Prototype of an Elderly Day Care Business in the New Normal: a Case Study in Bangkok, Thailand
Keywords:
Elderly day care, Aging, Health promotion, Thailand, COVID-19Abstract
The closure of elderly day care during the COVID-19 quarantine period left most elders feeling lonely, stressed, and depressed. However, people needed to adjust to avoid the spread of illness and continue living normally. This study aimed to investigate the fundamental requirements of elderly day care businesses and build an appropriate business model for elderly day care within the framework of the new normal in Bangkok, Thailand. This study takes one year to complete. The data was gathered through observation, in-depth interviews, and focus groups. The research tools are semi-structure interview form. The research was divided into three phases: New Normal Research, Initial Business Prototype, and Evaluation of the Prototype. The research participants were divided into three groups: the general public, totaling 20 people; the private sector, totaling 20 people; and the expert group, totaling 7 people. The overall number of significant stakeholders is 47. The study's findings indicated the following essential requirements for elderly day care services: Health care and infection prevention, physical health promotion to withstand various virus strains, mindful caregivers providing accurate and comprehensive nursing, social interaction opportunities for the elderly, emotional support for the elderly, and a comfortable and accommodating environment for the elderly. The appropriate business model for elderly day care in the context of the new normal comprised of seven components. Dimension 1: Aging society; Dimension 2: Strict infection prevention measures; Dimension 3: Health care innovation and Elderly supports; Dimension 4: Strong physical health; Dimension 5: Positive mental well-being; Dimension 6: Next generation smart caregiver; and Dimension 7: Pleasant and accommodating facilities. It is recommended that government agencies adopt this model to establish pilot elderly day care centers in provinces with a large elderly population.
References
Department of Provincial Administration. Elderly statistic 2022; 2022]. Available from: https://www.dop.go.th/th/know/side/1/1/2387. access 10 October, 2023.
United Nations. Charted: The World’s Aging Population from 1950 to 2100. Available from: https://www.dop.go.th/th/know/side/1/1/2387. Access 10 october, 2023.
Devalersakul N, Siriwarakoon W, Roadyim C. The Development of the Elderly as a Burden to Power: Case Study of Rangsit City Municipality. Veridian E-Journal. 2016; 9(1): 529-45. (In Thai)
Seangthong J. The Self-Esteem of Older People Through Volunteer Roles. Asian Journal of Arts and Culture. 2022; 15(2): 73–89. (In Thai)
Putson C, Pornsiriwatcharasin K. Solutions to the problem of an aging society in Thailand. Humanities and Social Science Research Promotion Network Journal. 2018; 1(1): 25-36. (In Thai)
National Statistical Office. (2017). Elderly survey in Thailand. Retrieved from https://www.nso.go.th/sites/2014/Pages/News/2561/N10-07-61.aspx
Chaiwipath V. Elderly care business in Thailand; 2018. Available from: https://kasikornbank.com/international-business/th/Thailand/IndustryBusiness/Documents/ 201811_Thailand_Elderly_TH.pdf. access 16 October, 2023.
Wongfoo T. Strategy of elderly day Care in Bangkok [master's thesis]. Bangkok: Mahidol University; 2019.
McCann JJ, Hebert LE, Li Y, Wolinsky FD, Gilley DW, Aggarwal NT, et al. The effect of adult day care services on time to nursing home placement in older adults with Alzheimer's disease. Gerontologist. 2005; 45(6): 754–63. DOI:10.1093/geront/45.6.754.
Worldometer. COVID-19 coronavirus pandemic; 202. Available from: https://www.worldometers.info/coronavirus/. Access 16 October, 2023.
Department of Older Person. COVID-19 infected elder in Thailand; 2021. Available from: https://www.dop.go.th/th/know/side/1/1/857. access 16 October, 2023.
Lim, Liang W, Assantachai C, Auyeung P, Kang T, Lee L, et al. COVID-19 and older people in Asia: Asian Working Group for Sarcopenia calls to action. Geriatrics & Gerontology International. 2020; 20(6): 547-58.
Ali MC. Elderly homes in Australia under fire after high COVID-19 deaths. 2020. Available from: https://www.aljazeera.com/features/2020/10/2/dying-of-covid-19-in-australias-elderly-home-care. access 20 Oct, 2023.
Sookprecha T. What are the factors that cause nursing home to be the spread of C0VID-19?. Available from: https://thematter.co/thinkers/nursing-home-and-covid-19/102936. access 20, 2023.
Deraprtment of Mental Health. New normal lifestyle. 2020. Available from: https://www.dmh.go.th/news/view.asp?id=2288. access 20 October, 2023.
CDC. COVID-19 Guidance for Adult Day Services Centers. 2021. Available from: https://www.cdc.gov/aging/covid19/adult-day-care-service-centers.html. access 20 October, 2023.
Social Care Institute for Excellence. Practical information: What to consider when re-opening day care services. 2020. Available from: https://www.scie.org.uk/care-providers/coronavirus-covid-19/day-care/safe-delivery/practical-information. access 20 October, 2023.
Social Care Institute for Excellence. Practice examples of delivering safe adult day care. 2020. Available from: https://www.scie.org.uk/care-providers/coronavirus-covid-19/day-care/safe-delivery/practice-examples#hollacombe. access 20 October, 2023.
Adams KB, Sanders S. Auth EA. Loneliness and depression in independent living retirement communities: risk and resilience factors. Aging Ment Health. 2004; 8(6): 475-85.
Tomaka J, Thompson S, Palacios R. The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. J Aging Health. 2006; 18(3): 359-84.
Hunter M. Closing of Adult Day Care Centers Causing Cascading Hardships for Families. 2021. Available from: https://spectrumlocalnews.com/nys/capital-region/news/2021/03/17/closing-of-adult-day-care-centers-causing-hardships-for-families-. access 1 November, 2023.
Supaporn K. Caregiver Burden and Mental Health Problems among the Caregivers of the Elderly at Home-based Palliative Stage. Kuakarun Journal of Nursing. 2021; 27(1).
Sandelowski M. Whatever happened to qualitative description?. Research in Nursing & Health. 2000; 23(4): 334-40. DOI: 10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g
Patton MQ. Qualitative research and evaluation methods. Thousand Oaks: Sage Publications; 2002.
Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet. 2001; 358(9280): 483-8. DOI: 10.1016/S0140-6736(01)05627-6
Waltz C, StricklandOL, Lenz E. Measurement in Nursing and Health Research. New York: Springer; 2010.
Graneheim UH, Lundman G. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004; 24(2): 105-12. DOI: 10.1016/j.nedt.2003.10.001.
Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005; 15(9): 1277-88. DOI: 10.1177/1049732305276687.
Im E, Chee W. An Online Forum As a Qualitative Research Method: Practical Issues. Nurs Res. 2006; 55(1): 267-73. DOI: 10.1097/00006199-200607000-00007.
Sandelowski M. Sample size in qualitative research. Res Nurs Health. 1995;18(2) 179-83. DOI: 10.1002/nur.4770180211.
Allen NJ, Meyer JP. Organizational Socialization Tactics: A Longitudinal Analysis of Links to Newcomers' Commitment and Role Orientation. The Academy of Management Journal. 1990; 33(4): 847-58.
Chaiyarat M. Consumer Behavior during COVID-19 Situation in Bangkok. [dissertation] Bangkok: Ramkhamhaeng University; 2019.
Maneein N, Duangchinda A. Perceived Self-Efficacy and Preventive Health Behaviors with Coronavirus Disease 2019 among the Elderly in U-Thong District, SuphanBuri Province. Journal of Council of Community Public Health. 2021; 3(2): 1-18.
Roma W, Kloyiam S, Sookawong W, Kaew-Amdee T, Tunnung A, Khampong R, et al. Thai health literacy: Survey (THL-S) of Thais aged 15 years and above. Nonthaburi: Health System Research Institute; 2019.
Wechprasith W. Health belief model of the retirees and reducing sodium intake campaign. [Master’s degree]. Bangkok: Chulalongkorn University; 2019.
Latekeh N, Latekeh I, Islamicku R. The Development Model of Day Care Service for The Elderly in The Southern Border Context, A Case Study of the Elderly and Elderly Care Givers, Poh Seang Subdistrict Administrative Organization, Muang District, Yala. Academic Journal of Community Public Health. 2021; 7(1): 98-109.
Panyapong S, Sripai S, Chaisri A, Doungmala T, Vanon S. The Impact on New Normal Communities of the COVID-19 Pandemic Situation in Chaiyaphum Province. Dhammathas Academic Journal. 2022; 22(1): 209-19.
Department of Mental Health. 7 ways to live with elderly. 2020. Available from: https://www.dmh.go.th/news-dmh/view.asp?id=30377. access 3 January, 2024.
Tappasan A. Factors affecting the selection of services provided by nursing home for generation x and generation y. Bangkok: Ramkhamhaeng University; 2020.
Monteiro G. Community-based aged care: 3 lessons from a unique daycare center in Japan. 2020. Available from: https://www.linkedin.com/pulse/community-based-aged-care-3-lessons-from-unique-daycare-monteiro. access 3 January, 2024.
Department of Medical Services. Guidelines for caring for the elderly during the COVID-19 pandemic. 2020. Available from: https://covid19.dms.go.th/backend/Content/Content_File/Covid_Health/Attach/25630406112904AM_แนวทางการดูแลผู้สูงอายุในช่วง%20COVID-19%20ระบาด_final.pdf. access 3 January, 2024.
Yang P, Huang LK. Successful prevention of COVID-19 outbreak at elderly care institutions in Taiwan. J Formos Med Assoc. 2020; 119(8): 1249-50.
Jamaludina S, Azmirb NA, Ayoba AF, Zainal N. COVID-19 exit strategy: Transitioning towards a new normal. Annals of Medicine and Surgery. 2020; 59: 165-70.
Japan External Trade Organization. Japan directory of elderly-care companies. 2018. Available from: https://www.jetro.go.jp/ext_images/en/mjcompany/directory/elderlycare.pdf. access January, 2024.
Thai Health Reform Foundation. “Bang Khea Model” technologies for elderly. 2021. Available from: https://www.hfocus.org/content/2020/09/20174. access 7 January, 2024.
Saibuatong N. Lilajarus S. Self-monitoring of blood glucose knowledge for self-blood glucose level assessment and instructional video clips via Line application in diabetic patients. Police Nursing Journal. 2021; 13(1): 245-52. (In Thai).
Manik SA, Ramadanti A, Zulbainarni N. Designing an Elderly Day Care Business Model in Bandar Lampung. Atlantis Press International B.V. 2020; 184.
Piboon K, Piriyapun P, Pitaksil M, Inchai P. Elderly Day Care Model in Burapha University Hospital. 2014. Available from: https://buuir.buu.ac.th/xmlui/bitstream/handle/1234567890/1668/2559_033.pdf?sequence=1&isAllowed=y. access 7 January, 2024.
Department of Mental Health. Guidelines for providing psychosocial care for the elderly to prevent mental health problems. 2015. Available from: http://164.115.41.179/promote/sites/default/files/sites/default/files/sw/1.pdf. access 3 January, 2024.
Japan International Trainee & Skilled Worker Cooperation Organization. Technical Intern Training Program. 2023. Available from: https://www.jitco.or.jp/en/regulation/care.html. access 3 January, 2024.
Yani AL. How to be Caregiver/Care Worker (Kaigo) in Japan. 2022. Available from: https://www.tokhimo.com/post/how-to-be-caregiver-care-worker-kaigo-in-japan. access 3 January, 2024.
Sasad S. Quality Assurance System for Caregivers of the Elderly in Institutions and at Home. 2001. Available from: https://kb.hsri.or.th/dspace/bitstream/handle/11228/2544/hs1573.pdf?sequence=3&isAllowed=y. access 18 January, 2024.
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