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                                                                            วารสารวจยและพฒนาดานสขภาพ
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                                                                         สานกงานสาธารณสขจงหวดนครราชสมา
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             คาสาคญ:  ขอเสนอเชงนโยบาย;  แผนพฒนา development plan of the financial
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             ระบบบรการสุขภาพ; การบรหารการเงนการคลง  and fiscal management system (Business
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                                                       plan). All service units are controlled
             Abstract                                  by comparing financial plans (Planfin),
                      The Research aimed to study  and Control the income and expenditure
             finance management in Ministry of Public  by the financial efficiency criteria
             Health Region 9, in 2020. The proposed  (7Plus Efficiency), Unit cost of outpatients
             covered 5 activitys in the management  and inpatients. There have to be internal
             of finance of service Ministry of Public  audit and control Of the analyzes of
             health, as well as proposals for monetary  the financial and fiscal situation as
             and fiscal policy. The representatives are  of Q4 / 2020 showed that the 9th
             hospital directors under the office of the  health zone had no service at level 7,
             permanent secretary, 89 people in total.  the highest at level 4 and level 3 i,
             The method used are questionnaire  at 1% (1.12%) and level 7.2 of 3 (3.37%).
             and focus group discussion, analized  Policy proposal are to have emergency
             by descriptive statistics used with  funds, to decentralize all administrative
             frequency, mean and standard deviation  districts for change and to support

             distribution.                             the work of the health zones (Regulatory
                     The results show that, from group  Sandbox), to use financial plans and
             discussion and the secondary data  tool for monitoring (Planfin). Suggestions
             according to 5 important measures in  to the service organization were to

             the administration of finance. Universal  monitor the financial situation closely,
             health insurance fund allocation in the  increase the income and reduce spending
             form of Step Ladder & K, hospitals with  using (Planfin) as a tool for monitoring,
             a population of less than 30,000 people  and connect financial management

             should have allocated additional funds,  system (Business Plan) with the (Service
             pay attention to the adults of accounting  Plan).
             information by developing skills of
             executives and practitioners (Service  Keywords: Policy Proposal; Service Plan;

             plan) which is connected to the  Financial Management







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