AUTHOR Mr.Asa Asachai
ADVISORS Asst. Prof. Dr. Somjit Arch-Int and Surasak Tiabrith
DEGREE M.P.H. MAJOR Health Informatic Management
UNIVERSITY Mahasarakham University DATE 2006
ABSTRACT
The medical and public health service system in Changwat Kalasin area has not yet systemized the health care service that can cover all the people in the area. The public health resource allotment planning in the past held the criteria based on the population. The public health information did not demonstrate clear spatial relationships. As a result, the resources allotments were inefficient. Thus this study implemented different factors in developing a model of distributing health care service centers by applying the geographic information system to analyzing convenience indices of accessing towns. Then the relationships with the numbers of health care service centers were calculated. The model of distributing health care service centers was developed by analyzing population density, public health resource distribution ratios, health assurance rates, and rates of passing the minimum health requirements. Data involving all the 135 Tambons were transformed into standard Z-scores and standard T-scores respectively. The obtained values were analyzed by means of a stepwise regression equation analysis. The obtained analysis results were then calculated for appropriateness of the numbers of health care service centers in Kalasin area.
The findings reveled that each. Each of the convenience indices of town access was in accordance with one another. If any index was high, all the other indices would be also high. The convenince indices of town access and the numbers of health care service centers showed low relationships (p>0.05). A predictive equation of the trend of distributing health care service centers was as below.
The number of health care service centers = 45.873 + 0.213 (rate of health assurance)
The rate of health assurance was an appropriate independent variable which would provide a predictig value of the variable Y close to an actual value. Also, from prediction, it was found that there were 97 Tambons in Changwat Kalasin in which additional health care service centers should be established. In planning for allotting public health resources, the geographic information system together with data in other aspects should be considered implementing in spatial resource allotment to originate more efficiency.
In conclusion, for development of the model of distributing health care service centers in Changwat Kalasin, the data concerned in each period of time should be examined in order to use such data for adjusting the policy and direction of developing the health care service centers to cover all the area and to respond to the people’s actual needs.
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