Page 36 - รายงานฉบับสมบูรณ์โครงการศึกษาวิจัยเพื่อจัดทำข้อเสนอแนะนโยบายหรือมาตรการเพื่อคุ้มครองและส่งเสริมสิทธิของผู้สูงอายุ: กรณีการเลือกปฏิบัติในผู้สูงอายุ

xxx | รายงานวิจัยฉบับสมบูรณ์ (Final Report)

(2) Long-term and palliative care :
1. The lack of legal criteria for the long-term care system : Some older persons
need long-term health care, but this type of care is not stated in the Naional Older Persons

Act of 2003. Thus, problems occur in the implementation stage, for example, there is no
regulation concerning the compensation to the care givers.
2. Lack of criteria and mechanisms to regulate the practice standards of the long-
term care institutions : Currently, there is no laws to regulate the practice standards and the

quality of the care institutions, and no responsible agencies for registration and regulation of
the health care institutions for the older persons or the disabilities
3. Lack of measures to promote families to taking care of the older persons in
long-term : People still depend heavily on the public health care services, while there are

inadequate personnels and equipments in providing the services. It is necessary to create a
self-care system for the people with the local authorities’ supports. Currently, there are no
laws and measures to promote family to be a care giver unit for the older persons and other
generation in the family.

9) Suggestions to solve the problems of discrimination on age : health and quality
dimension
(1) By laws :
1. Regulations under the National Older Persons Act to ensure the rights of older

persons to access to the health and medical services should be reformed. The National
Human Rights Commission, Ministry of Public Health, and Ministry of Social Development and
Human Security should be the main actor to collaborate with the Ministry of Finance.
2. A long-term care law, such as the criteria for the compensation of the care

givers, should be formulated. The main actor should be the Ministry of Public Health (by the
National Health Insurance Office) in collaboration with Ministry of Social Development and
Human Secrutity, Ministry of Finance, and Ministry of Interior.
3. Regulations on standards and mechanism for long-term care should be

formulated using the best practices from England. Ministry of Public Health (by the National
Health Insurance Office) and Ministry of Social Development and Human Security should be
the main actors in collaboration with Ministry of Commerce and Ministry of Industry.
4. Laws to promote family care for older persons should be established,

including the participation from communities and local administrative organizations. The best
practice can be drawn from Japan that the local administrative organizations are empowered