ความคิดเห็นของผู้ปฏิบัติงานและผู้รับบริการต่อการดำเนินงาน หน่วยบริการปฐมภูมิภาครัฐ ภายใต้นโยบายการสร้างหลักประกันสุขภาพถ้วนหน้า ในจังหวัดสมุทรปราการ / ปรีชา สุวรรณทอง = Providers' and consumers' opinion toward the activities of governmental primary care units under the universal coverage health insurance policy in Samut Prakan province / Preecha Suwanthong
To determine the opinion of providers and consumers toward work activities of governmental Primary Care Unit (PCU) in Samut Prakan province. Research Design : Cross-sectional descriptive study. Samples Size : There were 387 respondents out of total 407 providers (95.1%) and 559 respondents out of 580 consumers (96.4%) Instrument : Self-assessment questionnaires for providers' and consumers'. Data Collection : The study was conducted during December 2002 to February 2003. Statistical Analysis : Paired t-test, Unpaired t-test, One-way ANOVA and Mann-Whitney U test. Results : The majority of providers were female (72.9%), mean age was 32 years and graduated from bachelor degree (70.0%). Regarding the perception on importance and satisfaction of specified activities (59 items) in the 5 dimensions listed namely, management, service, education, participatory services improvement, and the results, the higher mean scores of importance than satisfaction were observed in all specified activities/dimensions with statistically significant differences (p<0.001). Furthermore, 58 out of 59 activities were rated as high importance, except the 24 hours telephone counseling in contrast with those 21 out of 59 activities were rates as highly satisfied by more than half of the respondents. In comparison the performances of PCUs under CUPs, it indicated that the importance of management, education, and overall dimensions were statistically significant different (p<0.05), but no differences in the satisfaction mean scores. For consumers' respondents, the majority of them were female (70.6%), mean age was 34 years and finished secondary school (42.7%). Regarding opinion toward the importance and satisfaction with the result of services provision (18 items), there were statistically significant differences (p<0.001) and the mean scores of importance were higher than satisfaction in all items listed. Furthermore, the importance and satisfaction were also rated as high scores (4-5) in all items by >50% of respondents. In terms of comparison of the results, the importance rating were found statistically significance differences (p<0.05) between providers and consumers with higher mean score of providers than consumers. Whereas all of the satisfaction mean scores were higher marked by consumers than providers with statistically significance differences (p<0.001). Conclusion : The findings revealed that those high importance activities specified with lower satisfaction should be continuously improved in all dimensions and the differences among various PCUs performances of particular CUPs must be concerned for best practice in the future.
