Thailand’s public health decentralization policy: a case of pro-social rule breaking of thai local health staff
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Kobchat Vichieansri Thailand’s public health decentralization policy: a case of pro-social rule breaking of thai local health staff. Retrieved from: https://repository.nida.ac.th/handle/662723737/6667.
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Thailand’s public health decentralization policy: a case of pro-social rule breaking of thai local health staff
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Abstract
This dissertation examines the pro-social rule breaking theory (Morrison,
2006) to understand the motivation and behavior of Thai local health staff over rule
breaking for local people/patients' benefit. This theory demonstrates why local staff
tend to use their discretion to accomplish their jobs for the local people's benefit,
although their discretions may contrast with the rules, especially the central
administration’s rules and procedures. The factors behind local staff rule-breaking
consists of three levels of analysis within the local workplaces: individual, relational,
and organizational factors (Dahling et al., 2012; Vadera et al., 2013; Fleming, 2019).
Finally, the results of the research analysis demonstrated that
pro-social rule breaking behaviors are positive with local health staff
conscientiousness and educational background. So, the research suggests that
conscientiousness is the only factor that can convince Thai local health staff to break
the rules, while other factors have no significant relationship with pro-social rule breaking behaviors.