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題名:照顧管理專員角色功能及照顧管理服務滿意度之相關研究
書刊名:護理暨健康照護研究
作者:李佳苓劉立凡陳淑馨林綉君
作者(外文):Lee, Chia-lingLiu, Li-fanChen, Shuh-sinLin, Hsiu-chun
出版日期:2015
卷期:11:3
頁次:頁198-205
主題關鍵詞:角色功能長照十年計劃照顧管理Role and functionLong term care decadeCare management
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:4
  • 點閱點閱:365
背景:「照顧管理專員」在照顧管理制度中扮演重要角色,可分擔家庭照顧責任。目前照顧管理專員的工作內容,扮演的角色與功能和照顧管理服務滿意度之相關研究仍有限。目的:探討照顧管理專員角色功能與照顧管理服務滿意度之相關性。方法:本研究為橫斷性研究設計,採方便取樣。由照顧管理專員核定服務,轉介至居家服務支援中心之154位主要照顧者為對象,使用照顧管理服務滿意度及照顧管理專員角色功能調查問卷,以電話訪談進行資料收集。結果:主要照顧者接受照顧服務越久,對照管專員專業能力滿意度就越高(r=.23, p<.01),對照顧管理中心整體滿意度也越高(r=.20, p=.02)。照顧管理專員服務品質與各項服務功能具顯著相關性(p<.05),唯「臨床╱直接照顧」功能相對缺乏,且與照顧管理中心服務滿意度無顯著相關(r=.10, p=.20)。結論:主要照顧者對照顧管理中心服務的整體滿意度高,顯示服務提供的可接受性高;照顧管理服務滿意度與照顧管理專員角色功能之實踐具顯著相關性,然而,現階段照顧管理專員角色功能仍以需求評估及服務連結為主,無法滿足有臨床照顧、心理支持需求的使用者。未來,應增加照顧管理專員人力配置,實踐跨專業團隊合作方式,提供多元化照顧服務模式,以落實全人照顧之目標,支持家庭照顧。
Background: Care managers are responsible to implement care management systems and share caregiving responsibilities with the families of patients. However, few studies have examined the role and function of care managers or the satisfaction of primary caregivers with care management services. Purpose: To investigate the relationship between the role and function of care managers and to assess the satisfaction of primary caregivers with care management services. Method: This cross‐sectional study used convenience sampling to enroll 154 primary caregivers as participants. Care managers referred these caregivers to the researchers and all caregivers were currently engaged in home‐service programs. Telephone interviews were conducted to collect data using a structured questionnaire that was designed to assess the role and function of care managers and the satisfaction with the services provided by care management centers. Results: Perceived satisfaction with care managers related positively with length of service received (r=.23, p<.01) and with the specific long‐term care center (r=.20, p=.02). The role of the care managers affected the results of the effectiveness of care management services (p<.05). However, the function "clinical/direct care" was rarely mentioned by participants and did not significantly correlate with service satisfaction (r=.10, p=.20). Conclusion: The overall satisfaction of participants with the services provided by care management centers was high, suggesting that participants were highly satisfied with the current service offerings. Satisfaction with long‐term care center services correlated significantly with the role function of care managers. The main functions of care managers that were identified in the present study include: needs assessment and service links. Our findings highlight that care managers may fail to meet client needs with regard to clinical care and psychological support. Thus, in the future, it is necessary to increase care manager manpower, to implement diversified services, and to coordinate care with holistic care objectives in support of family care objectives.
期刊論文
1.Black, D. A.(2007)。Case management for elderly people in the community。British Medical Journal Publishing Group,334(7583),3-4。  new window
2.黃源協(2006)。長期照顧品質管理體系之建構。社區化長期照護季刊,3,19-44。  延伸查詢new window
3.江武忠(20070300)。社區化長期照護體系--嘉義市個案管理模式為例。長期照護雜誌,11(1),27-34。  延伸查詢new window
4.Kuroda, A.、Tanaka, K.、Kobayashi, R.、Ito, T.、Ushiki, A.、Nakamura, K.(2007)。Effect of care manager support on health- related quality of life of caregivers of impaired elderly: One-year longitudinal study。Industrial Health,45(3),402-408。  new window
5.Offredy, M.、Bunn, F.、Morgan, J.(2009)。Case management in long term conditions: An inconsistent journey?。British Journal of Community Nursing,14(6),252-257。  new window
6.Sargent, P.、Pickard, S.、Sheaff, R.、Boaden, R.(2007)。Patient and carer perceptions of case management for longterm conditions。Health and Social Care in the Community,15(6),511-519。  new window
7.郭鳳霞、徐南麗(20020900)。個案管理師的角色與必備能力。慈濟護理雜誌,1(3),22-27。  延伸查詢new window
8.戴玉慈、張媚、呂寶靜、吳淑瓊(20040600)。社區式照顧管理模式的設立與初步評價。臺灣公共衛生雜誌,23(3),197-208。new window  延伸查詢new window
9.劉立凡(20090800)。Characteristics of the Home Service Utilization for Older Adults in Taiwan。臺灣老年醫學暨老年學雜誌,4(3),187-202。  延伸查詢new window
10.Dell Buono, M.、Busato, R.、Mazzetto, M.、Paccagnella, B.、Aleotti, F.(1999)。Community care for patients with Alzheimer's disease and non-demented elderly people: Use and satisfaction with services and unmet needs in family caregivers。International Journal of Geriatric Psychiatry,14(11),915-924。  new window
11.Glendenning-Napoli, A.、Dowling, B.、Pulvino, J.、Baillargeon, G.、Raimer, B. G.(2012)。Community-based case management for uninsured patients with chronic diseases: Effects on acute care utilization and costs。Professional Case Management,17(6),267-275。  new window
12.Kruk, M. E.、Freedman, L. P.(2008)。Assessing health system performance in developing countries: A review of the literature。Health Policy,85(3),263-276。  new window
13.Morales-Asencio, J. M.、Gonzalo-Jimenez, E.、Martin-Santos, F. J.、Morilla-Herrera, J. C.、Celdraan Manas, M.、Carrasco, A. M.、Toral-Lopez, I.(2008)。Effectiveness of a nurse-led case management home care model in primaiy health care. A quasi-experimental, controlled, multi-centre study。BMC Health Services Research,8(1),193。  new window
14.Onder, G.、Liperoti, R.、Soldato, M.、Carpenter, I.、Steel, K.、Bernabei, R.、Landi, F.(2007)。Case management and risk of nursing home admission for older adults in home care: Results of the aged in home care study。Journal of the American Geriatrics Society,55(3),439-444。  new window
15.Reilly, S.、Miranda-Castillo, C.、Malouf, R.、Hoe, J.、Toot, S.、Challis, D.、Orrell, M.(2015)。Case management approaches to home support for people with dementia。Cochrane Database of Systematic Reviews,1(1)。  new window
16.Schoenmakers, B.、Buntinx, F.、Devroey, D.、Van Casteren, V.、DeLepeleire, J.(2009)。The process of definitive institutionalization of community dwelling demented vs non demented elderly: Data obtained from a network of sentinel general practitioners。International Journal of Geriatric Psychiatry,24(5),523-531。  new window
17.Watkins, L.、Hall, C.、Kring, D.(2012)。Hospital to home: A transition program for frail older adults。Professional Case Management,17(3),117-123。  new window
研究報告
1.邱亨嘉、邱啟潤(2011)。長期照顧管理中心服務品質相關之實施研究 (計畫編號:DOH099-TD-M-113-0980047)。台北市:行政院衛生署。  延伸查詢new window
2.劉立凡(2007)。25縣市長期照顧管理中心運作現況與未來發展研究 (計畫編號:DOH97-TD-M-113-97021)。  延伸查詢new window
學位論文
1.黃家祺(2010)。長期照護服務提供者及服務使用者對長期照顧管理中心服務品質之認知(碩士論文)。高雄醫學大學。  延伸查詢new window
圖書
1.內政部社會司(200703)。我國長期照顧十年計畫--大溫暖社會福利套案之旗艦計畫。台北市:內政部社會司。  延伸查詢new window
其他
1.高雄市政府衛生局(2012)。高雄市100年度長期照顧服務滿意度調查,http://kM.kcg.gov.tw/Main.aspx?sn =978。  延伸查詢new window
2.護理及健康照護司(201307)。我國長期照顧十年計劃--101年至104年中程計畫,http://www.mohw.gov.tw/cht/DONAHC/DM1_P.aspx?f_list_no=581andfod_list_no =1402anddoc_no=3411。  延伸查詢new window
圖書論文
1.Phillips, J.(1996)。Reviewing the Literature on Care Management。Reviewing Care Management for Older People。London:Jessica Kingsley。  new window
2.Bland, R.(1996)。On the Margins: Care Management and Dementia。Reviewing Care Management for Older People。Jessica Kingsley Publishers。  new window
 
 
 
 
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