ArticlePloS one2017
Facility type and primary care performance in sub-district health promotion hospitals in Northern Thailand.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
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- Stakeholders' Perspectives on Child Healthcare Services under Rural Health Reform in Thailand: A Qualitative Study.International journal of community based nursing and midwifery · 2025Article
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- Economic Evaluation of an Integrated Care Program Compared to Conventional Care for Patients With Chronic Kidney Disease in Rural Communities of Thailand.Kidney international reports · 2024Article
- Effectiveness of the health and wellness centers in improving identification and primary care of non-communicable diseases in Chhattisgarh State of India.Journal of family medicine and primary care · 2024Article
- Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study.BMC infectious diseases · 2023Article
- The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand.BMC primary care · 2023Article
- Evolution of community health workers: the fourth stage.Frontiers in public health · 2023Article
- Regional Differences in Admissions and Treatment Outcomes for Hepatocellular Carcinoma Patients in Thailand.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Universal access to comprehensive COVID-19 services for everyone in Thailand.BMJ global health · 2022Article
- Effectiveness of integrated care on delaying chronic kidney disease progression in rural communities of Thailand (ESCORT-2) trials.Nephrology (Carlton, Vic.) · 2021Article
- Reshaping public hospitals: an agenda for reform in Asia and the Pacific.BMJ global health · 2018Review
- Thailand's national universal developmental screening programme for young children: action research for improved follow-up.BMJ global health · 2018Article
- Determinants of Language Development in 18-Month-Old Children within Primary Healthcare Settings.Journal of primary care & community healthArticle
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoor and middle-income Thai people rely heavily on primary care health services. These are staffed by a range of professionals. However, it is unknown whether the performance of primary care varies according to the staffing and organization of local service delivery units. Tambon (sub-district) health promotion hospitals (THPHs) were introduced in 2009 to upgrade the services offered by the previous health centres, but were faced with continuing shortages of doctors and nurses. The Ministry of Public Health (MoPH) designated three categories of THPH, defined according to whether they were regularly staffed by a medical practitioner, a qualified nurse or non-clinical public health officers. This study aimed to compare the performance of primary care offered by the three different types of primary care facilities in one public health region of Northern Thailand (Public Health Region 2).
methodsA cross-sectional survey was undertaken in 2013. Data were collected on accessibility, continuity, comprehensiveness, co-ordination and community orientation of care from 825 patients attending 23 primary care facilities. These were selected to include the three officially-designated types of Tambon (sub-district) health promotion hospitals (THPHs) led by medical, nursing or public health personnel. Survey scores were compared in unadjusted and adjusted analyses.
resultsTHPHs staffed only by public health officers achieved the highest performance score (Mean = 85.14, SD. = 7.30), followed by THPHs staffed by qualified nurses (Mean = 82.86, SD. = 7.06). THPHs staffed by a doctor on rotation returned the lowest scores (Mean = 81.63, SD. = 7.22).
conclusionsDifferences in overall scores resulted mainly from differences in reported accessibility, continuity, and comprehensiveness of care, rather than staff skill-mix per se. Policy on quality improvement should therefore focus on improving performance in these areas.
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