Financial Evaluation of Subdistrict Health Promoting Hospitals Transferred to Provincial Administrative Organizations (2023)

This research article reports the study of the financial status of Subdistrict Health Promoting Hospitals (SHPHs) that were transferred from the Ministry of Public Health to Provincial Administrative Organizations (PAOs). The objectives are to (1) to determine the appropriate financial system for the primary health care services that SHPHs should adhere to after the transfer? (2) to assess the financial status of the SHPHs after the transfer, what are their strengths and weaknesses? (3) to use the study results to make recommendations for relevant agencies to consider. This research used a survey method, collecting both quantitative and qualitative data. The main source of information was 32 SHPHs from 8 provinces and 4 regions. The study results found that (1) after the transfer, the financial system of the SHPHs already had an appropriate structure. (2) The financial status of the SHPHs still had insufficient revenue and uncertainty in the allocation. (3) The research team used the study results to make recommendations by requesting that the amount of money and the allocation method be reconsidered more appropriate. Highlights This research shows that the transfer of the Subdistrict Health Promoting Hospitals (SHPHs) from the Ministry of Public Health to the Provincial Administrative Organizations (PAOs) significantly improved the financial status of the SHPHs, as the PAOs were able to increase their budgets by 34.52 percent of the budgets they received before the transfer.