THE LONG-TERM CARE FUND IN PHON DISTRICT KHONKAEN PROVINCE

Abstract

This study was on the Research and Development Study in Department of Muangphon Municipality and Muangphon Subdistrict Administration Organization. Targeted Population were the elderly with bedridden and home ridden group 116 people, and active group 2,907 people that were collected data by survey of medical recode and elderly health status, in-depth interviews, participatory observation, and document review. The period was between December, 2017 to September, 2018.The results revealed was as follows.1) The prevalence of long-term dependence in the elderly is 8.39 and dementia 13.86 2) Associated factors were 6 factors that showed asthma,CHD, diabetes, hypertension, pneumonia,and age ≥75 year.3) Development model of emergency medical services for the elderly under the long-term care fund, consisting of (1) secondary prevention of emergency medical monitoring in the active ageing group and sing a traditional song in the elderly school that was made accessibility of emergency medical and the use of emergency services of the elderly was increasing significantly (P-value <0.001). (2) Innovative GIS and emergency response technology for the elderly at the scene could be used to identify risk group. (3) The screening of elderly in emergency department by ESI + Elderly screening was resulted increasing positive of medical emergencies for the elderly, and significantly (P- value <0.001).4) The development model of emergency medical services for long term care system that was expanded in all dimensions of community participation that had mean score of community participation after research was significantly higher than before the study (P value <0.001).