Development of an Integrated Care Model for Homebound and Bedridden Elderly in Pho Yai Subdistrict, Warin Chamrap District, Ubon Ratchathani, Thailand

This action research aims to develop an integrated care to assess the current state of integrated care and to design a tailored integrated care model for homebound and bedridden elderly individuals in Pho Yai Subdistrict, Warin Chamrap District, Ubon Ratchathani Province, Thailand. The research consists of three main steps: (1) contextual factors, (2) developing the model based on the findings and relevant literature. Data from focus group discussions (n=18) and in-depth interviews (n =5), and (3) evaluating the model with a specific sample group (60 individuals) and analyzed using content analysis. Quantitative data were analyzed using descriptive statistics and paired-samples t-tests. Model development followed the PDCA (Plan–Do–Check–Act) quality improvement framework. The results indicated a high level of care-related knowledge among participants (81.7%). Overall care development outcomes were rated at a high level (Mean = 201.41), with management performance showing the highest contribution (44.61%). The study proposes the PHOYAI Model, comprising P=Planning and Participation, H=Holistic Care, O=Organization, Y=Young-old Active Aging Program, A=Access and Audit, and I=Information and Communication. Implementation of the model significantly improved stakeholder knowledge and readiness (P < 0.001). Participant satisfaction with the model was also high (Mean = 201.41, SD = 11.92). It is recommended that relevant agencies adopt the PHOYAI Model to ensure efficient and high-quality care, ultimately enhancing health outcomes and improving the quality of life.