The Evaluation of the Development Project for Seamless Care System for Elderly in Community Health Region 4

Abstract

This mixed methods research aimed to 1) evaluate the context, input, process, and product of the project, 2) study key success factors and develop a seamless community care system for the elderly, and 3) evaluate the results, problems, and suggestions from the implemented the model. The sample group were 280 people of subcommittee and personnel working to care for the elderly in Health Region 4. There were 48 people to develop the model with group discussion. Of 20 people were selected to evaluate the results through interviews. Data were analyzed using descriptive statistics and content analysis for analysis qualitative data. The results of the study showed that all aspects of the research evaluation had a high overall average, and the context was the high level ( =3.95, S.D.=0.04). Key success factors were good attitude personnel, executives and team’s support. The operating model consisted of 4 domains including: (1) the context: clear policies, (2) the input: the elderly should be grouped to deliver a suitable care system, improve the potential of family doctors and establishing a clinic for the elderly, (3) Process: community screening, care in the elderly clinic, long-term health care plan and create health literacy for families, improving caregivers and developing Age-Friendly City, and  (4) Product: should set the goal in good health for the elderly. The results of the use of the developed model were appropriate. It was found that 68.59% of the elderly were community screened for decline, 68.54% of the risk groups were received health promotion services in 3 areas and re-assessment found the elderly had an improved decline 60.81%. The problem/obstacles were the insufficient potential and manpower ratio of personnel and lack of integration. The suggestions were determined guideline, increase and develop personnel to drive the provision of recession screening and health promotion services as a set of benefits in the National Health Insurance System.