Abstract
The objectives of this research are to (1) evaluate the results and impacts on the people regarding the services of each size of subdistrict health promotion hospitals (2) assess people's satisfaction with the services of subdistrict health promotion Hospitals (3) evaluate the potential and intentions in health participation of the people in the health system in the subdistrict health promotion hospital area (4) analyze patterns and suggest guidelines for developing public sector participation. In terms of research methodology, mixed research was used. the unit of analysis was the people in 32 subdistrict health promotion hospitals, with a total sample size of 1,744. the sample group consisted of (1) a group of people with health service professionals in the area, (2) a group of community leaders, and (3) a group of citizens who had received Service both before and after transfer The data was collected using surveys, interviews, and focus groups. The results of the study found that in terms of people's attitudes regarding the results of services provided by subdistrict health promoting hospital, there has been a positive change. After the transfer, people were more satisfied, and have more confidence in the services provided by subdistrict health promoting hospital under the provincial administrative organization. Because they view that, the provincial administrative organization as an agency in the area that is close to them which. can provide better care for primary health care services, The results of the quantitative research found that the satisfaction levels of the people between after the transfer were better than before significantly different at the 95 percent confidence level. For guidelines for developing participation the value of taking care of one's own health should be instilled in the people in the area. By campaigning to create values “create health through self-reliance and multilateral cooperation” by strengthening current participation mechanisms.
