tailieunhanh - DEVELOPING MODEL OF HEALTH CARE MANAGEMENT FOR THE ELDERLY BY COMMUNITY PARTICIPATION IN ISAN

More specifically, we must further examine health beliefs, and food beliefs and practices that have symbolic or traditional importance to determine how knowledge, beliefs and attitudes translate into eating behaviour in older adults, especially at advanced ages. More research is needed to clarify the relative contribution of income, ethnic background and other personal predictors of healthy eating – self-control, emotions, resistance to change, time constraints, lack of knowledge – and environmental factors governing food availability and cost. Information is needed linking nutritional services, health, psychological, cognitive and social characteristics, as well as financial constraints to procuring healthy foods. More information is needed on barriers, both real and perceived, that discourage healthy eating. For instance, the impact of therapeutic or self-imposed restrictive. | The Social Sciences 4 5 439-442 2009 ISSN 1818-5800 Medwell Journals 2009 Developing Model of Health Care Management for the Elderly by Community Participation in Isan Chanitta Soommaht Songkoon Chantachon and zPaiboon Boonchai Research Institute of Northeastern Arts and Culture Mahasarakham University Muang District Mahasarakham 44000 Thailand zFaculty of Accountancy and Management Mahasarakham University Kantharawichai District Mahasarakham 44150 Thailand Abstract In the past Thai-Isan families were large and took care of each other. Sickness within the family would be nurtured by family members and care. Life was simple and the economy was self sustainable and sufficient. Society was peaceful and children obeyed their parents. The elderly were taken cared of by their children and grandchildren gave elders respects and love. Currently the trend has changed and society is filled with new technologies globalization politics has rapidly changed transportation and educational advancements. Communities prefer to send their spouse abroad for education. Local communities are faced with increases in expenses and inadequate income to match. Many individuals have ventured outside the community in search of higher wages and income while leaving elderly members to stay at home raising their grand children. Government agencies and community organizations have given efforts in providing policies and by appropriating funds for support and welfare homes but the current processes lack clarity and coverage. Community organizations are an important key factor in the success of public policies that will bring about the successful development of elderly care. Community activities provide an opportunity for elderly citizens to participate giving them honor and help them to realize their importance and value to society. Obstacles that still remains is the ratio of staff to elderly citizens is inadequate and the lack of budget to support management. Short term measures to tackle this .