Dominant cultural views and norms in Asia indicate that elder care should be met within the family. However, little is known about the migratory patterns of older adults seeking care in non-institutional settings. This study investigates older adults' migration patterns and factors that affect their decisions to seek care in home-based facilities. We employed an explanatory-sequential approach, using two data sets: (1) Thai National Migration Surveys in Thailand for 2016, 2017, and 2018, and (2) in-depth interviews with 20 older adults who migrated for care. Our findings indicate that elderly migration for care in home-based settings is a strategy used by households to meet the care needs of older individuals. Age group, marital status, education, gender, health, family structure, family attachments, and the capacity of destination caregivers to provide care were significant factors influencing the likelihood of moving for care. The findings support the new economics of labor migration paradigm in minimizing the risk of households. Additionally, they demonstrate that an ecological framework can be expanded beyond their geographical boundaries through familial connections and the concept of aging in place.

中文翻译：

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在泰国寻求护理的老年人迁移

亚洲的主流文化观点和规范表明，老年护理应在家庭中得到满足。然而，人们对在非机构环境中寻求护理的老年人的迁移模式知之甚少。本研究调查了老年人的迁移模式和影响他们决定在家庭设施中寻求护理的因素。我们采用解释性顺序方法，使用两个数据集：(1) 2016 年、2017 年和 2018 年在泰国的泰国国家移民调查，以及 (2) 对 20 名因护理而移民的老年人进行深入访谈。我们的研究结果表明，在家庭环境中为护理而迁移老年人是家庭用来满足老年人护理需求的一种策略。年龄组、婚姻状况、教育、性别、健康、家庭结构、家庭依恋、以及目的地护理人员提供护理的能力是影响转移就医可能性的重要因素。研究结果支持新的劳务移民经济学范式将家庭风险降至最低。此外，他们证明了生态框架可以通过家庭联系和就地老龄化的概念扩展到其地理边界之外。