Health Workforce Requirements for the Dependent Older People in the Future

Authors

  • Nonglak Pagaiya Faculty of Public Health, Khon Kaen University
  • Siriphan Sasat Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science
  • Wasinee Wisesrith Faculty of Nursing, Chulalongkorn University

Keywords:

health workforce, long term care services, home health care, care givers

Abstract

The study aimed to project the health workforce requirements to provide long term care for the dependent older people in Thailand. The descriptive study comprised 2 steps, primary and secondary data collection and forecasting for health workforce requirements for the long term care services. Survey conducted at 66 public and private long term care institutions and 130 care managers (CMs) looking after home health care services. Self-administered questionnaires comprised questions in relation to service provision, health workforce, quantity of services and time used were applied. The health need method was used to project the health workforce requirements for home health care services and the population ratio method was then employed to project the health workforce requirements for institu­tional care. Health workforces included in the projection were: CM, nurses, doctors, physiotherapists, social workers, nurse assistants and care givers (CGs). The results showed that when service utilization at institutional care increased at 10-20% each year, the requirements for CM, nurses, physiotherapists, doctors, social workers, nurse assistants and CG in 2030 would be 37,235-37,636; 29,520-30,499; 4,858- 5,260; 3,555-4,000; 338-740; 1,613-3,529; and 126,542-134,312 respectively. Comparing to health workforce supply of the whole country, it is likely that there would be a critical shortage of nurse and CM.

References

World Health Organization. The world health report 2006: working together for health. Geneva: World Health Organization; 2006.

Jitapankul S, Suriyawongpaisal P. Elderly health in Thailand. Bangkok: National Health Foundation and Ministry of Public Health; 1999. (in Thai)

Akapolakorn W, editor. The 5th National Health Examination Survey in 2014. Nonthaburi: Health Systems Research Institute; 2014. (in Thai)

Sasat S, Chuwatanapakorn T, Lertrat P. Model of long term institutional care for elderly. Nonthaburi: Health Systems Research Institute; 2009. (in Thai)

National Health Security Office (NHSO). Manual for long term health care for the dependent elderly under the universal coverage scheme. Bangkok: National Health Security Office; 2016. (in Thai)

Human Resources for Health Research and Development Office. Human resources for health management for the long term care services. Nonthaburi: Human Resources for Health Research and Development Office; 2019. (in Thai)

Noree T, editor. Policy options for the human resources for health planning in the next decade. Nonthaburi: Human Resources for Health Research and Development Office; 2017. (in Thai)

National Statistical Office, Ministry of Information and Communication Technology. The 2017 survey on health and welfare. Ministry of Information and Communication Technology; 2018. (in Thai)

Department of Health, Ministry of Public Health. The health survey report: Thai elderly health in 2013, under the health promotion programme of elderly and disability persons. Bangkok: Watcharin P.P. Press; 2013. (in Thai)

Yamane T. Statistics: an Introductory analysis. 3rd ed. New York: Harper and Row; 1973.

Ministry of Public Health - Working Group for Human Resources for Health Planning. Service utilization at primary care, secondary care and tertiary care facilities under Ministry of Public Health. Nonthaburi: Ministry of Public Health; 2015. (in Thai)

Noree T. Health workforce planning: doctors. In: Noree T, editor. Policy options for the human resources for health planning in the next decade. Nonthaburi: Human Resources for Health Research and Development Office; 2017. p 306-32. (in Thai)

Sawaengdee K. Health workforce planning: nurses. In: Noree T, editor. Policy options for the human resources for health planning in the next decade. Nonthaburi: Human Resources for Health Research and Development Office; 2017. p. 333-72. (in Thai)

Kaewsawang S, Luewisetpaiboon S, Theerawutwarawet K, Chaipinyo K. Projection of physical therapy workforce for Thailand health system in the next decade. In: Noree T, editor. Policy options for the human resources for health planning in the next decade. Nonthaburi: Human Resources for Health Research and Development Office; 2017. p. 636-56. (in Thai)

Social Work Profession Council. The 2019 annual report of the Social Work Profession Council. Bangkok: Social Work Profession Council; 2019. (in Thai)

Pagaiya N, Phanthunane P, Bamrung A, Noree T, Kongweerakul K. Forecasting imbalances of human resources for health in the Thailand health service system: application of a health demand method. Human Resources for Health. 2019. doi.org/10.1186/s12960-018-0336-2.

World Health Organization. Lessons for long-term care policy. The cross-cluster initiative on long term care. 2002 [cited 2020 Mar 23]. Available from: https://apps.who.int/iris/handle/10665/67275.

Fujisawa R, Colombo F. The long-term care workforce: overview and strategies to adapt supply to a growing demand. OECD Health Working Papers No. 44. Paris: OECD Publishing; 2009. Available from: https://doi.org/10.1787/225350638472.

Dennis S, May J, Perkins D, Zwar N, Sibbald B, Hasan I. What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community? Australia and New Zealand Health Policy; 2009. doi: 10.1186/1743-8462-6-2.

University of California, San Francisco. An aging U.S. population and the health care workforce: factors affecting the need for geriatric care workers. 2006. Available from: https://healthforce.ucsf.edu/publications/aging-us-population-and-health-care-workforce-factors-affecting-need-geriatric-care. Accessed 15 Jan 2020.

Lee CY, Beanland C, Goeman D, Johnson A, Thorn J, Koch S, et al. Evaluation of a support worker role, within a nurse delegation and supervision model, for provision of medicines support for older people living at home: the Workforce Innovation for Safe and Effective (WISE) Medicines Care study. BMC Health Services Research 2015;15:405. doi: 10.1186/s12913-015-1120-9.

Hewko SJ, Cooper SL, Huynh H, Spiwek TL, Carleton HL, Reid S, et al. Invisible no more: a scoping review of the health care aide workforce literature. BMC Nursing 2015;14:38. doi: 10.1186/s12912-015-0090-x.

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Published

03-01-2026

How to Cite

1.
Pagaiya N, Sasat S, Wisesrith W. Health Workforce Requirements for the Dependent Older People in the Future. J Health Syst Res [internet]. 2026 Jan. 3 [cited 2026 Feb. 10];15(2):200-17. available from: https://he04.tci-thaijo.org/index.php/j_hsr/article/view/3519

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Original article