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The qualitative research was to explore the care service model for dependent older persons in long-term care institution in Thailand. Forty-eight participants who experienced managing care for dependent older persons were involved in the northern, the northeastern, the southern, the central and Bangkok Metropolitan region. Data collection included focused-group discussion with observation on providing service in government and private settings and secondary data such annual report, the activities and the documents which permitted. Those were hospitals, nursing homes, welfare homes, and the foundation homes. Content analysis was used to analyze data.
Findings included: 1) Three formal long-term care service model of institution were the welfare homes for older adults/ the private foundation homes, the private nursing home, and the government and private hospital. The characteristics of care services were health care issues. The care service model of welfare homes for older adults/ the private foundation homes focused on social care. The initiative objective was to assist older adults who were homeless and lacked of caregivers. Later, when the health care needs of older adults had been increased, providers improved care services along with changed care needs. For the private nursing home, the beginning phase was to manage care for older adults who took less self-care; and then an increase of care management with care needs was granted. In contrast, the long-term care service model of the hospitals emphasized health care management of older adults with dependent care. 2) Care service management in long-term care institutions were the assessment for classification of older adults, physical health management, and social care and social welfare. All the services were organized by using experiences and learning from the examples of the institution in Thailand or abroad. The care standard deepened on their perceptions and their institutions, not specify for long term care institution. Suggestions included the long-term care system should be improved to meet care standard, dependent older adults’ needs, and Thai socio-culture surrounding
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