The Management of Elderly Care System in Community: The Challenging Roles of Local Administrative Organization

Authors

  • Amavasee Ampansirirat Boromarajonani Collage of Nursing Chiang Mai
  • Marisa Suwanraj
  • Pawadee Hamthanon
  • Pornruedee Nitirat
  • Pragai Phetbul
  • Krissanakamon Rugyatsakul

Keywords:

Local Administrative Organization, Challenging roles, Elderly Care System in Community

Abstract

In 2021, Thailand will become a full-fledged aged society. The increase in aging population escalates the demand of healthcare and the continuum of care. Local administrative organization (LAO) is the main responsibility organization to manage the elderly care system in the community. LAO was decentralized authority in long term care for dependence elderly in 2018. As a result, LAO has only 3 years to prepare itself to be ready for a complete aged society. There are four challenging issues for LAO to overcome including 1) the development of families and communities strength by promoting and supporting the strength of social capital in terms of people, institutions (family, community, religion), culture and wisdom., 2) the application of good governance principles in elderly care system management by clearly setting plan and budget, 3) the management of human resources both in health and society aspects, and increase caregiver training in community especially informal caregivers in order to have adequately caregivers for every communities, and 4) the development of community-based long-term elderly health service model which iscovered all stakeholders, focused on quality, and connectedand integrated every sectors in order to provide quality of care for all elderly groups.The preparedness of LAO will lead to the readiness and the capacity of LAO to be successfully managed of elderly care system for the challenging in the full-fledged aged society.

References

Boontong, T., & Nuntaboot, K. (2019). Model of the development of long-term care system for the elderly. Nonthaburi: Thailand Nursing and Midwifery Council. [In Thai].

Buajaroen, H., Poopitukkul, J., Chankam, W., Aungkaprasertkul, N., & Chayatab, S. (2015). Development of strategies and system in providing health care services for elderly in community by Sub District administrative organization. Journal of Nursing and Health Care, 33(1), 97-107. [In Thai].

Bumroongsakulsawat, O., Banphuan, W., Jaroengate, W., Kanya Sai, S., Wasurat, A., Chaisitthiphon, S. et.al. (2016). Manual to support the management of the long-term health care system for elderly people with dependent conditions in the national health insurance system. Bangkok: National Health Security Office (NHSO). [In Thai].

Bureau of Elderly Health. (2018). Elderly Health promotion service standards manual in community hospital and sub-district health promotion hospital. Bangkok: Bureau of Elderly Health, Department of Health, Public Health. [In Thai].

Chalardlon, H., Moolsart, S., & Lawang, W. (2017). The development of a health promotion activity model for elderly in the Ban Pong Elderly Klungpunya Club, Ratchaburi Province. Nursing Journal of the Ministry of Public Health, 27(2), 154-167. [In Thai].

Department of Local Administration. (2013). 4-Year Government Action Plan, Department of Local Administration (2014-2017). Retrieved from http://www.dla.go.th/work/dlaPlan2558-61.pdf. [In Thai].

Department of Older Persons. (2019). Elderly statistics: Thailand elderly statistics. Retrieved from http://www.dop.go.th/th/know/side/1/1/275. [In Thai].

Department of Public Welfare. (1999). Declaration on Thailand's Older Persons. Retrieved from http://www.dop.go.th/download/laws/law_th_20152309154750_1.pdf . [In Thai].

Foundation of Thai Gerontology Research and Development institute (TGRI). (2018). Situation of the Thai Elderly 2019. Retrieved from https://thaitgri.org/?p=38670. [In Thai].

Kitreerawutiwong, K., & Kitreerawutiwong, N. (2018). The development direction for long-term care giver incCommunity. Journal of Nursing and Health Care, 36(4), 15-24. [In Thai].

Lohapaiboonkul, N., & Songprakon, S. (2012). Study of local administrative organizations’ potential to produce community nurses in the Faculty of Nursing at Ubon Ratchathani University. Humanity and Social Science Journal, Ubon Ratchathani University, 3(1), 63-78. [In Thai].

Ministry of Social Development and Human Security. (2010). The Elderly Act 2003. Retrieved from http://www.dop.go.th/download/laws/regulation_th_20152509163042_1.pdf. [In Thai].

Monkhlung, R., Phosing, P., & Kenaphoom, S. (2016). Factors affecting achievement policy implementation of elderly’s health service in the local administrative organization. Praw-wa Kalasin Journal of Kalasin University, 3(2). 133-153. [In Thai].

National Elderly Committee. (2010). 2nd National Plan for the Elderly (2002-2021). Retrieved from http://www.dop.go.th/download/laws/law_th_20152309144546_1.pdf . [In Thai].

National Health Security Act. (2002). Thai Government Gazette. Rule number 119 Section number116 A. 1-28. Notices of the Decentralization to the Local Government Organization Committee: list of benefits for local residents the authority and duty of Local Administration Organization in dependence elderly care (2018, 24 December). Thai Government Gazette. Rule number 135 Section number 392 D. 11-12.

Nuntaboot, K., Boonsawasdgulchai, P., Chantarasiri, J., Jirarattanawanna, N., Wattanaamorn, S., Tangtongkum, S., & Narktong, P. (2010). Knowledge set, mechanism development and community-based health system development for the community. Nonthaburi: The Graphico Systems. [In Thai].

Opasanant, P., Pa-in, P., & Punyawong, S. (2018). Development of Proposed for Home Care Service Package for Dependent Older People. Journal of Nursing and Education, 11(3), 137-146. [In Thai].

Pitayarangsarit, S., Tosanguan, J., & Sumalee, H. (2010). Roles of local government organizations in health promotion and policy proposals on decentralization in health promotion. Retrieved from https://kb.hsri.or.th/dspace/handle/11228/3032. [In Thai].

Prasartkul, P. (2019). Situation of the Thai Elderly 2018. Retrieved from https://thaitgri.org/?p=38670. [In Thai].

Prutipinyo, C. (2015). Review of Law & Policy toward Health Care Management for Senior Citizen. Public Health & Health Laws Journal, 2(2), 149-163. [In Thai].

Punnaraj, W., Nuntaboot, K., Leelakraiwan, and Prompakping, B. (2010). A Community Capacity Enhancement Model for Care of the Elderly. Pacific Rim International Journal of Nursing Research, 14(4), 360-371.

Puraya, A., & Nuntaboot, K. (2019). Community Capacity in Elderly Care. Journal of Nursing and Health Care, 37(1), 22-31.

Rojpaisarnkit, K., & Kreingkaisakda, W. (2017). Development of Guidelines for Implementation of the Community for Developing Well-being of the Elderly. Journal of the Association of Researchers, 22(1), 81-97.

Srisuchart, S., Tangtipongkul, K., Aroonruengsawat, A., & Panprayad, N. (2013). Research and Evaluation of the Decentralization Plan for Health Local Government Organization. Retrieved from https://kb.hsri.or.th/dspace/handle/11228/3711?show=full. [In Thai].

Srisupun, P., Trumikborworn, S., & Krisnachuta, S. (2017). The elderly school and the capacity building of Isan local communities. Journal of Graduate Volunteer Centre, 14(1), 133-162. [In Thai].

Srithamrongsawat, S., Bundhamcharoen, K., Sasat, S., & Amnatsatsue, K. (2015). Community care model for older people in Thailand. The Thai Journal of Primary Care and Family Medicine, 1(2), 22-31. [In Thai].

United Nations. (1999). International Year of Older Persons 1999. Retrieved from https://www.un.org/development/desa/ageing/resources/international-year-of-older-persons-1999.html.

United Nations, Department of Economic and Social Affairs, Population Division. (2020). World Population Ageing 2019 (ST/ESA/SER.A/444). Retrieved from https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Report.pdf

Downloads

Published

2020-12-29

How to Cite

Ampansirirat, A. ., Suwanraj, M. ., Hamthanon, P. ., Nitirat, P. ., Phetbul, P. ., & Rugyatsakul, K. . (2020). The Management of Elderly Care System in Community: The Challenging Roles of Local Administrative Organization. NU Journal of Nursing and Health Sciences, 14(3), 10–21. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/246411