Abstract
Evaluation of the Project “Development of Gold Card Enrollment
System : A Case Study in Phrae” had three objectives : 1) study actual
activities compared with planned activities, 2) study effectiveness of
the project compared with its target, that was Gold Card enrollment completed
within 15 minutes at hospitals and within 7 days at health centers,
3) evaluate satisfaction of staff and clients towards this new enrollment
system. An evaluation taskforce was established. Data for analysis
came from Gold Card application form, records and reports from
Phrae Provincial Health Office, a group discussion with registrars, and a
questionnaire about satisfaction of clients. Results showed that almost
all activities were accomplished as planned. The staff had learned : planning
by using Project Design Matrix (PDM), system analysis and new
system design, preparation for a new system, starting a new system,
and continuing operation and monitoring a new system. Enrollment
results showed that, at hospitals, 85.4 percent of enrollments could be
completed within 15 minutes; at health centers, 61.8 percent of enrollments
could be completed within 7 days. Nearly 100 percent of staff and
clients were satisfied with this new enrollment system. Problems encountered
were: staff could not access to centralized database due to
instability of the network; health center staff failed to follow the guideline
in forwarding enrollment data to registrars at hospitals within 7 days
because numbers of registration in one week were so small that it seemed
economically invalid to follow the guideline. Lessons learned were applied
to the project “Data Center“ of the National Health Security Office
(NHSO).
Evaluation of the Project “Development of Gold Card Enrollment
System : A Case Study in Phrae” had three objectives : 1) study actual
activities compared with planned activities, 2) study effectiveness of
the project compared with its target, that was Gold Card enrollment completed
within 15 minutes at hospitals and within 7 days at health centers,
3) evaluate satisfaction of staff and clients towards this new enrollment
system. An evaluation taskforce was established. Data for analysis
came from Gold Card application form, records and reports from
Phrae Provincial Health Office, a group discussion with registrars, and a
questionnaire about satisfaction of clients. Results showed that almost
all activities were accomplished as planned. The staff had learned : planning
by using Project Design Matrix (PDM), system analysis and new
system design, preparation for a new system, starting a new system,
and continuing operation and monitoring a new system. Enrollment
results showed that, at hospitals, 85.4 percent of enrollments could be
completed within 15 minutes; at health centers, 61.8 percent of enrollments
could be completed within 7 days. Nearly 100 percent of staff and
clients were satisfied with this new enrollment system. Problems encountered
were: staff could not access to centralized database due to
instability of the network; health center staff failed to follow the guideline
in forwarding enrollment data to registrars at hospitals within 7 days
because numbers of registration in one week were so small that it seemed
economically invalid to follow the guideline. Lessons learned were applied
to the project “Data Center“ of the National Health Security Office
(NHSO).
