District-level Collaboration for Improving Quality of Life of Older People in Thailand

Authors

  • Nithirat Boontanon Mahidol University, Faculty of Social Sciences and Humanities
  • Gamolporn Sonsri Mahidol University, Faculty of Social Sciences and Humanities

DOI:

https://doi.org/10.4335/21.4.937-958(2023)

Keywords:

collaboration, quality of life, older people

Abstract

Thailand established district-level collaborations to improve citizens' quality of life and promote self-governance. Despite successful district-level collaborations to improve the quality of life (QoL) of older people through long-term care (LTC) policies, a lack of analysis of the collaborative process across the country persisted. To address this gap in knowledge, this study aimed to analyze the collaborative process at the district level in implementing LTC activities in Thailand. In this study, qualitative research was employed to collect data through in-depth interviews and non-participating observations during collaborative meetings in four regions of Thailand. The findings of this study indicate that in Thailand, district-level collaboration was overseen by the Committee for the Improvement of the Quality of Life at the District Level (CIQ), which comprised representatives from the public, private, and civil sectors. The CIQ was responsible for improving the QoL of older people and its activities included member selection, appointment, problem identification, problem prioritization, problem-solving planning, task delegation, joint operation, and monitoring. This collaboration was implemented in accordance with legal preferences for decentralization and has contributed to the effective and appropriate implementation of LTC operations. Furthermore, the collaborative approach utilized in this study may also be applicable to other collaborative operations.

References

Ansell, C. & Gash, A. (2008) Collaborative Governance in Theory and Practice, Journal of Public Administration Research and Theory, 18(4), pp. 543-571, https://doi.org/10.1093/jopart/mum032.

Cai, S., Jun, M. & Yang, Z. (2010) Implementing supply chain information integration in China: The role of institutional forces and trust, Journal of Operations Management, 28(3), pp. 257–268, https://doi.org/10.1016/j.jom.2009.11.005.

Campbell, J. W. (2018) Efficiency, Incentive, and Transformational Leadership: Understanding Collaboration Preferences in the Public Sector, Public Performance & Management Review, 41(2), pp. 277-299, https://doi.org/10.1080/15309576.2017.1403332.

Chandam, A., Komson, R. & Chilnak, K. (2019) Development of a Long Term Care System for Chronic Disease in the Nahaeo District, Loei Province, Journal of Preventive Medicine Association of Thailand, 9(3), pp. 337-349.

Choi, Y. J. (2020) The Power of Collaborative Governance: The Case of South Korea Responding to COVID-19 Pandemic, World Medical & Health Policy, 12(4), pp. 430-442.

Decharatanachart, Y. & Kochakote, Y. (2022) Long-Term Care Model for the Elderly with Dependency, Dhammathas Academic Journal, 22(3), pp. 63-80.

Department of Provincial Administration (2023) Population statistics from the civil registration, available at: https://stat.bora.dopa.go.th/stat/statnew/statMONTH/statmonth/#/mainpage/ (February 2, 2023).

Department of Health (2015) Guidelines for the Care Manager Training Course, Ministry of Public Health (Bangkok, Thailand: Kaew Chao Chom Media and Publishing Center).

Emerson, K., Nabatchi, T. & Balogh, S. (2011) An integrative framework for collaborative governance, Journal of Public Administration Research and Theory, 22, pp. 1-29, https://doi.org/10.1093/jopart/mur011.

Eun, J. (2010) Public Accountability in collaborative governance: Lessons from Korean community Centers, The Korean journal of Policy Studies, 25(1), pp. 143-173.

Feng, Z., Glinskaya, E., Chen, H., Gong, S., Qiu, Y., Xu, J. & Yip, W. (2020) Long-term care system for older adults in China: policy landscape, challenges, and future prospects, The Lancet, 396(10259), pp. 1362–1372, https://doi.org/10.1016/s0140-6736(20)32136-x.

Ga, H. (2020) Long-Term Care System in Korea, Annual of Geriatric Medicine and Research, 24(3), pp. 181-186, https://doi.org/10.4235/agmr.20.0036.

Gordon, D., McKay, S., Marchildon, G., Bhatia, R.S. & Shaw, J. (2020) Collaborative Governance for Integrated Care: Insights from a Policy Stakeholder Dialogue, International Journal of Integrated Care, 20(1), pp. 1-11, https://doi.org/10.5334/ijic.4684.

Granström, E., Hansson, J., Sparring, V., Brommels, M. & Nyström, M. E. (2018) Enhancing policy implementation to improve healthcare practices: The role and strategies of hybrid national‐local support structures, The International Journal of Health Planning and Management, 33(4), pp. 1262-1278, https://doi.org/10.1002/hpm.2617.

Gray, B. (1989) Collaborating: Finding common ground for multiparty problems (San Francisco: Jossey-Bass).

Hemwaranon, W. (2020) Evaluation of the Operations District Health Board’s, Nakhon Ratchasima Province, Journal of Health Research and Development, 6(1), pp. 140-157.

Kariji, K. & Vinijnaiyapak, N. (2018) Collaborative Governance in Industrial Projects for Sustainable Job Creation in Thailand’s Three Southern Border Provinces, Journal of Politics and Governance, 10(2), pp. 1-20.

Khadarisman, W., Basori, Y.F. & Meigawati, D. (2023) Collaborative Governance Strategy in the Determination of Policy for the Center of Sukabumi Government Center, Devotion: Journal of Research and Community Service, 4(2), pp. 546-559, https://doi.org/10.36418/devotion.v4i2.381.

Kitreerautiwong, N., Mekrungrongwong, S., Wangwonsin, A. & Promjang, B. (2019) Development of District Health System in Thailand, KKU Journal for Public Health Research, 12(3), pp. 1-8.

Knodel, J., Teerawichitchainan, B. & Pothisiri, W. (2018) Caring for Thai Older Persons With Long-Term Care Needs, Journal of Aging and Health, 30(10), pp. 1516-1535, https://doi.org/10.1177/0898264318798205.

Kossmann, C. M. H., Behagel, J. & Bailey, M. (2016) Action and Inertia in Collaborative Governance, Marine Policy, 72, pp. 21-30, https://doi.org/10.1016/j.marpol.2016.06.007.

Luevanich, C., Lorlohakan, S. & Narinluck, P. (2019) Evaluation of Long-Term Care to Provide public Health Services for the Dependent Older Adults under Universal Coverage Scheme in Phuket Province, Journal of Nursing and Health Sciences, 13(4), pp.48-63.

Manolova, S., Pavlova, M., Stepurko, T., Tambor, M. & Groot, W. (2018) Long-term care provision in Europe: Results of a desk research study, Zdrowie Publiczne i Zarządzanie, 16(4), pp. 119-130, https://doi.org/10.4467/20842627OZ.19.014.11971.

Maulana, D. & Yulianti, R. (2022) Multi-Actor Collaboration in Improving the Economy of the Fishing Community in Karangantu Coastal Area of Serang, Indonesia, Journal of Contemporary Governance and Public Policy, 3(2), pp. 87-100, https://doi.org/10.46507/jcgpp.v3i2.80.

Mcdermott, A. M., Hamel, L. M., Steel, D., Flood, P. C. & Mkee, L. (2015) Hybrid Healthcare Governance for Improvement? Combining Top-down and Bottom-up Approaches to Public Sector Regulation, Public Administration, 93(2), pp. 324–344, https://doi.org/10.1111/padm.12118.

Morley, L. & Cashell, A. C. (2017) Collaboration in Health Care, Journal of Medical Imaging and Radiation Sciences, 48, pp. 207-216, https://doi.org/10.1016/j.jmir.2017.02.071.

National Health Security Office (2016) Handbook to support the management of long-term care services in public health for dependent older people in the National Health Security System (Nonthaburi, Thailand: National Health Security Office).

Page, S. (2010) Integrative leadership for collaborative governance: Civic engagement in Seattle, The Leadership Quarterly, 21, pp. 246-263, https://doi.org/10.1016/j.leaqua.2010.01.005.

Poocharoen, O. & Ting, B. (2015) Collaboration, Co-Production, Networks: Convergence of theories, Public management review, 17(4), pp. 587-614, https://doi.org/10.1080/14719037.2013.866479.

Praznovszky, L., Pavlova, M., Tambor, M. & Groot, W. (2018) The future of long-term care in ten European countries: Review of policy reports and qualitative study among country experts, Zdrowie Publiczne i Zarządzanie, 16(4), pp. 146-158, https://doi.org/10.4467/20842627OZ.19.016.11973.

Ran, B. & Qi, H. (2017) Contingencies of power sharing in collaborative governance, American Review of Public Administration, 48(8), pp. 1-16, https://doi.org/10.1177/0275074017745355.

Specht, A. & Crowston, K. (2022) Interdisciplinary collaboration from diverse science teams can produce significant outcomes, PLoS ONE, 17(11), https://doi.org/10.1371/journal.pone.0278043.

The Regulation of the Prime Minister’s office to improve the quality of life at the local level (March 9, 2018) Government Gazette, 135(54), pp. 1-7.

Torfing, J. (2019) Collaborative innovation in the public sector: the argument, Public Management Review, 21(1), pp. 1-11, https://doi.org/10.1080/14719037.2018.1430248.

Van Meter, D. S. & Van Horn, C. E. (1975) The Policy Implementation Process: A Conceptual Framework, Administration and Society, 6(4), pp. 445-488, https://doi.org/10.1177/009539977500600404.

Verbeek, H., Zwakhalen, S.M.G., Schols, J.M.G.A., Kempen, G.I.J.M. & Hamers, J.P.H. (2020) The Living Lab in Ageing and Long-Term Care: A Sustainable Model for Translational Research Improving Quality of Life, Quality of Care and Quality of Work, The Journal of nutrition, health & aging, 24, pp. 43–47, https://doi.org/10.1007/s12603-019-1288-5.

Wagner, K. (2000). Cooperative Strategies and the Evolution of Communication, Artificial Life, 6(2), pp. 149-179, https://doi.org/10.1162/106454600568384.

Willumsen, E., Ahgren, B. & Ødegard, A. (2012) A conceptual framework for assessing interorganizational integration and interprofessional collaboration, Journal of Interprofessional Care, 26, pp. 198–204, https://doi.org/10.3109/13561820.2011.645088.

World Health Organization (2015) Long-term care systems in World report on ageing and health (Geneva, Switzerland: WHO).

Yamada, M. & Arai, H. (2020) Long-Term Care System in Japan, Annuals of Gariatric Medicine and Research, 24(3), pp. 174–180, https://doi.org/10.4235/agmr.20.0037.

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Published

2023-11-01

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Section

Article (Open Access)