Development of Competency of Public Health Care Managers for Dependent Elderly in Saraburi Province - การพัฒนาสมรรถนะของผู้จัดการระบบการดูแลระยะยาว ด้านสาธารณสุขสําหรับผู้สูงอายุทีมีภาวะพึงพิงในจังหวัดสระบุร

Abstract

              The purpose of research and development was to development of competency of care manager of public health (CM) for dependent elderly in Saraburi province. Divided into 3 phases: phase 1: developing competency model, with study the components of performance care manager (CM) on 576 committee of the long-term care fund (LTC) in Saraburi province; phase 2: the using of performance development model in 30 CMs; and phase 3: evaluation used of the development model with 25 committee of the LTC fund and stakeholders. The instrument used in the research were; questionnaire of the performance indica-tors of CM have 3 main components and 12 sub-components i.e. (1) elderly care practice has 3 sub-components, (2) management has 4 sub-components, and (3) strategic planning has 5 sub-components. Knowledge assessment form, attitude assessment form, focus group discussion guidelines, interview guide-lines, observation form, and satisfaction assessment form. Research period from January 2017 to June 2018.Data were analyzed by descriptive statistics, the hypothesis test with the second order factorial analysis, T-test and content analysis. The results showed that: 1. The competency indicators of CM all of 3 main components and 12 sub-components, with 86 indicators found that average at the highest level. The results of confirmatory factor analysis of performance indicators of CM is consistent with empirical data . The results of confirmatory factor analysis of performance indicators of CM is consistent with empirical data at Chi-square statistics was 50.56, the degree of freedom was 28, the probability is 0.062, the GFI was 0.986, the adjusted AGFI was 0.961. 2 The comparison of mean on knowledge and attitude of CM, before and after using the performance development model, there was a statistically significant difference at the 0.05 level (p<0.05). 3. Evaluating the use of the performance development model of CM having the main components are: elderly care practices, management, and strategic planning, It can be used efficiency and effectiveness to provide long-term care services for the dependence elderly and the satisfac-tion rating was at a high level (Mean= 4.50).

Key words: competency development, care managers, dependent elderly