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Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand

Author

Listed:
  • Thin Nyein Nyein Aung

    (Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan)

  • Myo Nyein Aung

    (Advanced Research Institute for Health Science, Juntendo University, Bunkyo City, Hongo, 2 Chome-1-1, Tokyo 113-8421, Japan
    Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan)

  • Saiyud Moolphate

    (Department of Public Health, Faculty of Science and Technology, Chiang Mai Rajabhat University, Chiang Mai 50300, Thailand)

  • Yuka Koyanagi

    (Tokyo Ariake University of Medical and Health Sciences, Tokyo 135-0063, Japan)

  • Mariko Ichikawa

    (Yutaka Clinic, 4-18-21 Yutaka-cho, Shinagawa-ku, Tokyo 142-0042, Japan)

  • Siripen Supakankunti

    (Centre of Excellence for Health Economics, Faculty of Economics, Chulalongkorn University, Bangkok 10330, Thailand)

  • Motoyuki Yuasa

    (Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan
    Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan)

Abstract

Background: Thailand’s population is currently the third most rapidly aging in the world, with an estimated 20 million ageing population by 2050. Sustainability of the family based long-term care model is challenged by the chronic burden on family caregivers and by smaller family sizes. We aimed to introduce a new service model, Community Integrated Intermediary Care (CIIC), TCTR20190412004, including free of charge intermediary care services at CIIC centers in the local community, to help older adults whose caregivers are temporarily unable to sustain care at home. Since Thai society upholds values of gratefulness, it is better to estimate willingness to use such an intermediary care service first, before introducing the service. Methods: A total of 867 pairs of senior citizens and their family caregivers were interviewed with structured-questionnaires in 2019. Descriptive analysis and binary logistic regression were applied to determine the predictors of family caregivers’ willingness to use the CIIC service, guided by Anderson’s model of health services use. Results: About 26.8% of elderly participants and 24.0% of family caregivers were willing to use an intermediary care service. The family caregiver determinants of predisposing factors (kinship: spouse caregivers, other relatives, maid or friends; job types: own business and private company staff), enabling factors (original community residents and monthly income ≤9000 baht), and need factors (caregiver burden total scores ≥24, taking leave for caregiving, and having diabetes), were found to be significantly associated with willingness to use the CIIC service. Conclusions: The baseline survey data noted that caregivers’ sociodemographic factors and burden determined their willingness to use the intermediary care service, although the dependency of care recipients was low in this study. This, nonetheless, indicated that there is need for a backup respite care to strengthen current family based long-term aging care in Thailand.

Suggested Citation

  • Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Mariko Ichikawa & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6087-:d:569208
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    References listed on IDEAS

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    1. Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Caregiver Burden and Associated Factors for the Respite Care Needs among the Family Caregivers of Community Dwelling Senior Citizens in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    2. Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Nadila Mulati & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Thai Older People’s Willingness (Intention) to Participate in a Care Prevention, Community Group Exercise Program: An Assessment before Implementing an Intervention Trial in Chiang Mai, Northern Thail," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
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    4. Ruttana Phetsitong & Patama Vapattanawong & Malee Sunpuwan & Marc Völker, 2019. "State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-18, December.
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    1. Daniel Badell & Jesica de Armas & Albert Julià, 2022. "Impact of Socioeconomic Environment on Home Social Care Service Demand and Dependent Users," IJERPH, MDPI, vol. 19(4), pages 1-21, February.

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