Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan.
Advanced Research Institute for Health Science, Juntendo University, Bunkyo City, Hongo, 2 Chome-1-1, Tokyo 113-8421, Japan.
Int J Environ Res Public Health. 2021 Jun 4;18(11):6087. doi: 10.3390/ijerph18116087.
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.
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.
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.
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.
泰国目前是世界上人口老龄化速度第三快的国家，预计到 2050 年将有 2000 万老龄人口。家庭为基础的长期护理模式面临着家庭护理人员的慢性负担和家庭规模缩小的可持续性挑战。我们旨在引入一种新的服务模式，即社区综合中介护理（CIIC），TCTR20190412004，包括在当地社区的 CIIC 中心提供免费的中介护理服务，以帮助那些护理人员暂时无法在家中提供护理的老年人。由于泰国社会崇尚感恩的价值观，在引入这项服务之前，最好先评估人们对这种中介护理服务的意愿。
2019 年，我们共对 867 对老年人及其家庭护理人员进行了结构式问卷调查。采用描述性分析和二元逻辑回归方法，根据安德森健康服务利用模型，确定家庭护理人员使用 CIIC 服务的意愿的预测因素。
约 26.8%的老年参与者和 24.0%的家庭护理人员愿意使用中介护理服务。家庭护理人员的倾向因素（亲属：配偶护理人员、其他亲属、女佣或朋友；工作类型：个体经营者和私营公司员工）、促成因素（原社区居民和月收入≤9000 泰铢）和需求因素（护理人员负担总分≥24、因护理请假和患有糖尿病）与使用 CIIC 服务的意愿显著相关。
基线调查数据表明，护理人员的社会人口统计学因素和负担决定了他们使用中介护理服务的意愿，尽管在这项研究中，护理对象的依赖性较低。然而，这表明泰国需要后备暂息护理来加强当前以家庭为基础的长期老龄化护理。
