Synthesis the development model of the elderly’s health service system towards the excellence of tertiary hospitals attached to the Royal Thai Navy

Abstract

This research was qualitative research and aimed to study the elderly’s health service system of tertiary hospitals and synthesize the development model of the elderly’s health service system of tertiary hospitals attached to the Royal Thai Navy. The data had been collected between October 2019-March 2020.The analysis was conducted to find the development model of the elderly’s service health system towards the excellence of tertiary hospitals attached to the Royal Thai Navy. The analysis applied the key information to support 17 key informants for processes which are interviewing, and recording of information from focus group discussion, recording of sound and pictures and using of documents and reports. The acquired information went through the Content Analysis by determining the content from interpretation and determining the issue framework of the development model of the elderly’s health service system towards the excellence in tertiary hospitals attached to the Royal Thai Navy. The research revealed the results of development model of health service system as the following: 1) The result of the society engaged elderly in the perspective of efficient operation was activities towards the excellence namely clear policy of health service and development of the potential of the club for the elderly, health promotion, promotion of service mind and development of knowledge source of the club for the elderly. 2) The home attached elderly in the perspective of efficient operation showed result about management of relationships of networks, increase the potential of network and home visits, support of participation from families, clubs, temples. 3) The bedridden elderly in the perspective of efficient operation was about development of knowledge and innovation; assessment of the health behavior and annual medical checkup, home visit, activities of health promotion and rehabilitation of specific diseases, development of potential of the caregivers of the bedridden elderly. And, 4) The guideline of development elderly’s health service system by establishing the Geriatric Medical Center, Naval Medical Department, would serve as the center of operation on the elderly, the administrative center of control, supervision, follow-up, and coordination of network, regular up to date risk management of the elderly, assessment of performance of the elderly’s health service system of the Royal Thai Navy, and  linkage of works on the elderly of hospitals attached to the Royal Thai Navy by using telemedicine network system.