Possibilities for Implementing a Long-Term Care Insurance System in Thailand and Vietnam



Author Information

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

Abstract

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, 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. This 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.


Paper Information

Conference: AGen2025
Stream: Public Policy

This paper is part of the AGen2025 Conference Proceedings (View)
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To cite this article:
Tran H., Piboon K., Dang B., & Watanabe K. (2025) Possibilities for Implementing a Long-Term Care Insurance System in Thailand and Vietnam ISSN: 2432-4183 The Asian Conference on Aging & Gerontology 2025: Official Conference Proceedings (pp. 109-119) https://doi.org/10.22492/issn.2432-4183.2025.9
To link to this article: https://doi.org/10.22492/issn.2432-4183.2025.9


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Posted by James Alexander Gordon