Evaluation of Long-Term Care Policy Practices in Public Health for Dependent Elderly People in Chainat Province Case Study: Outstanding LTC Subdistrict at Health Area Level 3

Abstract

This qualitative research used the CIPP model and aims to evaluate including contexts, inputs, process, and products and identify the successful factors of long-term care (LTC) policy practices in public health for dependent elderly people in Chainat province. The participants who were recruited by purposive in three communities which were awarded outstanding LTC subdistrict at health area level 3 in Chainat province from 2020 – 2022 including Talook sub-district, Huai Ngu sub-district, and Nang lue sub-district, including 1) Three sub-district committees on responsible work of long-term care for the elderly in local government organization; 2) Five LTC care mangers; 3) Ten care givers for the dependent elderly people; and 4) Six dependent elderly people. Data were collected by using namely document analysis, in-depth interview and focus group. The tools used in the study were structured interviews and group discussion approaches created by the researchers. The study period from October 2022 to January 2023 analyzed the data by analyzing the content and essence of the text. between October 2022 to January 2023 and were analyzed by using content analysis and thematic analysis)

The results found that: all three sub-districts were more than 20% of the elderly population and were fully integrated into the geriatric society. The LTC policy under the benefits package in the National Health Insurance System continued from 2019 to 2021, resulting in an average of 86.12 percent of seniors accessing dependency screening services, with an average of 3.90 percent of those with dependencies, mostly in the mobility group and may have eating or excretion