ระบบการดูแลผู้สูงอายุภาพรวมในประเทศไทย นำเสนอโดย พญ.ลัดดา ดำริการเลิศ เลขาธิการ มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุแห่งประเทศไทย (มส.ผส.) วันที่ 9 มีนาคม 2561

1. แพทย์หญิงลัดดา ดาริการเลิศ
9 มีนาคม 2561
สามพราน

2. ปิรามิดประชากรไทยปี พ.ศ. 2503 - พ.ศ. 2573
ที่มา:
Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The
2012

3. ในปี 2559 นี้ ในจำนวนประชำกรไทย 65.9 ล้ำนคน มีประชำกรอำยุ 60 ปีขึ้นไป 11 ล้ำนคน
หรือคิดเป็นร้อยละ 16.5 ของประชำกรทั้งหมด

6. 6.9
14.3 11
55.7
56.4
56.1
19.5
19.6
19.6
11.4
5.8 8.3
6.5 3.9 5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male Female Total
Level of Education in Thai Elderly, 2014
No education Under Primary school
Primary School Secondary/Vocational Education
Bachalor Degree or higher

7. 2002 2007 2011 2014
Living alone 6 8 9 9
Living with spouse 16 16 18 19
0
2
4
6
8
10
12
14
16
18
20
Percent
Year
Living alone Living with spouse
Per cent of aging population living alone

16. UHC, 73.71
SSS, 11.27
CSMBS/GE, 4.84
Local Authority, 0.93
ID prove, 0.61
Private Teacher, 0.12
PROPORTION OF HEALTH INSURANCE SCHEMES, 2015

17. Year National Policies and plans
1982 First Elderly Council
First National Plan for Older Persons 1982-2001
1997 Constitution of the Kingdom of Thailand B.E. 2540
1999 National Committee of Senior Citizens
2002 Second National Plan for Older Persons 2001-2021
2003 Elderly Person Act B.E. 2546
National Committee on the Elderly
2005 Healthy Thailand Program
2007 Constitution of the Kingdom of Thailand B.E. 2550
2009 Thailand Healthy Lifestyle Strategic Plan
Second National Plan for the Elderly (amended in 2009)
2011 National Saving Fund Act B.E. 2554
2015 Funding for Long Term Care
2017 Constitution of the Kingdom of Thailand B.E. 2560
Source: Asia Pacific Observatory on Health Systems and Policies, 2016
Thailand national policies and plans for elderly

18. Government payment per capita of 2 insurance schemes in aging population
UCS CSMBS
Year
2007 31,321 88,030
2008 54,591 89,209
2009 54,479 103,419
2010 54,635 106,210
2011 59,946 104,660
Average2007 – 2011 52,181 98,961
Gender
Female 50,155 96,181
Male 54,286 101,779
Age Group
60-69 Year 58,029 106,262
70-79 Year 53,037 101,641
80-89 Year 45,676 93,264
90-99 Year 39,420 95,853
100 Year and over 37,947 113,921

19. Per cent of Local Authority Administrations supporting Community Health Fund
11.42
34.58
50.6
70.83
95.47
99 99.68 99.78 99.79
0
10
20
30
40
50
60
70
80
90
100
2007 2008 2009 2010 2011 2012 2013 2014 2015
Percent
Year
Source: NHSO, 2015

20. Type / Size of Local Authority Number
Small sub-district administration organization 5,287
Medium sub-district administration organization 31
Large sub-district administration organization 33
Sub-district municipality 2,205
District municipality 168
City municipality 31
Size of Local Authority Organization supporting Community Health Fund
Source: NHSO, 2015

21. Level of services and level of care providers for aging population under the Ministry
of Public Health
Health
problems
Level of Care Screenin
g
Curative Counseli
ng
Rehabilit
ation
Contin
uous
General Eye acuity THPH/PCU 1 + + + - -
Community Hospital 2 + + + - -
Provincial/
Regional Hospital
3 + + + - -
Ear/hearing THPH/PCU 1 + + + - -
Community Hospital 2 + + + - -
Provincial/
Regional Hospital
3 + + + - -
Dental care THPH/PCU 1 + +/- + - -
Community Hospital 2 + + + - -
Provincial/ Regional
Hospital
3 + + + - -
Impair BADL THPH/PCU 1 + + + + +
Community Hospital 2 + + + + +
Provincial/Regional
Hospital
3 + + + + +
Palliatives care THPH/PCU 1 + + + + +
Community Hospital 2 + + + + +
Provincial/ Regional 3 + + + + +

22. Common
Health
Problem in
Elderly
Cardio-vascular
diseases
THPH/PCU 1 + - + + +
Community Hospital 2 + + + + +
Provincial/ Regional Hospital 3 + + + + +
DM THPH/PCU 1 + +/- + +/- +
Community Hospital 2 + + + + +
Provincial/ Regional Hospital 3 + + + + +
Hypertension THPH/PCU 1 + +/- + +/- +
Community Hospital 2 + + + + +
Provincial/ Regional Hospital 3 + + + + +
OA knee THPH/PCU 1 + +/- + + +
Community Hospital 2 + + + + +
Provincial/Regional Hospital 3 + + + + +

23. Geriatric
syndromes
Dementia THPH/PCU 1 + * + -
+
Community Hospital 2 + * + +/- +
Provincial/ Regional Hospital 3 + +/- + +/- +
Delirium THPH/PCU 1 + - + - +
Community Hospital 2 + + + - +
Provincial/Regional Hospital 3 + + + - +
Depression THPH/PCU 1 + * + - +
Community Hospital 2 + + + + +
Provincial/Regional Hospital 3 + + + + +
Drug (side
effect)
THPH/PCU 1 + * + - +
Community Hospital 2 + + + - +
Provincial/Regional Hospital 3 + + + - +
Instable and
Falls
THPH/PCU 1 + * + + +
Community Hospital 2 + +/-* + + +
Provincial/Regional Hospital 3 + + + + +
Immobility THPH/PCU 1 + * + + +
Community Hospital 2 + * + + +
Provincial/Regional Hospital 3 + + + + +
Malnutrition THPH/PCU 1 + +/- + - +
Community Hospital 2 + + + - +
Provincial/Regional Hospital 3 + + + - +
Incontinence THPH/PCU 1 + * + - +

25. Source: Department of Health, data support inspection, Fiscal year 2017. h
http://planning.anamai.moph.go.th/ewt_dl_link.php?nid=860 retrieved: 7/6/2560
Trained Care Givers / Care Managers Distribution by Health Regions, 2016
Health
Region
Number of
Dependent Elderly
Number of Trained
Care Givers
Number of Trained
Care Managers
% of ADL screening
1 7,115 2,679 249 91.90
2 29,940 1,139 367 96.22
3 24,805 764 261 85.33
4 46,203 1,706 174 82.30
5 51,881 1,749 356 87.21
6 4,627 2,523 132 72.50
7 8,317 2,700 186 68.62
8 28,628 2,700 228 89.88
9 39,426 3,706 215 79.34
10 4,674 786 141 80.35
11 9,993 1,440 74 55.72
12 7,480 1,407 105 87.98
13
Country 263,089 23,299 2,488 81.44

26. Achievement and performance of training care taker for aging population
SubdistrictLongTermCare TrainingCourse PercentofElderly
Care
Manager
Care
Givers
Bed-
boundto
home
bound
Home-
bound
tosocial
bound
Target 100,000 persons 1,000subdistricts 2,500 10,000 19.17 18.7
Output 80,826 persons 1,752subdistricts
2,598 24,68942,195 persons
(withcareplan)
25subdistricts
Startingservices
Source: Department of Health, data support inspection, Fiscal year 2017.
http://planning.anamai.moph.go.th/ewt_dl_link.php?nid=860 retrieved: 7/6/2560

28. Health Care Services Provide to Thai Elderly