ENHANCING EMERGENCY MEDICAL SERVICES FOR THE ELDERLY: A PARTICIPATORY STRATEGIC PLANNING APPROACH IN MAE PHUN, THAILAND
DOI:
https://doi.org/10.14456/apsr.2025.7Keywords:
Participatory Strategic Plan, Local Governance, Emergency Medical Services, Elderly Care, ThailandAbstract
This study examines the development and evaluation of a participatory strategic plan for managing emergency medical services (EMS) for the elderly in Mae Phun Subdistrict, Thailand. Through a mixed-methods approach, including qualitative and quantitative data, it analyzes the strengths, weaknesses, opportunities, and threats (SWOT) faced by local administrative organizations (LAOs) in managing EMS. The findings reveal the potential of participatory planning to enhance local governance and improve policy implementation, but also highlight challenges of decentralization, resource constraints, and telecommunication limitations. The strategic plan, developed through collaboration with stakeholders, incorporates four key strategies: promoting innovations, enhancing resources, improving environmental management, and strengthening inter-organizational collaboration. The evaluation indicated strong agreement among stakeholders regarding the plan's suitability, utility, efficiency, and effectiveness. The study contributes to understanding local governance and policy formulation in the context of aging populations, offering insights for Southeast Asia and beyond.
Downloads
References
Decentralization Plan and Process Act, 1999.
Gürel, E., & Tat, M. (2017). SWOT analysis: A theoretical review. The Journal of International Social Research, 10, 994-1006.
Holt, C., & Wolff, T. (2015). Developing a framework for community action: A guidebook. Kansas: University of Kansas.
Huadong Subdistrict Municipality. (2023). Local development plan, 2023-2027. Uttaradit: Huadong Subdistrict Municipality.
Jones, G., & Stewart, J. (2012). Local government: The past, the present, and the future. Public Policy and Administration, 27(4), 346-367.
Mintzberg, H. (1994). The fall and rise of strategic planning. Harvard Business Review, 72, 107-114.
National Institute for Emergency Medicine. (2022). Global and Thailand situation and trends in health and emergency medicine. Retrieved from www.niems.go.th/1/UploadAttachFile/2022/EBook/20220208161448.pdf.
Poister, T., & Streib, G. (2005). Elements of strategic planning and management in municipal government: Status after two decades. Public Administration Review, 65(1), 45-56.
Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Guatam, S., … & Marahatta, S. (2024). Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research Policy and Systems, 22, 7.
Shih, R., Acosta, J., Chen, E., Carbone, E., Xenakis, L., Adamson, D., & Chandra, A. (2018). Improving Disaster Resilience Among Older Adults: Insights from Public Health Departments and Aging-in-Place Efforts. Rand Health Quarterly, 8(1), 3.
Simey, M. (1988). Democracy rediscovered: A study in police accountability. London: Pluto Press.
Unger, D., & Mahakanjana, C. (2016). Decentralization in Thailand. Journal of Southeast Asian Economies, 33(2), 172-187.
United Nations Economic Commission for Europe. (2020). Older persons in emergency situations. Geneva: United Nations Economic Commission for Europe.
Uttaradit Provincial Public Health Office. (2023). Population classified by sex and age group, 2023. Uttaradit: Uttaradit Provincial Public Health Office.
Wolf, D., & Amirkhanyan, A. (2010). Demographic change and its public sector consequences. Public Administration Review, 70(S1), S12-S23.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Authors

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.







