Interaction of Ability Level of Daily Living Activities, Transportation to Hospital, and Income on the Health Care Needs of Elders from the Local Administrative Organization in the Lower Southern Region of Thailand
Keywords:
Ability of daily living activities, Travel to hospital, income, Local administrative organizationAbstract
The study aimed to determine a three-way interaction between the ability level of daily living activities, transport to the hospital, and income on the health care needs from local administrative organization in the lower southern region of Thailand. A multi-stage random sampling technique was used to enroll 6,006 elderly people as study participants. A questionnaire was provided to assess the participants’ ability to complete daily living activities independently and the needs of health care among elders. The item objective congruence (IOC) index values for the questionnaire were between 0.67 and 1.00. The reliability (Cronbach’s alpha) of care needs and ability level of daily living activities were 0.894 and 0.967, respectively. Descriptive statistics and three-way ANOVA were used to analyze these data.
There was a significant interaction between the ability level of daily living activities, transport to the hospital, and income with the needs of health care in elders at the lower Southern region (F = 3.106, p = 0.003). Most of the elderly participants needed assistance doing their daily living activities. Some participants reported relying on public cars, service cars, or friend’s car as their means of transportation to get to the hospital. In addition, some participants reported having insufficient income and being in debt. Thus, the local administrative organization should develop services to provide for the health care needs of elders with chronic diseases and low income. The organizations may also need to innovate new and different activities to serve the specific needs of elders in their community.
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