Health assessment for long term care program: policy implementation in Health Region 7, Thailand

Abstract

This qualitative study evaluated the implementation of the long term care policy of elderly in the Regional Health 7 by using the CIPP Model and used qualitative method for collecting data at Khon Kaen province              The results of the study revealed that: 1) Context of project operations was transferred by supervising, monitoring and evaluation through the government inspection system, the Ministry of Public Health and the Department of Health drive the project with the network. Performance of 76.52% at the standard pass level, Kalasin Province has passed the highest criteria (97.87%), and Maha Sarakham Province (83.45%). 2) Input factor, Nam Phong District, Khon Kaen Province is a pilot area in which the Japanese government, JICA, has been developing since 2013, so it has become a study area at the national and international level. 3) Process: Focus on the potential development of the CG and CM groups, with continual support and budget for care according to the set of benefits and remunerations according to criterion. The most problem was budget management methods, especially at the beginning of the project. Local Administrative Organizations (LAOs) are not challenge enough to participate in the project, but currently the NHSO has learned and improved to become a clear working manual more than 90% of LAOs participating in the project. 4) On the product side, outstanding performance in both management and potential of the CG and CM groups, but there are obstacles in the limited budget and the methods of budget management.                Lessons from this study can be useful as consideration for developing LTC in other areas.