Model of health insurance system of hospitals under Ministry of Public Health in Regional Health 12
Abstract
Abstract
This research aims to study Model of Health Insurance System of hospitals under the Office of Permanent Secretary, Ministry of Public Health in Regional Health 12 which cover Songkhla, Trang, Patthalung, Satun, Pattani, Yala and Narathiwas. The population were 1,893 personnels working in the income collection center of 78 hospitals in Regional Health 12. Three hundred and seventy samples were used in the study. The research tool was a questionnaire constructed by the researcher with a reliability of 0.972. The statistical analysis used for finding the components was the statistical package program called AMOS. Two models were designated in the study, namely Model of Fundamental Structure of Health Insurance System and Model of Working System of Health Insurance System. The results of the study were as follow:
Model of Fundamental Structure of Health Insurance System consists of 4 components. The strategy in operating the Health Insurance System of hospitals had a weighted component at 1.28 followed by the staff system in Health Insurance System at 1.11, the Health Insurance System in every fund-collecting system at 1.07 and the structure of Health Insurance System at 1.00.
Model of Working System of Health Insurance System consists of 7 components by sorting from most to fewest as follows: The verifying process of clean data in Health Insurance System had a weighted component at 1.22; tracking debtors in Health Insurance System at 1.17; the expensing system from each fund at 1.01; the recording information of caring activities in Health Insurance System and debtor accounting system in Health Insurance System had an equal weighted component at 1.00 and correct coding record of full course caring in Health Insurance System had a weighted component at 0.88.
In addition, there was a correlation between the Model of fundamental structure of Health Insurance System of hospitals (Structure, System, Staff, and Strategy) and the Model of Working System of Health Insurance System of hospitals (Code, Care, Claim, Clean data, Account, Control receivable, Debt) (β = 1.03) This means that if the Model of Fundamental Structure of Health Insurance System is good, it will affect the Model of Working Model of Health Insurance System by 1.03 times increased. There should be plans for developing both models efficiently and effectively including the development of related personnels by creating models in Health Insurance System of hospitals and other working system relating to Health Insurance System, namely caring service system, health data system, managerial administration of nursing in Health Insurance System and the like.
