July 20, 2018
The 1st National Seminar on the Development of Intermediate Care Service Model Project on Seamless Health and Social Provision for Elderly Persons (S-TOP), which is jointly implemented by Ministry of Public Health, Ministry of Social Development and Human Security, National Health Security Office and JICA, was held on July 20th, 2018 in Bangkok. About 120 persons from related agencies attended this workshop including Potential Hospitals, Practical and Academic Supporters, 7 project sites from Chiang Mai, Khon Kaen, Nonthaburi, Nakhon Ratchasima, Chonburi, Surat Thani and BMA.
The aging rate in Thailand will increase by app. 30% in the next 20 years. Length of stay at acute care hospitals is limited. Bed occupancy rate of acute care hospitals is over 100%. Most people go back to home after discharging, so this might influence an increase of bed-ridden elderly persons and low ADL and QOL at some persons. Thus, the Thai government focuses on Intermediate Care (IC) as an intensive rehabilitation service in the ‘Golden period" at community hospitals for aging issue.
The Project is called "S-TOP", which is abbreviated from the Project on Seamless Health and Social Services Provision for Elderly Persons. This is a 5 year project which is conducted from September 2017 to August 2022. The objective of the project is to ensure the nationwide expansion of community-based models developed for the seamless provision of medical, rehabilitative, social and life-support services for elderly persons. Project activities consist of Service provision Model, Training system and Methods of Human resource, Feasible financing system, and Effective and Efficient use of information technology.
The seminar began with the opening report by Dr. Watchai Charunwatthana, Deputy Director of Health Administration Division, MOPH, then the opening remarks by authorities concerned of each side namely, MOPH, MSDHS, NHSO and S-TOP Project. These were followed by the lecture on Financial data collection, Social service and returning patients to the community, Development of IC service system by NHSO, MSDHS, Sirindhorn National Medical Rehabilitation Institute and Hatyai Hospital, respectively. In the afternoon, group discussion and brainstorming was conducted by dividing into four (4) groups to exchange opinions on Developing an operations plan for IC service model in pilot site with the subheading on Stakeholders and Situation Analysis. The results of discussion were presented by the representative of each group. In today's seminar, JICA –S-TOP team presented a lot of homework for participants to prepare for the next meeting in each pilot site and future project activities.
Opening remarks by authorities concerned
Activities plan by JICA expert
IC service system by Saraburi Model