Synthesis of Integrated Elderly Care Systems: The Involvement of Private Sector and Social Enterprises
Keywords:
Integrated Elderly Care System, Private Sector Involvement, Social Enterprises, Service for the ElderlyAbstract
This is a documentary research study with the data being collected from books, research reports, and articles relating to the integration of elderly care systems through the participation of the private sector and social enterprise in Thailand. Case studies of England, the United States, and Australia were carried out to synthesize recommendations for the elder care system in Thailand. The results of the documentary analysis detail the participation of the private sector and social enterprise in caring for the elderly. There are two main approaches: the first involves subcontracting between the government and private sectors or non-profit organizations to provide services for the elderly at a reasonable rate (or even free of charge depending on the service model); the second approach employs a financial mechanism known as the “social impact bond” or “pay for success” model, which is a contract between the public sector and the private organization, which involves initial private investment in the program or project and the government later reimbursing the private organization when the project accomplishes its objectives for the target population.
There are significant challenges in developing an integrated care system for the Thai elderly, including: 1) establishing an independent centralized organization for negotiation and contracting with relevant sectors; 2) establishing age criteria and screening processes for those elderly needing to access services, with continual follow-up monitoring and evaluation; 3) establishing criteria for quality screening of service providers or service units in order to control standards, and establishing a committee to systematically assess the quality of services; 4) systematically encouraging volunteers, 5) issuing measures to support other sectors to stimulate and engage in elderly care systems with such measures including leave-taking for elderly care, beneficial for the private sector which set up the training programs for the elderly, and supporting budgets for business involving the elderly.
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