thank you for your message.
You are right: The principal form of LTC in Thailand is informal care provided by the family.
But the rapid growth in Thailand's ageing population, along with socio-economic changes, have led to an increase in the number of family units unable or unwilling to care for their older members. However, while the number of older persons who need formal long-term care services is increasing, neither the existing institutional care nor home/community care are adequate to support informal family care or provide acceptable care for those who cannot stay in the community, particularly among low-income families. Nevertheless there are some residental and nursing homes for old people: 20 residental homes under the supervision of the Department of Social Welfare, 7 residental homes, organized by non-governmental organizations, in seven provinces, Bangkok, Prathumthani, Samutprakarn, Sakolnakorn, Saraburi, Chonburi and Angthong. As there have been no registrations or state records of nursing homes in Thailand, it is difficult to know the exact number of such homes providing care for older persons. From data currently collected by the Department of Social Welfare, there are some 10 nursing homes (providing a total of approximately 500 beds) that provide care and rehabilitation for frail elderly people whose families can afford to pay. Another trend in care provided to older persons that has emerged during the years since the 1997 economic crisis in Thailand is hospital-based care. Pressurized by the downturn of the economy after the crisis, more than 400 private hospitals were struggling for survival. Care for frail or chronically ill elderly people therefore became additional service that the private hospitals offered to the middle and high-classes, in order to increase their revenues, by turning their acute illness wards into facilities for long-stay care. 2001, there were over 50 private hospitals in Thailand providing hospital-based care for older persons.
"Older persons should live with their families and in their communities with a reasonable quality of life", so the Second National Long-Term Plan for Older Persons (2002-21). But the need for institutional long-term care for older persons in Thailand arises. I only know the above mentioned data. Now I'm interested in some inside information, e.g. I've heard that in a nursing home in Phuket one nurse is resonsible for 20 old people.
Maybe you can give me some general information about the social/cultural status of nurses in Thailand. I think they are still seen as the helping hand of the doctors. Do nurses in Thailand work with the same standards and concepts of care as in Europe and U.S.? And so on.
Thank you! I post this message also in the forum.
Quote from suzanne4
The Thais usually stay with their families, that is the culture, You find three to even five generations living in the same home............
For the Farangs (foreigners), many actally also try to stay in their homes and have private duty nurses around the clock...........cost is very cheap to do that in Thailand. There are some newer hotels that are offering assisted-care type programs, but LTC facilites as we know of the title in Europe or the US are not usually found. There are a few of the larger hospitals in the BKK area that have LTC wings for farangs, but not on a routine basis.
I have lived in Thailand for a number of years, if you need more info, send me a pm.