The need for sustainable elderly care solutions is growing as countries face accelerating population aging. This study examines the feasibility of adapting the Long-Term Care Insurance (LTCI) model in Thailand and Vietnam through a literature review and policy analysis, analyzing critical factors such as financing structures, policy readiness, cultural values, and existing healthcare infrastructures. While both Thailand and Vietnam rely on family-based care rooted in cultural expectations of filial duty, changing demographics and urbanization trends are increasing pressure on these informal systems. Although the finding highlights that limited financial capacity among lower-income groups poses a significant challenge to adopting contributory models, the study evaluates the potential for Thailand and Vietnam to introduce similar contributory models, either through public-private partnerships or phased policy implementations, that could support a transition toward more formalized elderly care services. The study identifies possible pathways for LTCI adoption that align with each country’s unique social and economic context. Findings suggest that a phased, community-supported rollout, combined with government-subsidized pilot programs, could facilitate a gradual shift toward LTCI in Thailand and Vietnam. This research provides a framework for policymakers to consider a culturally adaptable LTCI system that respects traditional caregiving practices while advancing toward sustainable, structured care solutions.

Authors:
Hoang-Nam Tran, Tokushima University, Japan
Kanchana Piboon, Burapha University, Thailand
Bao-Ngoc Dang, VinUniversity, Vietnam
Kaori Watanabe, Tokyo Healthcare University, Japan

About the Presenter(s)
Dr. Hoang-Nam Tran is currently an Associate Professor at Research Center for Higher Education, Tokushima University, Japan.

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https://www.researchgate.net/profile/Nam-Tran-8

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