Thailand

2019 ◽  
pp. 93-100
Author(s):  
Sookjaroen Tangwongchai ◽  
Chavit Tunvirachaisakul ◽  
Thitiporn Supasitthumrong ◽  
Kanitpong Phabphal ◽  
Pichet Udomratn
Keyword(s):  
Public Awareness ◽  
Universal Coverage ◽  
The Elderly ◽  
Multidisciplinary Teams ◽  
Thai Population ◽  
Term Care ◽  
People With Dementia ◽  
Care And Support ◽  
Care System

Thailand has unique advantages and challenges in caring for people with dementia. Thailand is in the process of launching its National Dementia Strategy, based on the previously developed care and support policies for the elderly. Currently, care for people with dementia is provided through integrated community care by family and health volunteers, and care costs are covered by the Universal Coverage Scheme. The main challenges are to raise public awareness of dementia, to improve healthcare capacity, and to prepare for a long-term care system. There needs to be focus on innovative medical management and prevention strategies to tackle dementia in Thailand. In the future, Thailand expects to see an improvement in public education about dementia, an increase in specialist training involving multidisciplinary teams, the emergence of sustainable long-term community-based care, and the expansion of an accessible care system with adequate standards for the Thai population.

Technology in the Face of the Challenges of the Long-Term Care System for the Elderly in Spain

2021 ◽  
pp. 371-379
Author(s):  
Luis López-Lago Ortiz ◽  
Sara Arroyo Chacón ◽  
Carmen Cipriano Crespo ◽  
Jerónimo Luengo Polo ◽  
Beatriz Muñoz González
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
The Face ◽  
Care System

scholarly journals Long-term care system for dependent people – Austrian experiences

2019 ◽  
pp. 81-98
Author(s):  
Marta Luty-Michalak ◽  
Aleksandra Syryt
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Social Model ◽  
Term Care ◽  
Ageing Society ◽  
Federal States ◽  
Care Services ◽  
The One ◽  
Care System

Austrian society is an ageing society. Old age does not always mean dependence. However, the risk of disability and dependence increases with age. In addition, older people often experience multi-disease. High-quality long-term care services can help frail and dependent elderly on maintaining greater autonomy and participation in society, regardless of their condition. The aim of the article is to analyze legal, institutional and practical solutions in the field of long-term care system functioning in Austria. It should be emphasized that Austria is striving to develop services based on a social model and an independent life paradigm. Analysis of legal solutions indicates that the long-term care system in Austria is very complex. Institutional solutions are divided between the federal level and nine federal states. On the one hand, this results in decentralization and more effective help for the elderly, but on the other hand, it causes the diffusion and heterogeneity of standards.

A Dynamic Long-Term Care System for the Demented Elderly

1996 ◽  
Vol 8 (4) ◽  
pp. 561-574 ◽  
Author(s):  
Lena Annerstedt ◽  
Junko Sanada ◽  
Lars Gustafson
Keyword(s):  
Long Term Care ◽  
Group Living ◽  
The Elderly ◽  
Nursing Home Care ◽  
Behavioral Disturbances ◽  
Term Care ◽  
Care For The Elderly ◽  
And Behavior ◽  
Care System

The dynamic processes and the way they interact in shaping a care system for demented patients are analyzed and discussed. The development of disability/dependency, interpreted in a simulation model based on Katz's index of ADL and Berger's scale “Rating the severity of senility,” gave insight into the interplay of four care levels: psychogenatric long-term care for patients with severe behavioral disturbances, nursing-home care for patients with highly reduced ADL capacity who are often moderately to severely demented, group-living care for the demented with less dominating ADL dependency, and residential care for the elderly frail with or without symptoms of dementia. For each facility in this chain of care, characteristics in patients' symptomatology and behavior could also be identified. Resources necessary in order to fulfill goals in caring differed between each facility.

scholarly journals Does COVID-2019 have an Impact on the Purchase Intention of Commercial Long-Term Care Insurance among the Elderly in China?

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 126 ◽  
Author(s):  
Xiaocang Xu ◽  
Lu Zhang ◽  
Linhong Chen ◽  
Feng Wei
Keyword(s):  
Purchase Intention ◽  
Long Term Care ◽  
Public Awareness ◽  
The Elderly ◽  
Insurance Company ◽  
Life Insurance Company ◽  
Term Care ◽  
Before And After ◽  
Long Term Care Insurance

Purpose: As an important measure to alleviate long-term care (LTC) costs for the disabled due to the aging of the population, long-term care insurance (LTCI) system has been paid more attention in China. In addition to the government-led public LTCI system that has been piloted in cities such as Qingdao, Chongqing and Shanghai, health insurers such as the China Life Insurance Company are also experimenting with various types of commercial LTCI in the private market. However, the commercial LTCI market is developing very slowly due to public awareness and other reasons. On the other hand, COVID-2019 has had an impact on the cognition of the importance of long-term care for the elderly due to the fact that the death cases of COVID-2019 have been mainly concentrated in the elderly population with chronic diseases such as hypertension. Therefore, the purpose of this study is to explore the differences in the purchase intention of commercial LTCI among the elderly in two different periods: before and after the outbreak of COVID-2019. Methods: By using the Andersen behavioral model and two investigations in two different periods before and after the outbreak of COVID-2019, this study explores the impacts of COVID-2019 on the purchase intention of commercial LTCI. Results: Some significant discoveries were found. For example, 25.8% of interviewees showed purchase intention in LTCI in the time before the COVID-2019 outbreak, while this proportion increased to 37.6% after the COVID-2019 outbreak. People who were younger (OR = 2.128, before COVID-2019; OR = 1.875, after COVID-2019) or who had more education (OR = 1.502, before COVID-2019; OR = 2.218, after COVID-2019) were more interested in commercial LTCI. Conclusion: This study shows that COVID-2019 has had an obvious impact on the purchase intention of commercial LTCI, which provides some enlightenment for China to improve the LTCI system in the future, especially to accelerate the development of commercial LTCI. For example, it is essential to promote the importance of long-term care among the elderly in a focused and targeted way. In terms of the key target audience, it can be developed gradually from the groups with higher education levels and the middle elderly aged 45–64 years old.

scholarly journals Health and long-term care of the elderly with dementia in rural Thailand: a cross-sectional survey through their caregivers

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032637
Author(s):  
Nalinee N Chuakhamfoo ◽  
Pudtan Phanthunane ◽  
Sirintorn Chansirikarn ◽  
Supasit Pannarunothai
Keyword(s):  
Long Term Care ◽  
Informal Caregivers ◽  
The Elderly ◽  
Dementia Care ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Term Care ◽  
Dementia Severity ◽  
People With Dementia

ObjectiveTo describe the circumstances of the elderly with dementia and their caregivers’ characteristics in order to examine factors related to activities of daily living (ADL) and household income to propose a long-term care policy for rural areas of Thailand.SettingA cross-sectional study at the household level in three rural regions of Thailand where there were initiatives relating to community care for people with dementia.ParticipantsCaregivers of 140 people with dementia were recruited for the study.Primary and secondary outcome measuresSocioeconomic characteristics including data from assessment of ADL and instrumental ADL and the Thai version of Resource Utilisation in Dementia were collected. Descriptive statistics were used to explain the characteristics of the elderly with dementia and the caregivers while inferential statistics were used to examine the associations between different factors of elderly patients with dementia with their dependency level and household socioeconomic status.ResultsEighty-six per cent of the dementia caregivers were household informal caregivers as half of them also had to work outside the home. Half of the primary caregivers had no support and no minor caregivers. The elderly with dementia with high dependency levels were found to have a significant association with age, dementia severity, chance of hospitalisation and number of hospitalisations. Though most of these rural samples had low household incomes, the patients in the lower-income households had significantly lower dementia severity, but, with the health benefit coverage had significantly higher chances of hospitalisation.ConclusionAs the informal caregivers are the principal human resources for dementia care and services in rural area, policymakers should consider informal care for the Thai elderly with dementia and promote it as the dominant pattern of dementia care in Thailand.

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