Objectives of this research were: 1. to study the effectiveness of health care fund administration of Khok Phra Chedi Sub-district Administrative Organization, Nakhon Chaisri District, Nakhon Pathom Province, 2. to compare the opinions of the people on the effectiveness of health care fund administration of Khok Phra Chedi Sub-district Administrative Organization, Nakhon Chaisri District, Nakhon Pathom Province, classified by personal factorrsm, 3. to study the relationship between the Itthbhatti 4 with the effectiveness of health care fund administration of Khok Phra Chedi Sub-district Administrative Organization, Nakhon Chaisri District, Nakhon Pathom Province, and 4 to study the recommendations to the management of health care fund administration of Khok Phra Chedi Sub-district Administrative Organization, Nakhon Chaisri District, Nakhon Pathom Province The research methodology was mixed methods researches; quantitative research and qualitative research. For quantitative research, it was conducted by survey research using the questionnaire to collect the data from the questionnaire which has the whole confidence value equal to 0.977 from a sample of 360 people  of Khok Phra Chedi Sub-district. The data was analyzed by using frequency, percentage, mean and standard deviation, t-test, F-test from one-way analysis of variance, and Pearson's correlation coefficient analysis. And qualitative research Using in-depth interview method with 12 key informants.

The research found that;

1. The overall opinion towards the effectiveness of health care fund administration of Khok Phra Chedi Sub-district administrative organization, Nakhon Chaisri District, Nakhon Pathom Province, was at the high level (=3.74, S.D.=0.364). When considering each aspect, it was also found that the opinion towards all aspect were at the high level; health promotion services (=3.85, S.D.=0.339), prevention of diseases (=3.78, S.D.=0.414), rehabilitation (=3.71, S.D.=0.457), primary proactive (=3.60, S.D.=0.411).

2. The results of the comparison of people opinion towards the effectiveness of health care fund administration of Khok Phra Chedi Sub-district administrative organization, Nakhon Chaisri District, Nakhon Pathom Province classified by personal factors, it was found that people with different gender, age, occupation and income had significant different opinions towards the effectiveness of health care fund administration of Khok Phra Chedi Sub-district administrative organization, Nakhon Chaisri District, Nakhon Pathom Province at the 0.05 level, therefore accepting the research hypotheses. But for people with different educational backgrounds, they had no significant different opinions towards the effectiveness of health care fund administration of Khok Phra Chedi Su-bdistrict administrative organization, Nakhon Chaisri District, Nakhon Pathom Province, therefore rejecting the research hypothesis.

3. For the relationship, it was found that  there was positive relationship between the practice on Ittibahtti 4  and the effectiveness of health care fund administration of Khok Phra Chedi Sub-district administrative organization, Nakhon Chaisri District, Nakhon Pathom Province at the low level (r = 0.126*). When considering each aspect, it was also found that, all aspect had the positive relationship at the low level; the health promotion service (r = .223**), the disease prevention (r = .101**), rehabilitation (r = 0.019**), and primary proactive (r =. 138**).

4. The guideline for improvement of the effectiveness of health care fund administration of Khok Phra Chedi Sub-district administrative organization, Nakhon Chaisri District, Nakhon Pathom Province are that the members, executives of both local administrative organization and health care fund including of headmen and people should perform their duties with full power, honesty, transparency, and can be checked in order to fulfill the goals of  the health care fund.

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