Development of a Systematic Innovation for Health Self-Reliance among the Elderly Using Urban Communities as a Base in Nonthaburi Province

Abstract

This research article aimed to 1) examine the problems and obstacles in the health welfare service system for the elderly in Nonthaburi Province; 2) develop a systematic innovation to promote health self-reliance among the elderly using urban communities as a base in Nonthaburi; and 3) propose strategies to drive this systematic innovation for health self-reliance among the elderly based in urban communities in Nonthaburi. This qualitative study employed in-depth interviews with 15 purposively selected key informants, including government executives, representatives from policy-implementing agencies both in the public and private sectors, elderly individuals in urban communities, caregivers, and academics specializing in social welfare and elderly quality of life. Focus group discussions were also conducted, and the data were analyzed using descriptive content analysis.

The findings revealed the following: 1) Several problems and obstacles in the health service system for the elderly in Nonthaburi Province. These included the rapid increase in the elderly population, which strained limited resources and budgets; shortages of medical personnel and caregivers; the prevalence of chronic health conditions requiring continuous care; and barriers to accessing services such as distance, costs, physical limitations, and limited coverage of health care. Additionally, there was an increase in dependency rates and a growing number of neglected elderly individuals. 2) The development of a systematic innovation for health self-reliance among the elderly using urban communities as a base was found to address and mitigate these problems and obstacles. The innovation focused on establishing a comprehensive community health care system, promoting social networks, utilizing health technologies such as health monitoring applications, and implementing health behavior promotion activities. It also involved designing safe and supportive living environments and incorporating smart city concepts to enhance service accessibility and administrative efficiency. 3) Strategies for driving this innovation emphasized creating a concrete and sustainable system that responds to diverse and evolving health information needs through technology and collaboration with network partners. The approach prioritized lifelong learning opportunities for the elderly and encouraged their active participation in activities aligned with their capabilities. This participatory and adaptive framework aims to empower the elderly to maintain health self-reliance and improve their quality of life in urban community settings.