Success Factors for Driving the Office of the Permanent Secretary, Ministry of Public Health Towards Government 4.0 (PMQA 4.0) in the Digital Society Era

Abstract

This survey research aimed to investigate the current state, factors affecting success, and propose development guidelines for the Office of the Permanent Secretary, Ministry of Public Health (OPS, MOPH), towards becoming a Bureaucracy 4.0 according to the PMQA 4.0 criteria. Data were collected using questionnaires from personnel responsible for or involved in PMQA quality development across 13 central and 76 regional offices under the OPS, MOPH. The sample size, calculated using Taro Yamane's formula, consisted of 215 respondents. 

The results revealed that the performance scores based on the PMQA 4.0 criteria for the fiscal year 2025 decreased by 3.11% and 4.96% compared to the fiscal years 2023 and 2024, respectively. The overall opinion regarding the success of driving the organization was at a high level (x̅=4.17). Multiple regression analysis demonstrated that variables including organizational leadership, strategic planning, customer and stakeholder focus, measurement, analysis, and knowledge management, workforce focus, and operational focus of the agency had a statistically significant positive effect on the success according to the PMQA 4.0 criteria (p-value=0.01). These factors could collectively explain 75.17% of the variance in success, with strategic planning exerting the highest influence. 

Based on the findings, it is recommended that the OPS, MOPH emphasizes strengthening all areas and developing knowledge, particularly in organizational leadership. This aims to create an open, connected, and digitally smart government that focuses on providing services aligned with public needs, thereby effectively driving the transition towards a Bureaucracy 4.0.