particularly in four dimensions : management, services, academic, and participation. The study was conducted during September 2000 to December 2000. The samples consisted of 1,252 district health officers from 24 District Health Offices (DHO) randomly selected from districts with community hospitals. There were 739 respondents (response rate 59.0%). Mann-Whitney U-test, Kruskal-Wallis H test and paired t-test were used for statistical analyses. The results of this study showed that the subjects were 34.1 years old on average, got under bachelor degree (54%), worked in provider position (55.8%), and were a member of District Health Coordinating Committee (DHCC) (35.8%). The mean distance from community hospital was 12.9 km. The average, 6 villages were under responsibility of each health center. Community hospital director wasalso the chairman of DHCC (63%). Further analyses found that all items of importance and current situation had highly statistically significant difference (p<0.001). Large discrepancy between importance and current situation of each dimension was observed: crucial sharing vision on goal setting for service quality improvement, promoting civil society for self reliance, facilitating adequate equipment for communication, and creating opportunity for community participation in implementing and developing efficiency of healthcare delivery system and being committee members. All dimensions perceived importance were significantly different (p<0.05) by age, educational level, position of work, information system, and efficiency of team working. Regarding current situation, all dimensions were also statistically significant difference (p<0.05) by age, educational level, relationship of executives, information system, and eficiency of team working. These findings indicated that the efficiency of coordination among community hospital, DHO and health centers should be improved through net-working for more cohesion as District Health Team Working. Furthermore, creating executives relationship, empowering DHCC Team, building high performance team, developing efficient information system, upgrading district health officers towards bachelor degree, community participation should also be strengthened.
