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360 degree for selecting the best primary health care staff

and primary health care units in North

Eastern region 2015

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Abstract

This participatory action research aimed to

develop the comprehensive assessment process

for selecting the best health care staff and the

best practice for health security of primary health

care units in North East region. The processes

included 4 steps of planning, acting, observing,

and reflecting. Each step was clear concept

how to do as guideline for assessment. The key

persons including health security committee, 12

assessors from various sectors, and the repre-

sentatives of 7 provincial health offices, and 6

former best health care 4taff who got the awards

within 3 years had worked together to develop

this comprehensive assessment tool. They had

kept clear all processes of assessment to make

sure for honest and fair for the competition. The

samples of this study were 425 villagers and

community leaders in 7 provinces located in

North East region.

The instruments included 2 questionnaire

surveys about the characteristics of health care

staff and health care sectors. The semi structure

interview for health care volunteers, village leaders.

and villagers and the health profile and documents

were also addressed. The reliability of questionnaire

survey was 0.89. The data were analysed by

using descriptive statistics such as percentage.

frequency, Mean and standard deviation. The

qualitative data were analysed by using content

analysis.

The findings showed that the comprehensive

assessment process as 360 degree that included

various sectors to attend all processes of

assessments. As the result, the comprehensive

assessment process is suit as the standard tool

for health policy makers to evaluate or investigate

health care staff performance and meet the needs

of target groups. Furthermore, the assessment

process by assessors who had good prepare for

assessment. They did not judge with unreasonable

and they gave suggestions for health staff and

health leaders as true friends. Interestingly, all c

ompetitors had known and understood all processes

of assessment. The assessors went to observe the

, and 6

e awards

develop

-hey had

to make

ition. The

jers and

cated in

stionnaire

alth care

structure

leaders,

Icuments

stionnaire

lysed by

rcentage.

:ion. The

1 content

rehensive

included

?sses of

rehensive

dard tool

lvestigate

he needs

sessment

epare for

?asonable

staff and

~gly. all c

xocesses

)serve the

respondents' works in the real situations without ii~:iflu~'ld1u~~1%79bbsd~um1a%"3~a:4) awadiu

make appointment beforetirne to make sure i i i u ii9uSdesruiis:ind.a"nii i f lu~~- iduar ida

that. health setting did not do window dressing. '11515mTu~m~5a~ (q9426 naomim'diiafma:. 2554)

The findings show that all competitors of the 7 ~ @ f 1 1 f i 1 4 ~ 3 5 ~ 7 bba:nPdauu~nisdgu~~wsa

health staff and 6 primary health units in North qmdidos:uun$nds:n"u;aniw lu%hiuui w u i i

East region were qualified and had good charac- ~ L d ~ : ~ ~ ~ a ' m ~ ~ ~ n i ~ 8 3 3 ~ i ~ i d n " ~ idudnis~mr%m

teristics at high percentages of 96.50 for health ynna bba:wI.iauu?ni% uididwa'm%w"ynmabia:

care staff and 83.97 for primary health care units.

The villayers and community leaders stated that

assessment process was clear, fair, and valid.

The assessors and competitors stated high levels

of satisfaction for assessment process (Mean =

4.48 , 4.35). As fhe result, the health security

office or health sectors in other regions could <

apply this assessment process to develop their

work in various aspects.

Key words : cpmprehensive assessment

process 360 degree, the best health care staff, the

best practice of primary health care unit, health

security system, National Health Security Office,

Region 8

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4a.a "

SD

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0.39

0.33

0.40

0.34

0.33

Mean

3.65

3.65

3.71

3.61

3.69

3.65

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W ~ ~ ~ M ~ ~ ~ I U W ~ J I ~ L L ~ ~ ~ U W ~ W U W B ~ A ~ I ~ ~ ~ H ~ ~ I ~ I ~ ~

8. nisas$u$nu~oj~6~ris swan. iasvrdi

9. rnhmGnisG~iamiy~na/ ~ u a u u ~ n i ~ i m s s ~ m ~ i ~ a j a s : u u ~ ~ : n u ~ d ~ a n i ~

10. q161a~nwm:~o~nm:nssunis5~aiur~ui:au

Mean

3.51

3.51

3.58

3.53

3.47

3.47

3.51 ..

<,,a:

SD

0.51

0.49

0.53

0.50

0.57

0.54

0.52

rffu6au

84.62

69.23

69.23

100

84.62

92.31

92.31

76.92

92.31

loo

nisbbdawa

uin

uin

u in

B J I ~

u in

uin

uin

u

15.38

30.77

23.08

7.69

7.69

7.69

15.38

7.69

lai~ium"2u

7.69

7.69

7.69

N~fll96l43WlLLElfl 360 09@1 W U ' ~ IjRAk3LLGlt

wPdauu~nisd~uqfi~qmauu3wiu~na~~d~wdo ioua:

96.50 La: 83.97 iiw5unis$unirs6~Gi~u"11u a" A 4 ua:nls:aia~a%uwu~umai~~~ua'~ns:uauni~a~~ni

6 ~ n i i a i i n a i u ~ ~ u n s s u ld+s%w 1~a:wsawoul6 ua:

6 i u n a 1 u ~ a ~ f f u u o ~ ~ m : n s s u n i s ~ ~ ~ a : ~ ~ ~ i 5 u n i s

Gs~iss la~donsruaun~sass~~v w u i i ~ffu6aua;Tu

3:$~8in (Mean = 4.48 , 4.35)

'ii~n13

I . n 1 3 I q i i d a u a i u a o 7 <dw~m$aarG~i~rui~nmG GiI+~nmGi~aiu~wui::au~~a::

wonws3asn'Yn+u~ilim

2, ni3waasLonaimadiu n i ~ ~ i ~ a u o ~ a ~ i u W a u a i ~ i ~ ~ a : n 1 ~ ~ ~ a ~ ~ s 3 n q i u ~ ~ s ~ a : : < n ' n d

ni%~81ni3~&$ddaua~ua.iiad1uw"ud vh%biin~aiun~au~i=p ria:k43u"o+aw~udauyn2i

3. nl3d?u3::m"Elw::Ll~1~ 91tl WIU/ ~ ~ W I U L ~ ~ ~ : ~ ~ : L L U U L L Y E ~ ~ ~ ~ : : ~ ' ~ (rating scale)

.riad~aiuisn~iud~::lw2niwdiu~m"%m~~uuin~u

4. $mdau n~slw'~iwu'nwr~~uu~uqru~n3~ru::~~ia::~i6~ma~u~p9ui::au

5. ni~a%'i~u'amnasiaun'u~::wii~ i unmun i? 6jswi(jl ~ ~ a + ~ n d ~ x f i d u i u d rim

ii~Guniansasds::rh ~"i l f ir i i rn~aiu~31l~~m~~n'u a&o%m~~ds

6. ni=j~iwumGomnas~aun"u ~+os ~ a i u ~ w u i : a a ~ l u n i l ni in2iu ~anai3~~uuwiu~~ciia::

~ n m G ~ a ~ ~ " m i l f i ~ ~ m r n a i u ~ % i l s ~ w ~ ~ n ' u arn4nih~~ds

7. n i s 6 i u r n n a u u rjas ni3a~wqdfiwulisa~diadwpdyi GilWYW~?uu$inaniw

nis&P,s

8. ni-ifiiwum~ownasiau~u dad n i s a s i u ~ m u I i a ~ ~ s i a s n ~ i iiI+am.iio~m'm~~s

9. 2d~~uunirsda:~fiu ~ i ~ ~ n i ~ d ~ : : ~ f i u ~ ~ u u ~ a u i r u 2 w ~ ~ W " o n i ~ w ' ~ u i ~ i u

~ o . n i s P a " i r ~ u a ~ m n i ~ w ' ~ u i q ~ i w PDCA ui l~unisplsraGu iau l f i

inisw'muisiu~~u~lwzjua~~~

Mean

4.50

4.33

4.52

4.43

4.33

4.63

4.43

4.50

4.41

4.50

SD

0.41

0.43

0.33

0.33

0.40

0.24

0.33

0.47

0.37

0.41

nisutlawa

u l f l

u i n

Nln

u i n

u i n

u in

u i n

u i n

u i n

u l n

so nnutlnwa

1.41 uin

1.43 uin

1.33 uin

1.33 uin

1.40 uin

1.24 uin

1.33 uin

1.47 u i n

1.37 uin

1.41 uin

?imt3n%%ufl%zni~ ~SQuaonsiuuouws:qm@wC~]nyuyu~4u

adaa barn 8. ~iCndiuainismqa~dwa"n d i ~ n o

Lba: swan. lu iu i 7 QdwTm ~am~aiuwouuu LLa:

~ ~ ~ ~ ~ ~ ~ ~ 1 ~ 1 1 n ~ 1 ~ ~ 1 5 1 ~ ~ ~ ~ nimnisdnwi Lba:

nimds:"~11"~1u %unisw"wui~~$o~5o Gwuins:uaunis

msasds:aGu saui~nisaCuayua~~i~unisw"i~iu~in ~ u ~ n i s y n n i m ~ a u ~ ~ 8 u a ~ o ~ ~ u A u i ~ u i i ~ ~ n i s ~ ~ u

n % 6 g i ~ k ~ d a d d 6 a u l

s13Ul qw14y a6. (2545). aa7u~~wo~v~un7~d1j:~iuwan71jE/~fl"m'~7uuuu36o~~~7.~osw Jnmu

n?a'ldfi7daug$n7w: iinf~7saw7zwu'~uq~n'vdaun07~. n p w w - r : a ~ w ~ a ' w u i C ~ s ~ u i i ~ ~ v d .

u - ~ d l u G~a-i i i , i w s i ~=i:~=iili4fn6, n u i r h 6 ~ d n ~ n ~ u m a u a t n i ~ onn iu . (2555). n73&iuu7

~ n u n 7 w w f d l a u u ~ n 7 ~ ~ n ~ ~ ~ 7 8 ~ ~ n m ~ n 7 ~ < ~ ~ ~ ~ ~ u ~ ? e / ~ 7 ~ ~ n b 1 d ~ ~ n ? e / n 7 ~ u ? n 7 ~ d ~ n ~ B J P

(on top payment ) $~$Y..~YW qlp7757i7 &9uf15zaJ761d 2555. %l~~%Jq51'~9~31d

IGIR%B 8 u ~ ~ ~ ~ d y ~ ~ i n i ~ ~ d ~ w " w u i ~ 8 ] ~ ~ w " ~ d d u " 15-1 6 w q ~ l i n l ~ l u 2555.

q936d MaOnLN4. 59U1 3 1 % l 6 V l 4 1 9 f J ~ L b ~ ~ ~ l ~ ~@ln%J. (2554). d I j ~ ~ ~ ~ ~ 7 ~ 6 l ~ t f / I j ~ ~ ' ~ 5 " e ~ ~ n 7 ~ ~ ~ ~ 7 7

Sa7umowuu, qn=i5id :

di0d"n~iww5n~s~n'uq"11n1qn]~~w~"t1ii ~"ll(irl 8

Richard. L.,& Anntionette D. Lucia. (2009). The Art and Science o f 360 Degree

Feedback. San Francisco: John Wiley & Son