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


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


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


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.


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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