A Study of Workload and Productivity among Health Personnel in District Health Promotion Hospital
An initiative to develop district health promotion hospitals (DHPHs) as gatekeepers has emerged with an emphasis on the control/prevention of chronic diseases, and also as the units to provide ongoing care and long-term care in their communities. The implementation of this initiative, however, means manpower allocation solely based on the size of population in areas under the supervision of each DHPH may not reflect actual workload. It may affect DHPH ability to respond to healthcare-service policies in the future. This paper studies the relations between workload and current manpower and to synthetize policy recommendations in regards to manpower and manpower quota at DHPHs.
Non-Financial incentives influencing retention in public health services among doctors in eight provinces in Thailand
Although financial incentives have crucial importance in retaining health professionals in rural areas, non-financial incentives are no less important. The Human Resources for Health Research and Development Office under the International Health Policy Program Foundation, with support from the Health Systems Research Institute, has conducted this research with aim to identify non-financial incentives that are appropriate in the Thai context so that findings can be applied, alongside financial incentives, to the retention of health professionals in public health services especially in rural areas. Kwanpracha Chiangchaisakulthai, MD. has headed this research project.
Management of Human Resource for Health to Move Forward Thailand’s Primary Care Cluster Service and District Health System (DHS)
A study aims to examine successful stories in development of the Primary Care Cluster (PCC) in district Health System (DHS). It found out four factors contributed to the success of PCC and DHS. The four factors are leadership, vision for synchronization of work of district health system, building next generation leaders to move forward the DHS development, and working with linear and vertical approaches within public health sectors and other allies. Challenges to PCC and DHS were also identified by the study. Among many challenges, It stated, are lack of synchronization, inadequate workforce, workforce distribution, working skills, and limitation in local workforce management.
Study on Analysis of Operating Costs for Primary Care Clusters (PCC)
A retrospective study operating cost of Primary Care Cluster (PCC) in Thailand carried out in 2016. Based on data collected from four PCCs; two in rural and two in urban, the study focus on accrued accounts of contracting units for primary care (CUP), data on sponsoring primary care units by the host agents, data on primary care units’ activities, data on survey of staff’s activities (full time equivalent – FTE per activity), data on survey of area sizes and operational hours of contracting units. This study found that the largest operating cost for PCC was on labour, followed by materials while investment was the lowest. Higher material costs were found in urban PCCs, compared to rural PCCs due to more advanced treatments.