Evaluation of Long - Term Care to Provide public Health Services for the Dependent Older Adults under Universal Coverage Scheme in Phuket Province


  • Chayanit Luevanich มหาวิทยาลัยราชภัฏภูเก็ต
  • Suwanna Lorlohakan
  • Prapornsri Narinluck


Evaluation, Long-term care, Dependent elderly


The aims of thisstudy were to study the performance of the health Long-Term Care Systemfor dependent elderly inthe communityandthe barriers for LTC implementation, and recommendations for improving . The quantitative method, 195 samples were included, who had the Barthel ADL 11 and care plan. The instruments were Barthel ADL index and Typology of age with illustration, the evaluation form according to National Health Security Office indicators, the performance outcome, older adults or family caregivers satisfaction in health long-term care questionnaire. Analyzes data by frequency, percentage, mean and standard deviation. The qualitativemethod, participants were 14 subcommittees of health long-term care and orcare managers, 10 caregivers, and 5 family caregivers or older adults. In-depth interview and focus group discussions were used to collect the data. Data were analyzedusing content analysis. The results revealed that the implementation of long-term care was at a good level ( = 3.88, S.D. = 0.45). The finding showed that process dimension didn't meet National Health Security Office indicators that they did not have the Center for Development of quality of life for the elderly. The satisfaction of the elderly was at a high level ( = 4.14, S.D. = 0.39). This service reduced the complication of bed sore and changed the health status of the elderly. Obstacles in operating the case were 1) disruption of regulations and procedures, 2) care manager must perform procurement tasks which were not good, 3) some of the family caregiver didn't cooperate to visit the elderly, and 4)TAI didn't comply with disbursement. The suggestions from key informants were 1) to improve the LTC system for easy use, 2) to clear specific medical material items that can be disbursed for elderly, 3) local governments should carry out procurement and establishment of long-term care of medical materials, 4) to consider selecting only the elderly that need help, 5) caregivers should have traffic accident insurance, and 6) to refresh caregivers' knowledge.


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Aekplakorn, W. (2009). The report of the Thai public health survey by the 4th physical examination, 2008-2009. Nonthaburi : The Graphic Systems Co., Ltd. [In Thai].

Aekplakorn, W. (2016). The report of the Thai public health survey by the 5th physical examination, 2014. Bangkok : Akrson Graphic and design. [In Thai].

Kaeng Khro Health Network. (2017). Elderly care guide in Kaeng Khro Health Network, Kaeng Khro District Chaiyaphum Province. Chaiyaphum : Kaeng Khro Health Network. [In Thai].

Khongboon, P., & Pongpanich, S. (2018). Estimating long-term care costs among Thai elders : A Phichit Province case study. Journal of Aging Research, vol. 2018, Article ID 4180565, 11 pages, 2018. https://doi.org/10.1155/2018/4180565.

Kim, K., Jung, Y., & Kwon, S. (2015). Delivery of institutional long-term care under two social insurances: lessons from the Korean experience. Health Policy, 119, 1330-1337.

Ministry of Social Development and Human Security. (n.d.). Operation manual of the quality of life development center and promote the careers of the elderly. Bangkok: Office of Welfare Promotion, Protection and Empowerment of Vulnerable Groups. [In Thai].

Nanthamongkolchai, S. (2018). Family health research. Bangkok: Prayoonsa Thai Printing, Co., Ltd. [In Thai].

National Health Security Office. (2014). Strategic plan for the implementation of the long-term care system for the elderly in dependency, 2014 - 2018. Bangkok : National Health Security Office. [In Thai].

National Health Security Office. (2015). Manual of long-term health care system for elderly people with long-term care in the national health insurance system, fiscal year 2016. Bangkok : National Health Security Office. [In Thai].

National Health Security Office. (2019). NHO reveals 3-year results on elderly health care system help to care for over 100,000 elderly. Retrieved 19 February 2019 from https://workpointnews.com/2019/02/03/สปสช.-เผยผล-3ปีระบบดูแลสู/. [In Thai].

National Statistical Office. (2018). What does statistics tell about the current and future seniors? Retrieved 1 February 2019 from http://www.nso.go.th/sites/2014/Pages/Press_Release/2561/N10-04-61-1.aspx. [In Thai].

Okochi, J., Takahashi, T., Takamuku, K., Matsuda, S., & Takagi, Y. (2005). Reliability of a geriatric assessment instrument illustrations. Geriatrics & Gerontology International. Retrieved 19 January 2019 from https://doi.org/10.1111/j.1447-0594.2005.00268.x.

O'Rourke, N., Caspar, S., Gutman, G.M., Theurer, K., Cook, M., Kasprow, P., ...Bachner, Y.G. (2009). Cognitive status and the psychlogical well-being of long-term care residents over time. Aging & Mental health, 13(2), 280-287.

Piansrivatchra, A. (n.d.). Guideline for evaluation in order to prepare individual elderly care plans. Retrieved 1 February 2019 from https://www.chiangmaihealth.go.th/cmpho_ web/document/ 181008153898397584. pdf. [In Thai].

Phuket Provincial Public Health Office. (2018). Supporting for governemnt inspections and supervisions, normal circumstances, round 1, budget year 2015. Phuket: Phuket Provincial Public Health Office. [In Thai].

Sakolsatayatorn, P. (2019). Message from Prof. Clinic of Honor Dr. Piyasakol Sakolsatayathorn, Minister of Public Health. In National Health Security Office. Support manual for the management of long-term care services for public health for older people with dependency on the National Health Insurance System. Bangkok : National Health Security Office. [In Thai].

Soyhn, M. (2017). The impact of the long-term care insurance on health care utilization and service quality for the elderly in South Korea: NHI cohort study 2002-2013. Retrieved 1 February 2019 from http://eds.ebscohost.com/eds/delivery?sid= e3es32ed-a102-4171-acd3-6011fbcc5e61%40pdc-v-sessmgr02&vid=7&ReturnUrl=hhtp%3a%2f2feds.b.

Srithamrongsawat, S., Suriyawongpaisan, P., Karsamsub, V., Aekplakorn, W. , & Leerapan, B. (2018). Research project for developing long-term care systems for elderly with dependency under the national health insurance system. Bangkok : Desemberry Co., Ltd. [In Thai].

Tanakitchareon. P. (2015). Elderly social mechanisms and the change of Thai health service system. Karwmai Health Insurance Journal, 9(42), 2 – 5. [In Thai].

United Nations. (2017). World population ageing. New York : United Nations.

Vajragupta, Y., Kunakornvong, W., Phatchana, P., & Suriyanratakorn, S. (2018). An effectiveness analysis of the long-term care plans in Udon Thani province. Journal of Health Systems Research, 12(4), 608-624. [In Thai].




How to Cite

Luevanich, C. ., Lorlohakan, S. ., & Narinluck, P. . (2019). Evaluation of Long - Term Care to Provide public Health Services for the Dependent Older Adults under Universal Coverage Scheme in Phuket Province. Journal of Nursing and Health Sciences, 13(4), 48–63. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/205992