Development of the Operation Model of the Long-term Care Service Fund for Dependent People of Nong Bon Subdistrict Administrative Organization, Kosum Phisai District, Maha Sarakham Province
Keywords:
long-term care, fund care, services, dependent persons, networksAbstract
This study employed an action research approach with the objective of developing an operational model for the Long-Term Care (LTC) health service system fund for dependent persons under the Nong Bon Subdistrict Administrative Organization, Kosum Phisai District, Maha Sarakham Province. The sample was selected using purposive sampling, with 73 participants: 50 community members, 15 local administrative personnel, and 8 academic representatives. Research instruments included questionnaires, in-depth interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics and inferential statistics (paired t-test), while qualitative data were analyzed through content analysis.
The results indicated that, prior to the development, the fund’s operational capacity was at a moderate level in terms of knowledge of fund operations and the participation of network partners. The development process comprised four main activities: (1) formulation of an action plan and individual care plans; (2) provision of care for dependent persons according to individual care plans; (3) monitoring and evaluation of operations; and (4) performance evaluation by the Subcommittee for Supporting Health Service Provision for Dependent Persons.
After implementation, participation among network partners increased, and knowledge of fund operations improved significantly. Dependent persons received care aligned with their health needs, supported by family members or caregivers. The success of the study was attributed to clear role understanding and active participation of network partners at all stages, enabling the fund to provide continuous and effective care services.
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