Factors influencing the Implementation of District Health Board in Chaiyaphum Province

Abstract

This cross-sectional analytical study aimed to investigate the factors influencing the performance of the District Quality of Life Development Committee (DQDC) in Chaiyaphum Province, Thailand. A stratified random sampling technique was employed to recruit 139 participants from 16 districts. Data were collected using a structured questionnaire, with reliability confirmed by Cronbach’s alpha coefficient of 0.98. Data analysis involved descriptive statistics and inferential statistics, including Pearson correlation and multiple linear regression analysis.

The majority of participants were male (56.8%) with an average age of 46 years and an average committee service duration of 2 years. The findings revealed that both the administrative process (Mean = 4.09, SD = 0.43) and committee performance (Mean = 3.96, SD = 0.46) were at a high level. Within the administrative process, planning received the highest mean score (4.17), followed by organizational management (4.15), while directing had the lowest score (4.03). In terms of performance, teamwork had the highest mean score (4.13), followed by community and network participation (4.00), whereas prioritizing target populations scored the lowest (3.89). Multiple linear regression analysis indicated that directing                (B = 0.271, p = 0.012), planning (B = 0.269, p = 0.003), and personnel management (B = 0.341, p = 0.003) significantly predicted committee performance, collectively explaining 49.2% of the variance (R² = 0.492, p < 0.001), with personnel management having the strongest influence.

This study highlights the importance of focusing on personnel management, directing, and planning to enhance the quality of committee performance. The findings provide valuable empirical evidence for improving the operational effectiveness of the DQDC in the future.