Development of the Primary Health Care and Quality of Life Model for Older Adults According to New Normal in Urban and Suburban Context, Regional Health 5
Article Sidebar
Main Article Content
Abstract
This mixed-method research, concurrent design aimed to 1) investigate the priority needs regarding the health service system, participation in health care, and quality of life among older adults based on the New Normal health approach; and 2) develop a primary health care and quality of life model for older adults in accordance with the new normal health approach within urban and semi-urban community contexts in Health Region 5, Thailand. The study participants were divided into two groups. The quantitative group consisted of 249 older adults and 70 community leaders, while the qualitative group comprised 35 key informants. The research instruments included a needs assessment questionnaire, a quality of life (QoL) questionnaire, semi-structured interview guides, and focus group discussion guidelines. Data were analyzed using descriptive statistics, the Modified Priority Needs Index (PNIModified), and thematic analysis. The findings revealed that:
1. The most urgent needs requiring development were social and psychological aspects, with PNIModified values of .58 and .53, respectively. Overall QoL of older adults was at a moderate level (M = 2.93, SD = .56).
2. The developed primary health care and quality of life model for older adults under the new normal health approach in urban and semi-urban communities consisted of three major components: 1) the application of information technology and integrated health information management for comprehensive health service delivery with seamless data linkage across all levels; 2) the development of core health care systems and mechanisms; and 3) the development of supportive systems to improve the quality of life of older adults.
Organizations responsible for primary health care services and quality of life promotion for older adults should implement and evaluate the developed model in real-world settings to assess its effectiveness and address potential limitations. Such efforts would contribute to more effective health care management and improved quality of life for older adults.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Content and information published in the Journal of Prachomklao College of Nursing, Phetchaburi Province are the comment and responsibility of the authors. Articles, information, images, etc. published in this journal are the copyright of the Journal of Prachomklao College of Nursing, Phetchaburi Province. If any person or entity wants to take all or part of it for publication for any purposes, please reference the Journal of Prachomklao College of Nursing, Phetchaburi Province.
References
Bahramnezhad, F., Chalik, R., Bastani, F., Taherpour, M., & Navab, E. (2017). The social network among the elderly and its relationship with quality of life. Electronic Physician, 9(5), 4306. https://doi.org/10.19082/4306
Cohen, J. M., & Uphoff, N. T. (1980). Participation's place in rural development: Seeking clarity through specificity. Cornell University, Rural Development Committee.
Department of Older Persons. (2020). Measures to drive the national agenda on aging society: 6 sustainability strategies and 4 transformative changes. https://www.dop.go.th/th/know/5/155 (in Thai)
Department of Older Persons. (2022). Statistics of older persons in Thailand 2022. https://www.dop.go.th/th/know/side/1/1/335 (in Thai)
Kleinman, A. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. University of California Press.
LaFond, E., Weidman, K., & Lief, L. (2021). Care of the postcoronavirus disease 2019 patient. Current Opinion in Pulmonary Medicine, 27(3), 199-204. https://doi.org/10.1097/MCP.0000000000000767
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
Sutjakul, B., Theswong, K., & Saenmontrikul, S. (2023). A social support approach to develop geriatric skills to use social media with media literacy. PSDS Journal of Development Studies, Puey Ungphakorn School of Development Studies, Thammasat University, 6(1), 95–140. (in Thai)
Sithon, S. (2023). Development of the health care new normal model for elderly Muang Ubonratchathani District, Ubon Ratchathani Province. Journal of Environmental Education Medical and Health, 8(2), 18–31. (in Thai)
Srisa-ard, B. (2017). Introduction to research (10th ed.). Suweeriyasarn. (in Thai)
Thavinpipatkul, C., Ratana-Ubol, A., & Charungkaittikul, S. (2019). A transformative learning model to promoting integrated health of sustainable-practicing organizations in Thailand. Journal of Education Studies, 47(4), 37–55. (in Thai)
Von Bertalanffy, L. (1968). General system theory: Foundations, development, applications. George Braziller.
Weravaitaya, W. (2023). A development of health care model for older adult according to healthy in new normal by community and network participation in Sam Roi Yot District, Prachuap Khiri Khan Province. Journal of Research for Health Improvement and Quality of Life, 3(1), 1–12. (in Thai)
Wongwanich, S. (2019). Needs assessment research (4th ed.). Chulalongkorn University Press. (in Thai)
World Health Organization. (1997). WHOQOL: Measuring quality of life. http://apps.who.int/iris/bitstream/10665/63482/1/WHO_MSA_MNH_PSF_97.4.pdf
World Health Organization. (2010). Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies. World Health Organization.
Yarbrough, D. B., Shulha, L. M., Hopson, R. K., & Caruthers, F. A. (2010). The program evaluation standards: A guide for evaluators and evaluation users (3rd ed.). Sage Publications.
