Abstract
Background and Rationale: The health service system, as one part of the means for
preserving health, is focused on health insurance to assure the good quality, efficiency,
and equity of health services. The main concept behind developing and improving health
services, using the Hospital Network Quality Audit, is the participation and willingness
of people to develop the quality of health services continuously. Therefore, participation
plays a major role in the success of the Hospital Network Quality Audit.
Methodology: This was a descriptive research study using cross-sectional analysis.
The questionnaires were distributed between the 3rd and 10th of October 2007. The
data were entered into the program to analyze them for frequency, percentage, means,
standard deviation, and range. Pearson’s product-moment correlation coefficient was used
to evaluate the relationships between the independent variables and the participation in
the Hospital Network Quality Audit.
Setting: Two hundred and fifty-six health professionals for the Hospital Network
Quality Audit in the hospital network, Chonburi Province.
Results: The majority of health professionals had a medium level of knowledge of
the factors in the Hospital Network Quality Audit. Knowledge factors were significantly
related to the level of participation in the Hospital Network Quality Audit. The majority
of the health professionals had a medium level of motivator factors and there were significantly
related to the participation in the Audit. When considering each subscale, the
results showed that the subscales of advancement, achievement, recognition, work itself
and responsibility were significantly related to the participation in the Hospital Network
Quality Audit; the majority of the health professionals involved had a low level of hygiene
factors and these factors were significantly related to their participation in the Audit.
When considering each subscale, the subscales of policy and administration, work
conditions, interpersonal relations with supervisor, subordinates, peers, salary and job
security were significantly related to participation in the Audit, and the majority of the
health professionals had a medium level of participation in it.
From the results of this study, suggestions were made on measures ranging from
personal development by self-learning, training and seminars for quality improvement.
Moreover, the hospital committee should assess the needs of all staff in order to improve
the social welfare benefits and financial remuneration in addition to the government support.
