Evaluation of the holistic elderly care system with a mechanism,3 Doctors know you, Sandbox prototype area Benjalak District Sisaket Province.

Abstract

This  study was a quantitative study .Quantitative and Qualitative research. The objectives were to assess the context,inputs,process and outcomes of care for the dependent elderly according to the concept of CIPP Model Evaluation,purposive sampling. Quantitative data were collected using a holistic elderly care impact assessment questionnaire using the mechanism of 3 doctors know you, Sandbox prototype area, Benjalak District. Sisaket Province from, the elderly group of 1,047 people and Qualitative data were collected from the sub-district health care committee for the elderly through in-depth interviews from stakeholders in the elderly care President of Sub-district  Administrative Organization, Deputy Sub-district Administrative Organization Director of Tambon Health Promoting, Hospital Public Health, Academician Elderly Care, Manager elderly caregiver and village public health volunteers. Quantitative data were analyzed by descriptive statistic using frequency, percentage, mean, standard deviation and qualitative data. Content analysis  and thematic analysis were used for the study period from November 2022 to January 2023. The results of the study revealed that 1) the assessment of the context. There is a national and health policy on the care of elderly people of all age groups continuously. The goal is to prevent the elderly who are still healthy from getting sick. At the district level, there is a quality of life development committee at the district level and long – term care (LTC) in every sub-district. 2) Assessment of input factors Personnel readiness Lack of budget readiness Materials, equipment and locations 3) process assessment Plans are set and operations are carried out according  to the plan, with working groups and network partners namely the Sub-district Administrative Organization Tambon Health Promoting, Community hospital and elderly caregivers co-determine roles  elderly care plan. Screening  and providing services for the elderly. 4) Evaluation of productivity : It was found that the assessment of health status of the elderly with ADL of 1,047 people had an ADL total score from 0 – 4 points, 3.34 %, had an ADL total score from 5 – 11 points, 36.67% and had an ADL total score from 12 points or more 59.98% therefore, the implementation of health care for the elderly. There should be a clear policy Sufficient resources, budgets, materials, equipment and locations are support. Have a clear plan and working as a strong network. Therefore it will make the provision of health services for the elderly more effective and meet the objectives of taking care of the elderly in the area.