Factors Influencing Outcomes of Performance of NCD Clinic Plus in Hospitals in Health Region 6

Abstract

This retrospective evaluation study was designed to examine the performance and analyze factors influencing the outcomes of NCD Clinic Plus implementation among hospitals in Health Region 6. The study sample comprised 73 hospitals under the Ministry of Public Health that participated in the NCD Clinic Plus Online assessment in the fiscal year 2024. The research instrument was the standard NCD Clinic Plus assessment form, which consists of four parts: (1) general information of the health care facility, (2) quality development processes across six components, (3) service outcome indicators comprising 13 indicators, and (4) continuous quality improvement (CQI). Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, as well as inferential statistics using multiple linear regression analysis.            The results showed that most hospitals (67.13%) met the assessment criteria, with small hospitals having the highest passing proportion (82.9%). The analysis identified ten significant predictors explaining 87.3% of the variance in performance outcomes (Adjusted R² = 0.873, p < 0.05). These predictors included self-management support systems, decision-support systems, key screening and control indicators for diabetes and hypertension (KPI2, KPI3, KPI8–KPI10, KPI13), quality improvement outcomes (CQI2), and hospital size (SIZE_HPT). The findings indicate that effective implementation of NCD Clinic Plus requires an integrated care system that emphasizes both process and outcome dimensions. Strengthening patient self-management, data-driven clinical decision-making, and continuous quality improvement are essential strategies for enhancing service quality and achieving sustainable population health outcomes.