Evaluation of the Data Information System of the Sub-district Health Promoting Hospital That Has Been Transferred to the Provincial Administrative Organization

Abstract

This research aimed to evaluate the status of information systems in sub-district health promotion hospitals (SHPHs) that were transferred to provincial administrative organizations (PAOs) after the transfer. Specifically, it examined how the system had generally changed from its original state, and if so, how. The research team reviewed the literature and developed an evaluation research framework in the form of five research questions to guide the search for answers. In terms of research methodology, a qualitative multiple-case study approach was employed. Purposive sampling was used to select 32 SHPHs across 8 provinces representing 4 regions. Data collection methods included surveys, in-depth interviews with data recorders, and focus group discussions. Data analysis and interpretation to answer the research questions were conducted using the ATLAS.ti software. The evaluation results revealed that: (1) after the transfer, the general characteristics of SHPHs’ information systems largely remained unchanged, continuing to be designed primarily to support the Ministry-level management of the primary healthcare system rather than the management needs of the SHPHs themselves; (2) the SHPHs’ databases did not yet comprehensively cover their core functions and were not integrated with the PAO systems; (3) most SHPHs lacked sufficient computer equipment as well as qualified personnel and system administrators; and (4) the quality of data was not well-aligned with the primary healthcare mission, as health promotion data which constituted a major activity of SHPHs had been given insufficient attention. Policy proposal recommends establishing a dedicated database and data set specifically for the primary healthcare system, while ensuring its integration into the broader health information infrastructure.