หลักเกณฑ์การปรับระดับศักยภาพหน่วยบริการสุขภาพในมุมมองผู้ปฏิบัติงาน

Abstract

The objective of this practical research is to study criteria for Potential improvement of Health service. The sample population consists of 35 citizens, specifically selected from Health service, Primary care, Secondary care, and Tertiary care center during March, 2016 to December 30, 2017. Structural Interview and Focus group are used as Study tools. As a result, it is shown that

- An upgraded criteria from Primary care (Level S) to Tertiary care (Level A) should be constructed as followed;

1) Policy or Strategy used for Service system improvement in Area Health

2) Emphasizing on an improvement of experts and Academic center

3) Being the Potential leader (Level 1) of Expert center at least 2 areas

4) Proposing for value assessment before upgrade

- There are 2 ways to upgrade criteria from Primary care (Level S) to Secondary care that are Level M1 or Level S. In order to upgrade Community Hospital (Level M2) to Secondary Care (Level M1 or Level S), it should refer to following procedure;

1) Number of OPD (Out-Patient-Department)

2) Number of IPD (In-Patient-Department)

3) Financial condition of the Hospital

4) Potential criteria of IPD (CMI)

- An upgraded criteria from Primary Care (Level F1) to Community Hospital (Level M2) should refer to following procedure;

1) Population standard

2) Population Transfer

3) Number of OPD

4) Number of IPD

5) Cesarean section should be clearly identified

6) Risk score for Financial risk, no more than Level 3

7) Potential assessment for Hospital such as CMI, SumAdj RW, and Active Bed

An upgraded criteria from Small Primary Care (Level F3) to Primary Care (Level F2) should refer to Basic needs depending on Area and Environmental difference such as Location/Area size and Distance, including Potential assessment for Hospital such as CMI, SumAdj RW, and Active Bed

For implementation, Every Level of Health service under Office of the Permanent Secretary can apply this criteria resulting from “Practical Criteria for Potential upgrade of Health Service” in order to assess the readiness or to analyze the lacking factors that’s obscure the upgraded Potential.