ปัจจัยส่งเสริมการตัดสินใจเข้าร่วมและแนวโน้มการคงอยู่ของคลินิกทันตกรรมเอกชนในโครงการ 30 บาทรักษาทุกที่ด้วยบัตรประชาชนใบเดียว: กรณีศึกษาจังหวัดนครราชสีมา

Nagorn Wisetsena

Authors

Nagorn Wisetsena Nakhon Ratchasima Provincial Health Office

Keywords:

one ID, decision factors, tendency to remain, public–private partnership, private dental clinic

Abstract

The one ID card to every health facility of the 30-baht universal coverage project aims to increase access to dental care services for Thai people based on primary care concept with services close to their home including private dental clinics that registered as service units to the project. The objectives of this cross-sectional study were to examine the relationship between factors influencing private dental clinics’ decision to participate, and the tendency to remain in the project. A questionnaire was developed specifically as the research tool of this study. The questionnaire covered questions on the benefits to the public sector, to the government sector, to entrepreneurs, and obstacles. The data were collected between 3–13 June 2024 directed to all 63 dental clinics registered as service units in the National Health Security system of Nakhon Ratchasima province. The rate of responses was equal to 57%. The results revealed as follows. All aspects of the factors influencing decision making to participate in the project of private dental clinics were not related to the tendency to remain in the one ID 30-Baht universal coverage project (p > 0.05). Rates of payment per visit to private dental clinics were significantly related to tendency to remain in the project (p = 0.003). Dental clinics viewing proper compensation rates tended to remain in the project. Such tendency was 10.7 times higher than clinics viewing that the compensation rate was too low (odds ratio = 10.7).

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