Study of models for increasing the efficiency of financial Management (Total Performance Score) of Hospital in Health Region 6

Abstract

The situations and factors affecting the development of the financial and fiscal management system in the Ministry of Public Health under the Universal Health Coverage scheme, revealed that several public hospitals were experiencing financial liquidity issue. In 2023, 22 service units in Health Region 6 had an F-level efficiency in financial and fiscal management. In order to improve financial management and prevent financial crises. a model was developed to enhance the Total Performance Score of financial management within these service units in Health Region 6. The study involved 66 participants and was carried out in four steps over the period from January to December 2023. The research utilized questionnaires and discussion points, and the data was analyzed using frequency, percentage, mean (X), standard deviation (SD), and content analysis. The research findings showed that 1) The results of the operations that passed the criteria were low, such as operational efficiency in making profits and return on assets in making profits. This resulted in the hospital experiencing a financial crisis at the F level. 2) The model for increasing efficiency in financial management in hospitals experiencing a financial crisis at the F level consists of 4 components and 17 activities. After implementing the model, the Total Performance Score increased from 5.5 points to 9.5 points. The grading level increased from F to C. 3) The model for increasing efficiency in financial management in hospitals experiencing a financial crisis at the F level was most beneficial (X= 4.55, SD= 0.61) and most feasible (X= 4.59, SD= 0.53). It is recommended that this model should be systematically expanded to other hospitals facing financial crises at an F level, with possible adjustments to fit the specific structure of each hospital.