Abstract
The study entitled “The Development of Appropriate Model of People Public Private Partnership for Managing on Primary Health Care” aimed to develop an appropriate partnership model among people, public and private sectors; examine the differing service models of primary health care administration; and synthesize information received in order to suggest guideline on appropriate partnership model among those three sectors for primary health care management. The result of this study suggested that partners engaged in the partnership model of people, public and private sectors for primary health care management included 1) public sectors including community hospitals, Tambon health promoting hospitals, local administrative organizations, and other relevant public organizations; 2) private sectors including companies and businesses based in Bangkok and local areas; and 3)community sectors including, temples, schools, and community organizations/ associations founded for specific purposes. Relationship between public and people sectors is similar to family members who are concerned about each other in any issue. Relationship between public and private sectors is like partners who seek to invest to produce something together. And relationship between people and private sectors could compare to friends who help each other. Contributing factors for the partnership model for managing primary health care management included 1) national policy related to primary healthcare such as family care team policy addressed in 2560 BE. Thai constitution, 2) strong health leadership, 3) homogeneous community, and 4) natural resource and man-made environment capitals and social capital. While hindering factors are 1) red-tape system, and 2) lack of human resource, budget, other resources for working, and knowledge. Processes of developing partnership among public and private sectors for primary health care management includes 1) developing relationship among partners, 2) building trust and safety to work together, 3) having continuing communication, 4) Empowerment each other, 5) strengthern and expand network, and 6) working together under their rules and committees. This partnership model could contribute to four dominant outcomes including 1) health outcome such as better access to health services at local level, 2) economic outcome when people could generate household incomes through various projects under this partnership, 3) environmental outcome such as raiseing awareness of natural resource conservation and the management of waste in community, and 4) learning and knowledge outcome when people learn new knowledge and skills to promote primary health care management. The following are the two broad policy recommendations that could support application of the partnership model among people, public and private sectors for primary health care management: 1) integration of the partnership model in District Health System (DHS) that could benefit primary health care in term of human resource, budget and other resources efficiently; 2) all related related stakeholders and their staff should acquire knowledge, skills and positive attitude toward partnership model among three sectors for primary health care management.
