Developing assessment criteria for operation control of local security health fund in the upper central area, Thailand

Abstract

Background: The government's support for public health care in Thailand is very important and necessary. Therefore, there must be a supervisory process for budgeting to create the most equality and fairness to all people. At present, the instruments used to monitor health fund performance cannot be comprehensively assessed for effectiveness such as planning, organizing, leading and controlling. To address this gap, we created the Assessment Criteria for Operation control of Local security health Fund (ACOLF) which evaluates old assessment criteria, review literature and experience as separate constructs. Methods: The ACOLF is a 42-item survey with 12 old assessment criteria, 26 review literature and four experience items rated on scale from 0-9. In an observational analytical study, the survey was administered to 406 general population participants working in a provincial office for local administration. Validity and reliability were evaluated by testing construct validity. Exploratory factor analysis was conducted to confirm the item of old assessment criteria, review literature and experience. Reliability of the questionnaires was tested using Cronbach’s alpha coefficient. Results: The ACOLF demonstrated convergent construct validity (KMO = 0.88 and Bartlett's Test; p value <0.001) and explaining 88.95% of the variance of this construct. There were seven factors involved and all  factors consisted of a total of 41 variables observed by the weight of the composition of the observed variables ranged from 0.780 to 0.972 at the significance level of 0.05. The reliability of the assessment criteria was tested using Cronbach’s alpha coefficient, the total results was at 0.889. Conclusions: The ACOLF is a short, cover activity, valid, and reliable instrument for assessment operation control of local security health fund. Based on research findings the tool can be used to comprehensively assess the performance of local security health fund.