Key Success Factors of Service Plan in Regional Health Center No 8, Thailand - ปัจจัยแห่งความสำเร็จของการจัดระบบบริการสุขภาพ (Service Plan) เขตบริการสุขภาพที่ 8

Abstract

The objectives of this study were to evaluated the outcomes of the service plan implemeted in the
health region 8 of Thailand which was under the responsibility of the Regional Health Center 8 situated in
Udon Thani, and to identify key success factors of health service in the region. It was conducted in 2014
using both quantitative and qualitative approaches. Quantitative data were collected through the review of
health reports of the first 6 months of the fiscal year 2014 from all 7 provinces in the region; and the
qualitative data were obtained through in-depth interview, focus group discussions and a set of questionnaire.
It was found that the service plan was consistent with the regional context, and produced successful
results with regard to the reduction of incidence and mortality of priority diseases, patient-waiting time and
budget. The successes of service plan in 4 main tracks (cardiovascular diseases, cancer, maternal and child
health, and emergency medical services) were observed. For the track of cardiovascular disease, the
anticoagulant (streptokinase) availability had covered all community hospitals. The patients were able to
conveniently access to the services which reduced mortality and disability. For the emergency service
track, patients were able to obtain standard services in a seamless manner with easy access and effective
referral system. The outcomes for the maternal and child health track had achieved the targets; although
more common incidents of teen pregnancy were observed. As for the cancer tract, the services were
provided to raise awareness and target behavioral change to prevent cholangiocarcinoma as well as to
reduce patient waiting time for cancer treatment. The key success factors were identified to be the clear
region health center policies, strategies and guidelines; leadership; good relationship among district health
teams; suitable allocation of appropriate resources; good planning, monitoring and evaluation; participation
of and support from local administration and communities; promotion of appropriate information systems;
and the positive morale of health workforce.
Key words: key success factor, service plan, regional health centre