Paper
Friday, 21 July 2006
This presentation is part of : Care of Aging Persons
Development of Age-Friendly Primary Healthcare: A Case Study of One Primary Care Unit in Thailand
Duangporn Hoontrakul, PhD1, Wanapa Sritanyarat, PhD, RN2, Khanitta Nuntaboot, RN, PhD2, and Amorn Pramgamone, MPH3. (1) Graduate School, Khon Kaen University, Khon Kaen province, Thailand, (2) Faculty of Nursing, Khon Kaen University, Khon Kaen University, Khon Kaen Province, Thailand, (3) Faculty of Medicine, Khon Kaen University, Thailand
Learning Objective #1: The learner will be able to understand need of Thai elderly and able to caring them.
Learning Objective #2: The learner will be able to understand transcultural nursing.
Thailand is becoming an aging society. Health care services appropriate for elderly health care needs and problems are needed at all levels of health care system. The purpose of this study is to develop age-friendly primary health care for the elderly at one primary care unit in Thailand. Participatory Action Research method is conducted in three phases: 1) the situational analysis of health care services for the elderly at a primary care unit from different points of views; 2) the identification of factors related to health care services provided for the elderly at a primary care unit; and 3) the development of age-friendly primary care services for the elderly. One primary care unit in urban area, Khon Kaen province was the study site selected. Quantitative and qualitative data were collected using documents, literature reviews, participant observations, in–depth interviews, and focus group discussions. Regarding observations were used for both health care services and system providing for the elderly and families. In-dept interviews of stake-holders such as physicians, nurses, health volunteers, older people, and family members were conducted. The analysis of quantitative data was frequencies and percentages. Qualitative data were analyzed using content analysis method. Results of this study presented Thai elderly focused on soul, culture, and religion more than a physical environment. Age-friendly of Thai elderly were respect, equity, peaceful death, direct service, family caring, and physical environment. Nurse, management, and health care policy were both barrier and supporting for development. The appropriate primary health care for these elderly within Thai context was integrated both socio-cultural and bio-medical models. Participation of the elderly, family member, community, social worker, and health care provider was the strategy for age-friendly primary health care development.

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