Management Innovation of Public Health Long-Term Care Service for Dependent Elderly, in Local Administrative Organizations, Health Region 7

Abstract

Elderly care through the long-term care system is the provision of public health and social services to meet the supportive needs of those experiencing difficult conditions due to chronic illnesses, accidents, and disabilities, as well as elderly people who are old and unable to support themselves in their daily lives, the main goal is how to get proper care for dependent elderly people. Therefore, this research has a purpose; (1) To study opinions on factors influencing the management of long-term health care services for the dependent elderly. (2) To study factors influencing the management of public health long-term care services for the dependent elderly. And 3) to establish and validate the management innovation of public health long-term care services for the dependent elderly. The research method is divided into 2 phases; Phase 1: An exploratory research model to determine the effectiveness of public health long-term care service management for dependent elderly in local government organizations. The sample group from the sample calculation formula of Hair, Black, Babin, and Anderson was 390 people. A questionnaire was used to collect data with a confidence value of the entire questionnaire equal to 0.84. Data were analyzed by the computer program, descriptive statistics were used including frequency, percentage, mean, standard deviation, and Structural Equation Model analysis. Phase 2: This is qualitative research to create innovations in the management of long-term health care services for the dependent elderly, with the Delphi technique, to create a model of experts or experts or persons responsible for the health care of 20 dependent elderly people. The final model was confirmed by 10 high-level experts, specifically randomized with data analysis by content analysis. The results showed that: (1) The overall level of opinions on factors influencing the management of public health long-term care services for the dependent elderly was at a high level. (2) Factors influencing management effectiveness related to long-term health care service management innovation for dependent elderly in local administrative organizations, Health Region 7, which set statistical significance at p-value<0.05. And the coefficients of influence can be ordered from highest to lowest as follows; The factor most influencing was the management dimension factor with a coefficient of positive influence on management effectiveness equal to 0.52, followed by the network partner dimension factor with coefficients that positively influence the management efficiency equal to 0.09, the dimension factor of community support had a coefficient that had a positive influence on management effectiveness equal to 0.07, and the lowest was the management dimension factor with a coefficient that had a positive influence on management effectiveness equal to 0.03, respectively, the factors influencing the overall management effectiveness of 12 factors, could explain the variation in outcome variables or could be predicted by 44.00% (R2=0.44, p-value<0.05). (3) The experts’ opinion that the model was appropriate and confirmed the model. The innovations in the management of public health long-term care services for the dependent elderly were summarized in 4 variables as follows; (1) the dimension of community support, (2) dimensions of organizational competence, (3) the network dimension, and (4) the management dimension.