Abstract
This is an evaluation of public health service innovation, with a focus on subdistrict
hospital creation. The major aims of this work were strengthening the community with
regard to the building of and participation in sustainable health care. The method considered three phases. The first phase was to create a participation center for fostering
community trust and belief. Triangular cooperation consists of a government organization, subdistrict administration and a community plebiscite in the pilot innovation intiated in three subdistrict hospitals. In the second phase that followed, 31 subdistrict hospitals
were distributed in 22 subdistrict areas. The third phase utilized useful community trust
and belief for the creation of various novel projects. The overall creation extended five
years and involved underlying community triangular participation. The subdistrict hospitals had permanent registered nurses, telemedicine consulting and medication storage
development. The consequences of subdistrict hospital creation improved the people’s
health service access. While the number of walk-in clients seeking subdistrict hospital
services expanded year on year, a three-fold reduction was observed among those
seeking medical services in Lomsak Hospital. Important was the two-fold improvement
in chronic illness screening. In conclusion, the results of this evaluation suggest that a
key important success indicator of subdistrict hospital creation is the strength of community participation, consequently improving community development and sustainability.
