Factors associated with long-term care in public health for the elderly among elderly caregivers in Thakhuntho District Kalasin Province in 2018

Abstract

This research and development design aims to specify level of motivation and
operational healthcare, to specify factors associated with long-term care in public health for
the elderly and to find developing for motivate among elderly caregivers in Thakhantho
district Kalasin province. The research was conducted in 103 elderly caregivers to response to
structured questionnaire and in-depth interviews. The questionnaire was test by 3 experts for
content validity. The Cronbach's Alpha Coefficient was 0.87 which considered as having high
reliability. Pearson’s Product Moment Correlation Coefficient analysis was used to determine
that association and Analysis of covariance (ANCOVA) was used to evaluate developing for
motivate among elderly caregivers in Thakhantho district Kalasin province.
The results indicated that the most of motivation factors was high level and the longterm
care in public health care for the elderly among elderly caregivers was high level
(82.65%) and after adjustment process was high level (88.77%). The motivation factors were
statistically significant ware high level with long-term care in public health for the elderly:
Acceptance (r=0.76, 95%CI: 0.61 to 0.88; p-value <0.001), Salary or remuneration (r=0.73,
95%CI: 0.68 to 0.86; p-value <0.001), Monitoring and supervision of the sub-district mentor
and the district mentor (r=0.72, 95%CI: 0.61 to 0.80; p-value <0.001) and the operating
environment (r=0.71, 95%CI: 0.60 to 0.78; p-value <0.001). Comparison of long-term care
outcomes between before and after process improvement found that the average score
increased by 6 percent or increased an average of 9.3 score (95%CI: 5.54-13.08, p-value
<0.001).
This study found that sustainable development need to have some plan that can
manage those man, money, material and methods to resolve the least successful and
controlling continues. Including, Should support policy to drive the process development
and promotion of appropriate incentives, specifically the acceptance, the salary or
remuneration, the monitoring and the supervision of the sub-district mentor and the district
mentor and the operating environment. In addition, administrator should promote the
morale of working for elderly caregivers because morale is a factor in success in work
development.