The Policy Development of Social Welfare for Elderly Health Care in the Community: A Case Study of Phitsanulok Municipality, Thailand

Abstract

This research was aimed at developing a social welfare policy on elderly health care in the community through a case study of Phitsanulok Municipality. The objectives of the study were 1) to develop elements and indicators of social welfare for elderly health care, 2) to develop a model for developing social welfare for elderly health care and 3) to investigate the policy development of social welfare for elderly health care. Mixed Method was utilized using survey component analysis research method, content analysis, component confirmation, deep interview and group discussion. The sample groups in this research are 759 elders and 60 organization managers who are involved in social welfare policy for long term elderly health care. Results showed 1) social welfare for elderly health care is included in the existing policy in the area and is operational, but it lacks policy contents which are consistent with the needs of the elderly. Additionally, 2) 34 indicators and five elements were identified as components and parameters of social welfare for the elderly in Phitsanulok. Analysis showed the three elements and six indicators are important and two of the six relate to public health. Analysis by Kaiser-Meyer-Olkin Measure of Sampling Adequacy found KMO value equal to 0.912 and structural reliability α= 0.83-0.97. Lastly, 3) the evaluation results revealed that social welfare policy for elderly health care in Phitsanulok is suitable at a high level.