Good models and policies of elderly care in urban areas: A case study of Nong Hoi Sub-district municipality, Muang District, Chiang Mai Province

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Polwasit Lhakard


This research aimed to study the good model of elderly care in Nong Hoi Sub-district Municipality and the mechanism of community management and also to emphasize good indicators of elderly care. The research was conducted by qualitative methodology in Nong Hoi Sub-district Municipality Community, Muang District, Chiang Mai Province. The data was collected through an in-depth interview, a group discussion and participant observation by applying the analysis results to data analysis together with content analysis and thematic analysis. The community samples include 4 elderly patients, 4 main caregivers, 4 village health volunteers (VHV), 1 community leader, 1 leader of an elderly club, 2 Sub-district health workers, and 4 villagers in the community. The content of the collected data was analyzed, and the key issues were summarized. The research results showed a good model of the community in Nong Hoi Sub-district Municipality that had an effective working integration system and coordinating system of care networks. The community's management strategy was to provide integrated healthcare services and social services proactively, broadly, in-depth, comprehensively and thoroughly. The important factor in promoting good elderly care services was the potential community systems which consisted of a good support system and the elderly as role models. The indicators of good elderly care in the community included having a strong leader and the committees working as a team, receiving support from many sectors, the elderly being able to access services and receive both health and social services and having a comprehensive database. According to the data studied, it can be concluded that the community potential development on leadership and teamwork is recommended for achieving a good elderly care model.


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Aldhaban, F., Daim, T. U. and Harmon, R. (2015). Exploring the adoption and use of the smartphone technology in emerging regions: A literature review and hypotheses development. Paper Presented at 2015 Portland International Conference on Management of Engineering and Technology (PICMET). Portland, Oregon, USA. August 2–6.

Bhaktikul, K., Aroonsrimorakot, S., Laiphrakpam, M., Metadilogkul, O. and Konjengbam, S. (2019). Indicators of active ageing for sustainable development: A comparative insights of ageing elderlies from Chiang Mai (highland) and Nakhon Pathom (lowland) Provinces, Thailand. Interdisciplinary Research Review 14(5): 39–46.

Bowling, A., Hankins, M., Windle, G., Bilotta, C. and Grant, R. (2013). A short measure of quality of life in older age: The performance of the brief Older People's Quality of Life questionnaire (OPQOL-brief). Archives of Gerontology and Geriatrics 56(1): 181–187. [Online URL:] accessed on March 12, 2021.

Cerin, E., Sit, C. H. P., Zhang, C. J. P., Barnett, A., Cheung, M. M. C., Lai, P.-C., Johnston, J. M. and Lee, R. S. Y. (2016). Neighbourhood environment, physical activity, quality of life and depressive symptoms in Hong Kong older adults: A protocol for an observational study. BMJ Open 6(1): e010384. [Online URL:] accessed on March 20, 2021.

Chiang Mai Public Health. (2020). Outstanding Achievement Model in Health Promotion and Elderly Care Chiang Mai Province Level and Health Zone Level 2019. [Online URL:] accessed on May 5, 2021. [in Thai]

Chindawatana, A. (2003). Health Reform, Life and Society Reform. Bangkok: Pimphonak. [in Thai]

Chunharat, S. (Ed.). (2009). Situation of the Thai Elderly 2008. Bangkok: TQP Company Limited. [in Thai]

Dahl, H. M., Eskelinen, L. and Boll Hansen, E. (2011). Two Principles of Good Elderly Care: Help-to-self help and Service - Contradictions? Paper Presented at 10th Conference of the European Sociological Association. Geneva, Switzerland. September 7–10. [Online URL:] accessed on May 17, 2021.

Department of Older Persons (DOP). (2020). Performance Report Supporting the Rights of the Elderly under the Elderly Act B.E. 2546. [Online URL:] accessed on May 21, 2021. [in Thai]

Dong, X. Q. (2015). Elder abuse: Systematic review and implications for practice. Journal of the American Geriatrics Society 63(6): 1214–1238. [Online URL:] accessed on March 21, 2021.

Edwards, G. C. (1980). Implementing Public Policy. Washington, DC: Congressional Quarterly Press.

Foundation of Thai Gerontology Research and Development Institute. (2018). Situation of the Elderly in Thailand 2018. Bangkok: TQP Company Limited. [Online URL:] accessed on March 21, 2021.

Jitapunkul, S. and Wivatvanit, S. (2008). National policies and programs for the aging population in Thailand. Aging International 33: 62–74. [Online URL:] accessed on May 14, 2021.

Jitapunkul, S., Kamolratanakul, P. and Ebrahim, S. (1994). The meaning of activities of daily living in a Thai elderly population: Development of a new index. Age and Ageing 23(2): 97–101. [Online URL:] accessed on May 20, 2021.

Jitramontree, N., Thongchareon, V. and Thayansin, S. (2011). Good model of elderly care in urban community. Nursing Science Journal of Thailand 29(3): 67–74. [Online URL: ns/article/view/2865] accessed on May 2, 2021.

Jopp, D. S., Wozniak, D., Damarin, A. K., De Feo, M., Jung, S. and Jeswani, S. (2015). How could lay perspectives on successful aging complement scientific theory? Findings from a U.S. and a German life-span sample. The Gerontologist 55(1): 91–106. [Online URL:] accessed on March 20, 2021.

Kanchanawasee, W. (2007). Assessment Theory. 6th ed. Bangkok, Thailand: Chulalongkorn University.

Knodel, J., Kespichayawattana, J., Saengtienchai, C. and Wiwatwanich, S. (2010). How left behind are rural parents of migrant children? Evidence from Thailand. Ageing and Society 30(5): 811–841. [Online URL:] accessed on March 25, 2021.

Krikorian, A., Limonero, J. T. and Corey, M. T. (2013). Suffering assessment: A review of available instruments for use in palliative care. Journal of Palliative Medicine 16(2): 130–142. [Online URL:] accessed on March 15, 2021.

LaPlante, M. P. (2014). Key goals and indicators for successful aging of adults with early-onset disability. Disability and Health Journal 7(1): S44–S50. [Online URL:] accessed on April 20, 2021.

Lloyd-Sherlock, P. (2000). Old age and poverty in developing countries: New policy challenges. World Development 28(12): 2157–2168. [Online URL:] accessed on April 22, 2021.

Moreira, T. (2016). Science, Technology and the Aging Society. New York: Routledge.

Naldemirci, Ö., Lydahl, D., Britten, N., Elam, M., Moore, L. and Wolf, A. (2018). Tenacious assumptions of person-centred care? Exploring tensions and variations in practice. Health 22(1): 54–71. [Online URL:] accessed on April 20, 2021.

Narkwilai, M., Funilkul, S. and Supasitthimethee, U. (2015). Factors influencing the Thai elderly's intention to use social network for quality of life: A case study LINE application. Paper presented at 2015 7th International Conference on Information Technology and Electrical Engineering (ICITEE). Chiang Mai, Thailand. October 29–30.

National Health Security Office (NHSO). (2021). Handbook to Support the Management of Long-term Care Services in Public Health for the Elderly with Dependency in the National Health Insurance System. [Online URL:] accessed on May 5, 2021. [in Thai]

National Statistical Office. (2022). The 2021 Survey of the Older Persons in Thailand. Bangkok: National Statistical Office [Online URL:] accessed on May 20, 2022.

Nong Hoi Municipality. (2020). Public Health: Nong Hoi Sub-district Municipality, Chiang Mai Province. [Online URL:] accessed on May 20, 2021.

Phawattana, A., Klampakorn, S., Lakapun, S. and Amnatsatsue, K. (2013). Health Promotion and Prevention Prevention of Disease in the Community: Application of Concepts and Theories into Practice. Khon Kaen: Klang Nana Wittaya Press. [in Thai]

Quaosar, G. M. A. A., Hoque, M. R. and Bao, Y. (2018). Investigating factors affecting elderly's intention to use m-health services: An empirical study. Telemedicine and e-Health 24(4): 309–314.

Schulz, R. (1990). Theoretical Perspectives on Caregiving: Concepts, Variables, and Methods. In D. E. Biegel and A. Blum (Eds.), Aging and Caregiving: Theory, Research, and Policy, pp. 27–52. Newbury Park, CA: Sage.

Shura, R., Siders, R. A. and Dannefer, D. (2011). Culture change in long-term care: Participatory action research and the role of the resident. The Gerontologist 51(2): 212–225. [Online URL:] accessed on April 30, 2021.

Singkul, A. (2014). Training needs assessment to increase knowledge and competency of personnel in Sub-district health promoting hospital. The Southern College Network Journal of Nursing and Public Health 1(3): 49–58. [in Thai]

Siriboon, S. (2012). Qualitative Research Data Collection and Analysis Techniques: In-depth Personal Interviews and Group Discussions. Teaching Documents of Mental Health Research, Department of Psychiatry, Faculty of Medicine. Bangkok: Chulalongkorn University.

Srithanyarat, W. and Aroonsang, P. (2002). Research Report on Knowledge Synthesis for Preparation of Proposals for Health Service Reform and Building Health Insurance for the Elderly in Thailand. Khon Kaen: Khon Kaen University.

Suwannaroop, N. and Punthongpun, W. (2008). Design Process for the Development of Healthy Community: Case Study of Elderly Health Care in Bang Kaeo Sub-district, Nakhon Chai Sri District, Nakhon Pathom Province. Bangkok: Faculty of Nursing, Mahidol University. [in Thai]

Tang, K.-C., Beaglehole, R. and O'Byrne, D. (2005). Policy and partnership for health promotion — addressing the determinants of health. Bulletin of the World Health Organization, 83(12): 884.

Tangcharoensathien, V., Cheawchanwattana, A., Limwattananon, C., Vasavid, C., Lerkiatbundit, S. and Boonperm, J. (2006). Health status report among Thai population: Analysis of the health and welfare survey 2003. Journal of Health Science 15(4): 515–527.

Thanyawinichkul, P., Aung, M. N., Moolphate, S., Katonyoo, C., Chawapong, W., Sennun, P., Wanchaitanawong, W., Tanaree, W., Pangsiri, M., Chaeye, K., Richie, J., Metha, N., Kongarin, N., Tinamas, P., Khamchai, S., Wisarutrat, S. and Nondasuta, A. (2016). Dependency, disability, depression and health behaviors of the oldest of the old community residents: A community survey in Chiang Mai, Thailand. Journal of Public Health in Developing Countries 2(2): 183–198.

Wariyapongskit, S., Mungjit, P. and Namthosanee, S. (2016). District Health System (3rd ed.). Bangkok, Thailand: Agricultural Cooperatives Association of Thailand. [in Thai]

Wilkinson, I. (2013). The problem of suffering as a driving force of rationalization and social change. The British Journal of Sociology 64(1): 123–141. [Online URL:] accessed on May 17, 2021.

World Health Organization. (1986). Ottawa Charter for Health Promotion. Geneva: WHO.

Yodphet, S. (2006). Long-term Care System Development for Older Persons in Family. Bangkok; Thammasat University. [in Thai]

Yodphet, S. (2009). Good Model of Elderly Care in Family and Community. Foundation of Thai Gerontology Research and Development Institute (TGRI). [Online URL:] accessed on May 20, 2021. [in Thai]

Zhang, H. (2007). Who will care for our parents? Changing boundaries of family and public roles in providing care for the aged in urban China. Care Management Journals 8(1): 39–46.