Main Article Content
This qualitative research aims to examine current problems and care needs of older adults living in local administrative organization responsibility area. The study was carried out in the lower southern of Thailand. Semi-structured, and focus group discussions were conducted with participants. The participations were selected based on criteria. The participations were the persons who responsibility for improving quality of life for older adults and older adult leaders. Data were recorded, transcribed, content checked by the researchers, and then coded. Thematic content analysis was used to analyze data.
A total of 33 key informants participated in focus discussion. The results revealed four principal domains. First, physical, mental, and social problems of older adults were 1) physical problems were chronic illness such as hypertension, diabetes mellitus, knee osteoarthritis, musculoskeletal disease, dementia, heart disease, gout, cancer and also the complications from chronic illness such as cataract and peripheral neuropathy. 2) mental problems were low self-esteem, loneliness, and depression. 3) social problems were poverty, neglect, and financial abuse. Second, current practices of local administrative organization on older adults care were 1) budget allocation for older adult activities, 2) establishing older adult quality of life, and 3) providing health services for older adults. Third, care needs of older adults living in local administrative organization responsibility area were 1) promoting older adult grouping for self-reliance, 2) reviewing older adult welfare allowance, 3) setting policy related to older adults hiring and extending the retirement age, 4) establishing quality of life center for older adults, 5) improving channel of communications for older adults, 6) improving long term care services, and 7) providing transportation to older adults for doctor visits. Last, other suggestions were 1) pre-retirement preparation for work-force age, 2) social organization especially safety issue, and 3) building health park or exercise corner in public park for older adults
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