Factors affecting the success of policy implementation: A case study of the transfer of Sub-District health promoting hospitals in the Northeastern Region 2

Abstract

The goals of this research were 1) to study the affecting successful level on transferring subdistrict health promoting hospitals to provincial administrative organizations in Northeastern Region 2, 2) to investigate the successful factors transferring subdistrict health promoting hospitals to provincial administrative organizations in Northeastern Region 2, and 3) to develop policy alternatives to improve subdistrict health promoting hospitals under provincial management. The study used a mixed methods approach. The sample group for qualitative research was related to transferring subdistrict health promoting hospitals to provincial administrative organizations in Northeastern Region 2 altogether 160 staff. For quantitative research, the target group was 9 staff. Data collection tools included questionnaires and in-depth interviews. Statistical analysis involved frequency distribution, percentage, mean, standard deviation, and hypothesis was tested by using Pearson's correlation and multiple linear regression. Content analysis was used for the interview data. Key findings were: 1) The overall level of factors affecting successful transferring subdistrict health promoting hospitals to provincial administrative organizations in Northeastern Region 2 was high. 2) The factors affecting successful transferring subdistrict health promoting hospitals to provincial administrative organizations in Northeastern Region 2, were policy, personnel management, and interpersonal relationships. 3) The alternative policy for enhancing the efficiency of subdistrict health promoting hospitals under provincial governance should allocate proper personnel and budget, a clear administrative system, a focus on people-centered services, and establishing effective monitoring and evaluation process.