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Background: This descriptive study aimed to study the relationship between administrative factors and the effectiveness of the referral system of patients with acute ischemic heart disease in Thai hospitals.  Materials and methods: The target population was 1,180 hospitals that serving heart disease in Thailand. Data were collected by using a questionnaire. A total of 1,022 response data were obtained. Administrative factors were analyzed using descriptive statistics, and the relationship was analyzed using multiple regression analysis (MRA) methods.  Results: The study showed that the administrative factors which consisted of personnel, finance, supporting, and management factors had overall average readiness at a high level (x̄ = 3.34, S.D. = 0.27). Except budget sufficiency was at a low level (x̄ = 2.43, S.D. = 0.43). All factors were related to the mortality rate significantly, as follows: management factor (Adjusted R2 = 0.433), personnel factor (Adjusted R2 = 0.231), supporting factor (Adjusted R2 = 0.092) and financial factor (Adjusted R2 = 0.035). All factors were also significantly related to the timely cardiac catheterization rate, as follows: management factor (Adjusted R2 = 0.442), personnel factor (Adjusted R2 = 0.244), supporting factor (Adjusted R2 = 0.212) and financial factor (Adjusted R2 = 0.091).  Conclusion: Thai Ministry of Public Health should provide adequate support for administrative factors, especially in terms of management, personnel, supporting factors, and budget sufficiency.

THE RELATIONSHIP BETWEEN ADMINISTRATIVE FACTORS AND EFFECTIVENESS OF ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION REFERRAL SYSTEM AMONG THAI HOSPITALS