Development of Health management model for Socially joined older people Through District Health System of Region Health 7

Abstract

     This research was conducted to study health management for the socially joined older  people at district level by the Regional Health 7 in order to develop and evaluate the health management for the socially joined older  people at district level by the Regional Health 7.  The research was divided into 3 phases. In first phase, A sample of 394 subjects. Data were collected by using health literacy questionnaire of the socially joined older people. he quantitative statistics were used to analyze data for frequency, percentage, and standard deviation. In addition, in-depth interview were implemented 40 people and collected  data for guideline to organize a participatory action meeting using an AIC technique  to create  health management model  for the socially joined older  people. The second phase, the model was implemented  to promote  health literacy of the socially joined older  people. There were 70 subjects. The third phase, health management model  for the socially joined older people at district level was evaluated in term of its effectiveness. Also, health literacy of the socially joined older people was measured, and the results of both before and after using health management model were statistically compared using paired t-test. The findings revealed that 1) the socially joined older people totally showed high level of health literacy; except the aspect of media literacy showing moderate level. In term of self-health care behavior, it was also at moderate level. Moreover, environment management was not appropriated for socially joined older people’s health. 2) As a result, a subcommittee for managing the socially joined older people needed to be appointed to improve quality of life among the socially  joined older people at district level. In addition, activities to promote health literacy should be provided for them. According to evaluation of an activity package, each activity showed its effectiveness of over 75%. And 3) After implementing the model, the sample had high level of health literacy in all aspects including self-healthcare behavior. It was  higher significantly at a level of .05. resulting in the socially joined older  people becoming addicted to society with a higher level of health knowledge and higher self-care behaviors. As a result, socially joined older  people  in the area have good quality of life, reducing burden on families, communities and society.