การสังเคราะห์เชิงทฤษฎีว่าด้วยการพัฒนาทุนมนุษย์เชิงกลยุทธ์ในสถานพยาบาลไทยและความยั่งยืนของระบบสุขภาพ

Ekapong Kaewrap

Authors

Ekapong Kaewrap The Major of Human Resource Management, Faculty of Management, Shinawatra University

Keywords:

Strategic Human Capital, Strategic Human Resource Management, Thai Healthcare System, Health Workforce, Health System Sustainability

Abstract

This article aims to theoretically synthesize strategic human capital development in Thai healthcare organizations and explain its relationship with long-term health system sustainability. A conceptual and integrative literature review was conducted using Scopus, PubMed, and Google Scholar, covering literature published between 1991 and 2024. Literature was selected based on its relevance to Human Capital Theory, Strategic Human Resource Management (SHRM), the Resource-Based View (RBV), health workforce development, and health system sustainability in international and Thai contexts, with consideration of its alignment with the objectives and conceptual framework of the article. The analytical process involved categorizing key concepts and themes, comparing and linking theoretical perspectives and findings, examining conceptual relationships, and synthesizing common elements to develop an integrated theoretical framework. The synthesis resulted in the Strategic Human Capital Development for Thai Health System Sustainability Model (SHCD-TH Model), which proposes a multilevel mechanism linking strategic workforce foresight, competency-based development, integrated human resource governance, and a learning and innovation ecosystem to organizational capability and health system sustainability outcomes. These outcomes include fiscal sustainability, quality and patient safety, equity in access, and systemic resilience. The synthesis indicates that strategic human capital development should not be regarded merely as an operational human resource function but as a strategic infrastructure connecting individual capabilities, organizational capacity, and health system outcomes. The SHCD-TH Model provides an integrated theoretical perspective for understanding how strategically aligned human capital development can strengthen organizational capabilities and contribute to the long-term sustainability of the Thai health system. The findings have implications for health workforce planning, human resource governance, competency development, and health system policy.

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References

Bärnighausen, T., & Bloom, D. E. (2009). Financial incentives for return of service in underserved areas: A systematic review. BMC Health Services Research, 9, Article 86. https://doi.org/10.1186/1472-6963-9-86

Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. https://doi.org/10.1177/014920639101700108

Becker, G. S. (1993). Human capital: A theoretical and empirical analysis with special reference to education (3rd ed.). The University of Chicago Press.

Becker, B. E., & Huselid, M. A. (1998). High performance work systems and firm performance. Academy of Management Journal, 41(1), 53–101. https://doi.org/10.5465/256897

Buchan, J., Dhillon, I., & Campbell, J. (Eds.). (2017). Health employment and economic growth: An evidence base. World Health Organization.

Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756), 1923–1958. https://doi.org/10.1016/S0140-6736(10)61854-5

Garavan, T. N., Carbery, R., & Rock, A. (2012). Mapping talent development: Definition, scope and architecture. European Journal of Training and Development, 36(1), 5–24. https://doi.org/10.1108/06268511211199375

Jiang, K., Lepak, D. P., Hu, J., & Baer, J. C. (2012). How does human resource management influence organizational outcomes? A meta-analytic investigation of mediating mechanisms. Academy of Management Journal, 55(6), 1264–1294. https://doi.org/10.5465/amj.2011.0088

Tangcharoensathien, V., Mills, A., & Palu, T. (2015). Accelerating health equity: The key role of universal health coverage in the Sustainable Development Goals. BMC Medicine, 13, Article 101. https://doi.org/10.1186/s12916-015-0342-3

World Health Organization. (2016). Global strategy on human resources for health: Workforce 2030. https://iris.who.int/handle/10665/250381

World Health Organization. (2020). Global Health Observatory data repository. https://www.who.int/data/gho

World Health Organization. (2021). Global strategic directions for nursing and midwifery 2021–2025. https://iris.who.int/handle/10665/341501

Wright, P. M., & McMahan, G. C. (2011). Exploring human capital: Putting “human” back into strategic human resource management. Human Resource Management Journal, 21(2), 93–104. https://doi.org/10.1111/j.1748-8583.2010.00165.x