Delvelopment of Care Model among Dependency Elderly Persons by using District health Board Phayu, Sisaket Province

Abstract

The purpose of this research is to develop a care model among dependent elderly persons by using the District Health Board of Phayu, Sisaket Province, between October 2024 and January 2025. The group that was used as a model for this study was further divided into two subgroups. The subgroups comprised 50 people who had involvement and 50 elderly people. The research used the quality management process (PAOR) for 1 cycle, each cycle consisting of 4 steps: planning, action, observation, and reflection. Analyze data by collecting, categorizing, and analyzing content and the mean difference of scores before and after the model was applied using the paired t-test. The process model for primary care service by using the District Health Board is the “PHAYU Model,” consisting of 1) P1: Policy & Structure: Structure There is an operational committee and clearly defined roles 2) H; Holistic care Plan: Preparation of participatory and holistic operational plans 3) Action : Implementation of development plans arising from participatory planning 4) Y; Yourself empowerment : Empowering individuals to create value in working together 5) U; Unity Team : A strong network team that is one. The results of the assessment included the factors of the involvement of stakeholders, the general quality of life, and the quality of life of the elderly. Following the research operation, it was found that the level of involvement of the involved parties was at a moderate level (mean 3.13, SD=0.81). The results for the quality of life of the elderly were also moderate (mean 76.30, SD=10.18). The quality of life for the elderly was also found to be moderate (mean 83.60, SD=8.99). Finally, the overall level of satisfaction of the elderly was moderate (mean 3.35, SD=0.56). In summary, the success factors of the study consisted of 6 factors: 1) having strong community leaders 2) importance being given to the elderly by the local administrative organizations 3) Community participation in every step of the process 4) Subdistrictpromoting hospitals providing support and encouragement 5) social capital 6) Network coordination.