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u droo{n?r # fiudrfisarrno;cril::nuvtdrurirfiartr:uqtfirJfrffi'rrulurtrjru ?nl:
qtnrr nJ gru4fi fi'unurnnr?rfi nruloitrarufr'vuurqtnlrrrilstrfi qfiufi rot
n:dfi nurfi ufi artl:iuq1llsl 17
A Causal Model ofHealth Personnel Competency in Primary Health Care Unit and
their Roles under the National Health Development Plan 10 : A case study of Health region l7
flulr qt::tuqa (lattnn Suphunkul)*
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@;;"",,;; Sc ences Vo,1 No.3 September December
n1rlJrilu rIrasfl ?rruairdtyrorrlltgnr
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ll:ufl ldn lo lulmn 11] tdudtt dutl1fl lrdul,{rlftfl:51J
"'tru1l5 tRfld )uiro trlflquru tgtddtfl t T:du-J0nuu $?.lllflu}{9u u1lfl: u3n 0ltn e d{nr.l
. - _ir$j.:3'r$rfluljll 9 (l{.fl. 4545-2549) n:sm5-:l,ld.tf .t:0ldx
do*trauotru:n-on r:rJn-;rJ:: u,1tn rnfiu 6'nJr- rnnlu
rurir:ri'Bru-rdfl R.r11.1 qfi!fi g rfio.iornalfi E.ird'r! 5
:gfll: tql[n I )tUUn l: tl.{U: n l:11{)^1Jtu lnn J ]1115fl;
:r rirldriran r:4rrn nr4rr: rntroi"ld'H etel' r .trnu'lnosa|'dt
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24. X
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fl rnd'lu{0,:ri'.ifl u traltrnnr:ul6uurr a.iodr{rilu
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n]tm11n0dfl runtt0lnt.il tu1nlju unti-flt ufl
mr:irrniaqifioirl 16'uri r I u:r:rmrityff riii'nrl:sfruA av,
dlntflr[1.rrurF .fl.2545lt,l0l1.t!:: ]lx!mlnurd I
l. lUifrt5 dljn In0fl tx[1]trTti 2) 1,{:t: t}1ltutu9l
'ttn rwpirry16 fl.q :sso 'flLt::uHiudr!drn rT
riivuorlfraritvrqtnrurfl unn'lnirayn:rlru nrr-
Gaui rir hJ {n r: rau o r rus u'l0r r uarr r: iu c rfi4o;dr d,
' ,i" " 4 : ,'qtnl fl tq8:Jturlli-8 f, in f,lnillno[110lh::llll
qrn1 1 xjfififfir.r "airsrirr'oru,, ludugruuurfionfrcJnrfl otfi8{'
siourei'r{ur.tu{fl urqtnrn'r nrir-rfi to1n.a.
"d' t A2550 - 2554r "164lt ut:0lt0l5t1l q1nI
norfi l.r nroldrlfvqla:u gfi orotff al louril.iun' , ait l:rulqfl!flrdnirir{it!'t1 6 lJ:3tou no I
rinr:qtnmffqt1ofiifl#rrav{ful:^nr: z) air'r
imur::r.,qtn rurdoRtnrurrrilqtnr:r .}r cfttqfi dllril uavannan:vvtuornfiuqnnrr +1 cflrlnr't
,6onqtntrdun 'nun
rtl H arLru n ru4iflqq rlnu
rrdr dtnd0ut{;trl u 5) n l: d: l:5lun ) lx[:sllll
{ljnl1,{6JUAl:dqnl:nllrii 6) d: llrrlflnlfl lldt
l::urfi lralu nr: o'onr::vuqtntnlouff 5rl6n
fi rdo'i qmlrdrfl unalrorndln16 ornlu'jqmtenaor{
:sr.JUErn ll{er'rtJllr.rurimu tqtn rll qfufi to rfin
duornr:-lntornrr-nldutrtt aq$u ais': drfieorn
fl ,to'tnr n tnt o to:rr:fi' ltru :6fl fi n -qtntvn'totfi ar"'i ' i - " 'rrjiuri:rff01#ryffUltfiluTlnlnSSllastoflryU n0.itr- i
arrr:ofufi orirnmnr:sifi rrl6aurr al'hJ nrald
;rJuuro'rrin:bni nrjratinr:qtnl'lrJgl4fi v?o
qudqtnlrpvu rfl uo'rrin:lr rrl:-n1:qtRry{
fiodln6'6ertrLn firrurnnrirfi,i r6'tg 6o nr:qun
4rn rnro li:;trtul u fi u fi o dr.r sio rfio.: rra v fl
rJr- c fi 6nr ri.rdrr nrr- insrntrrura flo.rtiul:n
dlrd: {1n rfl lldLl'lu4 rlu:: uR 11{ 5lum{nl:-nfi
r€nr:artr:nrqtffnaraaru (cirfinr ruln r'l nr:
rJfl grJ:vuqtn rn. zs+s rdlfi n:lLri 16txoti rrEroio
nr:fiorurqrnru ttarqtuRrrdiotto.r,-cstsuq vA
rd rrd rff * rr r:tu qt luutl :ul5n r: qtn rlT rlguqfi
'?''auonn llrgto illjutuJfr I l ?n)lurlltu)Jfifilunt: 51'll:
i'nnr: r ras n t: r'sr u lir'o n r r- rir'bJ {n r: rfi'olu r: v r-rl.ia
dqrfl l}^t l?tuft )llJlllrlttltr6rs fliSlllta I Ul9ld:lJ
iinuvdrr6l,l fr ro'osionr:rirrfi rlrudruqtnrn:i.v -
l1'{0 lfill:fll:1lt&1!1u l9ltluIi q nI-J6 rriuo rrrnein'[d j r:r-oi4tn rn lnuri rd rflr:bl{
,i . : . . < " d, ' {€ln x 0 I fl I : rll d uu I'u d I 11 d I d iu il : rl llu u 0 u I I u I; t - t"filnarn:ernr:arqtos6o':finr: irt daurmlrm
rorfl rl#ryirf'ueioanrunr:nifr ul6ouurlarhl
,tltn^:n^t,ntl L'lO"'ArEffi
druvqnad.rnrir: ffi {tr6'rfi nrrrurl:va'rrifi llfi nsljr nro1dufl uuiruurqlnrnrniltr6nrilfi to
r{rnrirfi artr:tuqtlumrjrutinr:qtnrnrJgl4n
nr:fi au::nuvmio6nriuufi.r 6o orrlf f'nua
qord'nrowtiruqona naoonunltldtrut:oluRr:
rixrudrulnrirs 6rrvrir'rru'ldfi rl:vfi rtnrn4'rqo
sr: sqruorrrdoinr:rjo'to{fin: (Mcclellan4 1973 ;
Parry,1997 ; Boyatizis, 1982 ; Hanel & Prahaiad'
rsxl n3.rdrfi o1#rfl ugrudoryalunr:rJirrJq.rruiotrirn
lltdn4or:intnrnan:tiatm'n ttav artr:otqtenaet:
riil.rfutffi il:sfirinr rirnS{du n:{snilnrrudo{nr:
cio{d{nuuavdntfl nr:oifi tfl uoil uontrnd nafi ld
omn$dfl urflrdrultnrir\rjldtfl un:ollunr:ri'nrur
f,nanrnl#firrflrvfirfi artr:otqtlurlirauinr:qrn nnJgrLqu rdonr:l#l:^nu qtnrnfifirJ:t8ntnm
rravr.l:cd t't{a9io'l
e avrnq rvdinnl:?ou
t. rfiofinurar::ouvtortflrtfirfiartr:otqn
fi rJfr fdrrlluurjrauinr:qtnrn:Jgl4fi nrtrld
ruruurt'orurqtnrnuri.rsr6 qfufi t o
2. rn'osr : r oaornrtru aonndo{t oslmrtdrao.l
nrrrLfirLri'u#16.rarruqar:::ourrffrufirfi artr:nrqt
fi il6ffi .rrulurrirar?nr:qtnrltrJgruqlr'ri'ulnurn
nri rfin rr16'unur(qru t qtn tnrrritl t6n:ilfi to
fl!1O{Al$.l1J5t0nU
dililAg1unr:i6'u
t. a ::nrcalruu5'nr:fi nrirudrdufnr.rdor:
tiuumu n4vfi rfintuldrrrlufreru tqtntr"t o:-r-ufi to
r.iruarr: :nuvdruqatdnuorvrirr-tlono
2. du: : ols qtur?n r: fi orrtl dr fiuf,irdsu
6'rrrnrrmm#rfi nraldunutt'oturqtnrn"r nrilfi to
l.iru er: : n uv dru q at a-ouor v druqnn a
:. ar.r::ouvdruqar6'nuorvciruqonafi nrrru
d'rr{'u f, m rrn:.rfi urvrrLrlrurirfi nraldrrp.lufrorur-"iq1Rr .4 quufl 10
??nr:finsr
n r:-l-o'un:-rfi rfl u n r: io'orfi I rir : rr t s u-eyResearch)
rl:vrrn:ua;o{roYrodr.r
rJ:srrn:fi dnsr'lduri urirau?nr:qrnrn, -
ji .",.,.Ulrl4ulun frfll! EsrE1n,fl |7 lrlrif,fliio -sollan
qltrYa rnr:rg:ainrn udsqn:6adiiiuxl 630 ln..l.r
rirurorurndrotirdrsnDNRtfir iolxulfl n-xoti.r,r
to{rn:6 uac ruofrrnu 1rr".1"i" & Morgan drllunr.r:hri rifsrri, 2543) fisveiun?lru fioilu ssy,
ldnrjlLoi'rotir.r riuru zno uril rff orlodunru n'onarni -i. Jfr ororn-q{ulurj gtoulolnr:rfir::l:rlioladro
rnludo orrfiri,rrt{vl :sdridlrir uslurnri'rodr.r
rfi rudurfl u z rrirornrirfi n"iu:ar16' ornriurin16on
rtirolinr:qtnrnrJgr4fi aoz uri.r draiiurrnaran'un o u (Multisrage Sampling)
u ,.ia9Dt|Utnfln]4r
ri'ru :fil#lunufinur :snord:a d'ru :ruEl{ + si'r druunrflflcl':u :url.rnrauon z d.: 'lduri
au::nusdrunr:r:'nt drur:ouydrunr:rirr: rray
ri'ru :u .rnraluzf,'') lduriaru::ouvdruqarii'nuorv
eiruqnna (Spencer & Spencer, 1993) llas Tll.ltltA - -;nf rfr nrulduHurioturEtn rulnlilfr to rrnc6'rrrd:
d{rnn 9 sf-r d:snoldru I nnu?ntdugtuz1 narulIu nuann a4v -r.) nrufdrunr:u?nr:frsnr:o'!rin: +) ri'ns *d'runnr?un sl qu#nwawi,fiugtueiau4nna o rluSnuusfrfrr r s ettri7) nrru? rrianrr:vr.rlrr:'nr:qtnrn s; nr:cir.r
nr:fi drudrrrto.rryrlu rlas 9) nr:r{otuu?nr:qrnrfl
A a ,qytft; o.tlt oY !ruuldororrJ firl {[
jo roonrflu + eiru ei{d
r. rioXari':l:J
z. n':rrn^nr#urfi ari'rar ::ousrflrz drfi
3. n?r nort1urfi 0rtirrm:-rrmrdrfi ro.rrffrmdrfi arrr:orqt nraldurluriorurq n:irfi to
lueirufi z uac : firnorrfl uuurrfionooruu:r
rn:in:J:yrrflrir + radr '16'uri rtludrsrLrn
r#udau runar{ rf udrurloo uashir#udra1#osuuu :,2,r,o nrrtir6'r-r
+. {orauouuycioall:rouardrrdrfi arrr:al4'q1t lrftlottulldtutlj9
?rn: r s r{ri r rir o r r r rdo riu dr fli6 n r: fi r rir6ru1l:g d1l5u0dl'| lto tn:0 u5to l6n nt ttJttouulJo{
rruraouorr:f{n:i :o.sz
nl5tn tllj:? floryo
ffi frarirrri,rdoornnorarrr:orqtnraerf 6.r
artr:arqrtirmofri +t uril h s r-,ryinrflrmlru rn'osr e J,-xoouiltnln lotJdItnuufiI 1lnttd l1Judoufl llJ
.3m r.rhl:ufitio'r rrt r:or Erd unoril +u uri.r lu16ou
rtnirn 2553:x 492 qfr lrrurirfiuqrrarl#ri{nd'll
[[u1rdo]rnr:J:y'jr{rn*ouqrunrr{ud- fi urnuzs::
fi a-{rrnfi 'ldi uu aolorrund'r o'ldru:rraornrraav' AT tns T't tn ruln5'tnd0ua?lrud:JU:01fl0,tt0{a
riou rjr'hJirn: rr ririo ry
a
ntt?[n:tsltl,0ud
l. 0tu tBlJ0ryafl? tu oludflnlTflI::Blll l
z. irn:ryrio^ntyrarduntdrul :un:rdar:a(LISREL) 8.54 (Student Edition)
fl6n1:eo'r,
l. u'j1furoafinrrraoond'o,ri'r{orya
rf;.r :sfrnri lnun'or:flmmdt thi-squarc 1 16' 10.83
firiro'rgro^a:crdrfiu t5 uavnrtr rovrflu (p value)
nirtir o.ze rraovir nr:nndo:i}lnafi nrrr:asqodo,r
firldory a rfi .r rJ: * o'ndoth liria ri rrityu r l rfi er' un v I r
nl'jr rirdrfi innarr:narindu (cn) fi rirryirri o.ss
rirdrfi in:cd':rnrrunaln6ufi rliu*riudr (ecrDflI'ts0rql,ntu[n tln4utlt n0{ flun lultflu
flfi a lrir:i 3 riuil'rflu dul1nrl 2553
fl rirrrirrir o.qt 6rirr{r'[nfi t) rir:rnto'rrirra6orir6"r
do{ro.rfl 'rl:Jnatqtfl douurn:5ru lsnus;fi rilviri'l
o.ors (fi rirr{rlndquti) rirdnfi :rntird'iaolrqducJos
rirnrr usrneir{lnu :vlrar Gusre) firirrrirri'l o oo
rravritn: tun totndoulug n:rruu:rtn:5lu frrir
o{:;n'lt -z.oo6'r t.o7 :ruavl6uq6'{nr:r{ I
z.Hant:itfl: E#6T6fl atf,un tr nld I m::t-our
drunr:rinr: fi6mtnarr'rfl:idraru::ousdru
qord'nuorrriruqnnadralurq6fli a:ru o.3o
odrfi riodrdtgfi :vd'l o.os'hifi 6nt^fl rlq:{fir
rnrrmvrhfi (ture6fl!^ua 0.06) rteirl'jr fi 6nl^va
r r rdorritumt r du::nuvd ru qot a'n u or v druqnon
drocJurfl6flifla:r o.zz o tir'r fi rTo rirrity fi:;6'l
0.05 au::ousdrrnr:l:^vt:fi om?uanrlsr:lfiu
au:.-ourdrlqord'nutuvdruqnna dru{urn
6nr'ua o.ro uavfi6 t n I'tsl:{fi'! mlrrli#rfi
droturn6rt'na -o.zs odrIfi futirfiqnrIano
fi :v6'r o.os usi'hifidntnanridoruiirunr{d ::ouc
druqtud'nuruvrirurlona (turqd n^ua o.o+) eirvil
atL::ou;druqtudnuar;ciruqnna ulfi drninanrsel: l
ii uvurn rlfidrulurodntna o.s: odrdriarird'ty
nr.rao6fir-c6'! o.os : raactdann-{or:r.: 2
ri':uqi':rrrl:dltnsr rtl'irfi rdunrl6vrinati'r6'r
6:rr :ttd:n tfl'lurtagR luuon s{u
n-lrrflustuartr:otqttravnlir-r?nr:fi ugru
nu'ir fi rdunr.r6niuari'rfi lau::nusdrunr:l:-nr:
drarurndrtna 0.94 ltae 0.74 nr iirfiu odrlfr
riu rirriat m r l afl=er-fr : s o ! o.os
fi'nssnrtuSrir: ltar olrrlfidrunr:ffi tr:ffonr:o*irn ut i r fi r#un r l6vriua ri tn'lal::out'
druor:rimr:drututn6lr6nn oq: rrac 0.86 9l tu6i du
otir.rfi ritrird'rynr'rafi 6fi :c6'! o.os
r;orfinuorvfiug rutirur;nno nu ll fft#umtt
6mtnarirfi ral::nuvdluqtuAnuort rirurlnnndtu
cJum6rtro o.rr otitlhiiriuei fityn xao^6 6urcnrirl
ornqordnuarrfi filrJ:va.rri rw'jr fi tdunrl6nina
rirn'lar::ouadruqord'nu*vrirulnna drtlclt-tro
ovrr^na o.ts otir.rff riatirdqnr.rafi6 ff :c6'1 o.os
nr: air'rnr: fi ci: u :'rru tta v n r :r{a urtr?nr:
qtnru nr-r'jr fl rdu n r': o^m t u a ril fi': r-rm lrvrv tllfi
r o q r{rt #rfi ar t r: tu qt dr atu oo'n t^u a o.oa t tav
o.to o rrurir 6'r o thlfi riurir 6'q n r.ra66fi : s q'r-r o.os
ciru nr : r?m r: {n nr : : vtt tt I:-nr: qt n rn nl'jrfi rdrnr':6ntnadsdltriuriu 6'rtnrro o.sa rteililfr
riurirfr'qnrraon' :roatt6uqd'{nr1r I
6ronlt61610u
t. rir chi - sqnare fr af= ts
z. : s 6't-to':r u rj I q"'Ifl u (Probability Level)
l- n to$u?n:8qljn ll na nau (uf r.)
erlr'r{ I Nanl:er:?odoun?l doondo.rlJosluroafiiliuilq'riil{o{arfisrJ:;6'nri
+. si rd-tfi in:c6'unT r:Lnnunfiufi rlilrrdrrfl : r ecrt r
s. rir:rnro.rfirtndufit6'ldoqto.tottlnatntoa'ou r:rn:1rl lsnrt'm.;
e. rir6'ryfi:rnrird'sao{tqduto{rirorrutroneil{ louitsul (RMSEA)
l. rirnr]rJnrotn6ollu;rlovttuurLrer:5ru (Standadized Residuals)
tnot.llllo'lf,ol.l
fi?l&nd Ra
P > 0.05
GFI > 0.90
AGFI > O.9O
SRMR < O.O5
RMSEA < O.O5
sR <t 2.00
10.83
0.16
0.99
0.98
0.015
0.00
-2.00 6{ 1.6?
tnatqifior:ol]n':T:nalfl6unln Hu & Bentler, 1999 ; Diamantopoulos & Siguaw, 2000
Journa of N!rsing and Hea lh Sciences v0/.4 No.3 Septembe.Decembef, 2010
etlrt€ 2 Nant:1-ln:lefo^ !^ a ].ret5,t (DE) aTr a lido (rE) uaya rflar?t.J (TE)rord ::0ustflr #1fiarr r:^u qrl lu ri rj:alinr: qrLnlrrJgu4fifi,unlrnr#rfin rrloYrrruurfiolu rqtn rrun rvrqr nrjrd to
d'rurJ:ual{nrsuonuoc
nrslu qorfinuorvri-:ur
6'rrr :ur,knralu
lnnd ililurnnrirfiarslellu{.1 10
DE IE TE DE IE TEflt:uint5
n1:!5l-n5
q tu ii'nutuv ri: u q nna
0.30
0.60
0.30*
0.60*
0.06
-0.28*
0.53*
0.16*
0.32*
0.22*
0.04
0.53*
r*-
SER = dr,::flusflu nr:linrr-ADM = dtu::fruydtunt:liyt:Alr : du5:ftu&fituqf!dnu y
tirulonaROLE = u rl.t1lfifirfinruldtrHu
- -A11Ot1Iq1Rt11.4 9U1r1 l0
x t = nr:uinr:dugru
x z: n r ru f1u I r u dr r.t: il.r dtX 3 = n I t u;fi 1t o'fl n t: o {fin:
x 4= rhusnt:-r? tx s = qtu ii'nuar vdu5 ru
x 6: qfu dflu0.13111{ l1l:y dtfl
x z : nr:l?ur:,i'onr::vrrtt:^nr:qtntu
X s : nr:dir{ntfi?iruirnto.rp.rvu
X 9: nrrfim ttl:.ni)-dflnt
h,fr i) ?rllrn,5 L_lL'Allai611]1\ llv 4 sr riuuluu ';*..^u,ts, @
ofirJ:tsp.raa:: Jnr:ofi i: rcr'lafl rlrir6'lalu65 runr:ii'u
Lfi 9rl1l
r. aru::oussilror:u?nr: fi 6mtlamr'lsr:'rfii
ru:r-ouvdruqnrd'nuruvdrurlnna drotuln6lttlla
:'ru o.:o rtovfl 6uGlrattrdorfiilnlrmnrJrff r^irunr't
arr- :nu;drlqtu6'nuturrirulonad:trrrurn6ttGua
::r o.zz odrlfiriadrd'tgfi:ro'l o os lrpilw'jrlrji
6nGlrrrn:;lfrrlltttrlr rlrff (turpr6Tn^ a o.oo)
6 l rilu'lrjer ru ar un g ru nr :ii'tl ftrvr ran ru'jr n r ;-
" ir' d ddo:fin r rrf0unJ lLfl l lltl lJ 1vl1.'11.1lll rlJrl'{uJrr
nrrudrur:ndtunt;^uinl:fiup tu rn l:n l'etSl
nrn r n n r:in u t n t r-iilut'{dn l fl l:!d]nll r 16ll fl I uflx
1:n) rrarnrrrut'lurrudrnl5 ql (qtn1 n^q ulldllAo
ordrorlrriu o u r:i€ldl t tr o do I nnulroartr:uqt:rrtoinor ra:u5aran{arrr:orqt.tr rriu ordol
fl nrruf orruarur:ndrunr:doar: lrl:cryrfrufrud
rlrtrrrnfi nnr:rjru ooold'nrrrf{rJ:vvrtu rirrlnr:.t ", .,
lfn ruro'rnqerfio ldu dtunr:dlin-u "nt dtunt:
iro:rv#{orya ra'r r-rrdra coendoiill lluio-urlo l
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en^ryryr 6a1ru. 1z,s+t1. flo{afrfrnaeionn firffivut o t wu tutaindwlu gu tiqu nwryu vu i.tv iar-rq.r. inarfiruf ra.u. ritufi srifl ar6'a
ri ard'srouuduBoyatizis, RE.(1982). The competeht manager.
A model ofelfective performance. New york:
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Hamel, G., & Prahalad, C.K. (1994). Competingfor
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sfuctural equation modeling: Guidelines for
determining modelfit Prycrolog/Pery (1), l-55.
Mcctelland, D.C. ( 1 973). Testing for competence nthertltanforinblligerce.,lzarbol Psychologi*, 28, | -14.
Parry, S.B. (1997). Eva luatitlg the impact oftaining.Alexandria, Virginia: American Society for
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Spencer, M., & Spencer,M.S. (.7993). Competence at
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