scholarly journals Health Literacy Promotion and Its Institutional Arrangements: Rethinking collaborative health promotion in Thailand

2021 ◽  
Vol 16 (4) ◽  
pp. 215-222
Author(s):  
Watcharabon Buddharaksa ◽  
Jonathan S. Davies ◽  
Phudit Tejativaddhana
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Collaborative Governance ◽  
Institutional Arrangements ◽  
Institutional Constraints ◽  
Critical Education ◽  
Health Governance ◽  
Term Care ◽  
Promotion Policies

This research explores institutional arrangements that govern health literacy promotion policies in Thailand since 2014. This study sets the main questions as what are the main institutional arrangements that governed health literacy promotion policies in Thailand since 2014 and can these arrangements be viewed as collaborative health governance? This paper argues that the military coup in 2014 transformed institutional-governing arrangements on health system management and health promotion greatly as many legal-political institutions and various social-political agencies were involved and brought together to promote health and health literacy. A so-called principle of ‘collaborative governance’ has been employed and implemented to promote health in Thailand recently, however, this study argues that the institutional constraints under authoritarian regime offer a ‘fictitious-collaborative health governance’ instead. Furthermore, deliberative processes on health literacy promotion regulated by many legal - institutional constraints had characteristics of ‘pseudo-deliberation’. This work is qualitative research, and it analyzes and explains research results by looking through theoretical concepts of institutionalism and collaborative governance. This study argues that to reach the goal of health literate community and society, Thai health agencies and authorities should re-approach health and health literacy promotion from the bottom-up perspective. Also, overcoming fictitious collaborative health promotion and pseudo-deliberation are necessary. To do that, we need a long-term project of building up a ‘critical health regime’ based on critical education and anti-authoritarianism as major principles. (*The paper was presented at The Hong Kong Polytechnic University’s College of Professional and Continuing Education (CPCE) Conference “Post-pandemic health and long-term care: A new paradigm”. September 2021)

Health Literacy and Long-Term Care Needs among Thai Elderly in Rural Communities

2020 ◽  
Vol 103 (12) ◽  
pp. 1315-1324
Keyword(s):  
Depressive Symptom ◽  
Health Literacy ◽  
Rural Communities ◽  
Long Term Care ◽  
Health Knowledge ◽  
Elderly Persons ◽  
Care Needs ◽  
Term Care ◽  
Study Results

Background: Factors related to long-term care needs have been studied widely, but there is limited research about the influence of health literacy on long-term care needs among the elderly in rural communities where the social context and care environment are uniquely different. Objective: To examine factors influencing long-term care needs among Thai elderly in rural communities. Materials and Methods: The present study used the cross-sectional design. The study sample included 477 elderly persons, who were members of the communities in Nakhon Ratchasima Province. Multi-stage random sampling was used to select participants. They were interviewed using the demographic and health information questionnaire, the Thai Geriatric Depression Scale (TGDS), the health literacy scale of Thai adults and long-term care needs questionnaire. The selected factors examined as independent variables included some demographic factors, depressive symptom, and health literacy. Results: The present study results revealed significant positive relationships existing between long-term care needs with age and depressive symptom, while negative relationships between income and health literacy were reported. A hierarchical multiple regression analysis indicated that four of nine determinants of long-term care needs: age, depressive symptom, health knowledge and understanding, and ability managing their health condition significantly predicted long-term care needs at a level of 18% (R² adjusted=0.18, p<0.001). Conclusion: The present study results showed associations between personal and health literacy factors with long-term care needs. These findings prove that it is vitally important for healthcare professionals to consider the rural elderly’s mental health status and health literacy when providing care and planning treatment. Keywords: Health literacy, Long-term care needs, Rural community

Evaluation and Recommendations of Hong Kong Health Promotion

2010 ◽  
Vol 16 (1) ◽  
pp. 22-34
Author(s):  
Patrick W. C. Patrick W. C. ◽  
Dora P. Y. WAI
Keyword(s):  
Health Promotion ◽  
Hong Kong ◽  
Policy Development ◽  
Holistic Approach ◽  
Intersectoral Collaboration ◽  
Present System ◽  
Promotion Policies ◽  
The Government ◽  
Sustained Success

LANGUAGE NOTE | Document text in English; abstract also in Chinese. The present study investigates the evolution of Hong Kong's health promotion policies between July 1997 and now. The objective of the study is to evaluate the Hong Kong Special Administrative Region (HKSAR) Government's performance in health promotion. International experiences have been drawn to provide objective benchmarks for the assessment. The findings proposed that the Government should conduct a comprehensive review of the present system to consider formulating a policy with a clear direction and long-term strategies for promoting public health, and establishing an independent agency responsible for all health promotion-related matters. To achieve sustained success, the Government should also adopt an integrated and holistic approach in health promotion, with emphasis on policy development, organizational structure, intersectoral collaboration, community participation, promotion of healthy populations, healthy lifestyles and healthy settings, advocacy for health and related education, as well as capacity building for individuals. Apart from proactive efforts by the Government, active participation by all sectors in the community is of utmost importance in achieving success in health promotion. 本文主要探討由一九九七年七月至今，香港之健康推廣發展。目的在於檢討香港特區政府在健康推廣的表現。同時，會以國際經驗作為參考準則作出評估。結果顯示，港府應對現時制度實施廣泛檢討，考慮制定明確方向及長遠政策，建立獨立機關專門負責全港公共健康推廣事宜。為使之持之以恆，港府亦應採用綜合及全面的方針，強調策略性發展、組織架構、各部門之間的合作、社區參與、健康生活模式及環境、健康教育、以及個人責任。除了政府的積極性，社區團體的主動參與亦是健康推廣的成功關鍵。

scholarly journals Cardiovascular Risk Factors of Long-Term Care Workers

2017 ◽  
Vol 65 (10) ◽  
pp. 467-477 ◽  
Author(s):  
Kelly Doran ◽  
Barbara Resnick
Keyword(s):  
Risk Factors ◽  
Health Promotion ◽  
Long Term Care ◽  
Care Staff ◽  
Cvd Risk ◽  
Term Care ◽  
Subjective Data ◽  
Normal Limits ◽  
Care Workers

Little is known about long-term care workers’ cardiovascular disease (CVD) risk. Thus, the authors used baseline objective and subjective data from 98 long-term care staff participating in a worksite health promotion study to provide a comprehensive CVD assessment. The median age of the sample was 32 years ( SD = 13.38). Nine (12.2%) participants smoked and 27 (37.0%) participants reported exposure to secondhand smoke. The average nightly hours of sleep was 6.5 ( SD = 1.18), with 24 (32%) participants reporting sleeping at least fairly bad. Sixty-eight participants (73.1%) were overweight or obese. The median aerobic activity was 0 ( SD = 18.56). Participants ate on average 27 ( SD = 17.34) servings of high fatty and/or salty foods per week. Although blood pressure and cholesterol levels were within normal limits, this population demonstrated poor behavioral CVD risk factors. Given this finding and the young age of the sample, these workers may be ideal candidates for health promotion efforts before health risk factors are present.

Health promotion in long-term care facilities

1994 ◽  
Vol 15 (5) ◽  
pp. 266-269 ◽  
Author(s):  
Katharine Kolcaba ◽  
May Wykle
Keyword(s):  
Health Promotion ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities
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