Evaluation Research of an Innovation: Nakhon Chai Si Model

Abstract

Congestion in large hospitals is still a problem of the health service system. Methods of solving hospital congestion problems is to develop primary care network outside of a large hospital with acceptable quality, and able to continuously provide care in order to reduce the congestion. Changes in the current economic, social, political, technological, environment affect the organization management, and thus development of innovation is a necessity of the organization administration to reduce congestion and long waiting period in health facilities. Therefore, the government has a policy to drive innovations in all organizations and support, promote, study, research and develop the innovations. In this regards, the Health Administration Division, Office of the Permanent Secretary, Ministry of Public Health has assign a researcher team to evaluation Nakhon Chai Si model, an innovation to reduce congestion and improve services in health facilities in Nakhon Pathom Province of Thailand. The stud was conducted unisng mixed methods with multiphase designs which composed of the following phases: phase 1 was a review on the Nakhon Chai Si model through document and literature search; and the phase 2, using the results from the phase 1 to developed a questionaire to evaluation the Nakhon Chai Si model. This study applied CIPPIEST concept in the evaluation process. The data collection instrument was verified by 7 experts for the content validity. The study samples were public health personnel under the Office of the Permanent Secretary, Ministry of Public Health who were working on the Nakhon Chai Si Model. It was found that (1) integrated resource from the 3 hospitals in the model (Nakhon Chai Si Hospital, Luangphopern Hospital and Huayploo Hospital) had improve the management efficiency and obtian good satisfaction of the clients, (2) the model could enhance health service administration for the population who live in area of Nakhon Chai Si district, and (3) the innovation could reduce the waiting period of surgical and NSTEMI patients whic were waiting for echocardiogram; and could reduce the waiting period of treatment for specialized dentistry. However, there is a need to apply artificial intelligence (AI) in the model. Furthermore, there is also a need to publicize the Nakhon Chai Si model to the public to promoted higher accessibility to the hospitals in the network.