Determinants of Participation in Elderly Health Management under the UCCARE Approach: A Cross-Sectional Study of District Health Boards in Chonburi Province, Thailand
Abstract
Objective: This cross-sectional analytical study examined the level of participation and factors associated with participation in elderly health management under the unity team, customer focus, community participation, appreciation, resource sharing and human development, and essential care (UCCARE) approach among District Health Board (DHB) members in Chonburi Province, Thailand.
Material and Methods: The study population consisted of all 231 DHB committee members who met the inclusion criteria. Data were collected during April and May 2025 using a self-administered questionnaire comprising five sections: personal characteristics, knowledge of elderly health management, attitudes toward participation in elderly health management, motivation for participation, and participation in elderly health management based on the UCCARE approach. Data were analyzed using descriptive statistics and stepwise multiple linear regression analysis.
Results: Of the 231 participants, the majority were male (56.7%), aged 50–59 years (69.26%), and from the government sector (54.98%). The results revealed that 64.10% of participants demonstrated a high level of participation in elderly health management. Motivation (β=0.709, 95% CI=0.626, 0.792) and attitudes toward participation (β=0.247, 95% confidence interval (CI)=0.130, 0.364) were identified as significant predictors of participation in elderly health management under the UCCARE approach. Together, these two factors accounted for 84.3% of the variance in participation (R²=0.843).
Conclusion: These findings suggest prioritizing motivational mechanisms and positive attitudes among DHB members in policy and capacity-building to improve elderly health management under the UCCARE framework and strengthen district health systems and primary care–oriented services in aging societies.
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