การประเมินและศึกษารูปแบบการพัฒนาสถานีอนามัยระบบกลุ่มคุณภาพงาน (คิว.ซี.) ในจังหวัดอุบลราชธานี พ.ศ. 2538

Abstract

Assessment and study on the forms of development of the health center through The quality control (Q.C.) in Ubonratchathani province, in 1995Work quality development is very important for the District Office of Public Health and the Health Centers because these are the service outlets covering people living in the District, Tambols (Borough), Villages, dealing with mixed type public health services, basic public health services and rural development, public health administration and academic development. Obviously, the whole effort is aimed at attaining the target of having participative administration inside the organization. We can see that the cabinet of ministers has opted for the group activities as tactics for developing the quality and the efficiency of the work in every field of operations according to the seventh economic and social development plan. This research is aimed at evaluating and studying the form of development the health centers through the Q.C. system and at the same time studying the value of the additional weight in the forecast of the development of the work through the Q.C. system using the main factors, the contributive factors, and the complementary factors. The study was carried out in two District Public Health Offices and 30 health centers which include 100 public health workers having already been trained in Q.C. program. The tools used for collecting the data were adapted from standard norms for the job performance of the health centers in the project of the decade of health center development (1992-2001), to be implemented by the Public Health Ministry. We also used the questionnaires that have been tested for the value exactness and discrimination. The analysis of the data was based on the frequency, percentage, means, standard deviation, t-value and the analysis of the pluri-discriminative power. The result of research revealed that : When we assess comparatively the performance of the health centers before and after the form of development through the Q.C., we found that the means of the mixed type health care service, basic public health and the rural development, public health administration and academic development are higher in every aspect and with statistical significance (P<.05) except for the basic public health and rural development. In what concerns the opinion of the public health workers we found that they have their opinions at high levels of the main factors, the Q.C. acceptance, and good attitude towards the Q.C. In what concerns the contributive factors such as the support of the organization and the atmosphere together with the complementary factors such as the support from the people concerned, we have found that the level of the opinion is medium. The study of the main, the contributive and complementary factors revealed that the Q.C. activities can be explained by 6.5 percent and when we compare the influence of each factor we found that the main factors, the contributive factors and the complementary factors have the value of the additional weight in the forecast in the Q.C. differently. The complementary factors are those that have the most influence on the Q.C. before the contributive and the main factors respectively. Suggestions : To make use of the result of the research on form of health center development through the Q.C. one should do as follows : The provincial executives of the public health has to determine the policy, set up the executive committee, nominate the coordinators, organize the training and do the public relation on the Q.C.. They should form the team work for the Q.C., give the orientational and academic support, organize the conference to present the achievement. It also advisable that the best Q.C. group be chosen to present their achievement outside their regular work unit. It is also important that all the financial supports including the materials be provided for the people concerned in order that there is the follow up of the activities in a continuing manner.