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題名:影響出院準備服務個案使用不同長期照護服務之因素
書刊名:醫務管理期刊
作者:陳亮汝 引用關係蔡麗珍
作者(外文):Chen, Liang-juTsai, Li-chen
出版日期:2012
卷期:13:3
頁次:頁190-206
主題關鍵詞:出院準備服務長期照護服務Discharge planningLong term care services
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(8) 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:8
  • 共同引用共同引用:51
  • 點閱點閱:146
目的:為探討接受出院準備服務的個案,在出院後選擇不同長期照護服務安排之特質及其服務使用影響因素。方法:為橫斷性研究,研究對象為中部某區域教學醫院,過去一年接受出院準備服務且出院後有長期照護需求的個案,共有273位,扣除20歲以下非成年者、受訪時已死亡者、拒訪者等,共得分析樣本110位。以結構式問卷進行電話訪問收集資料,並參考Andersen Behavioral Model建構分析架構。資料將以SPSS 18.0進行描述性及推論性統計分析。結果:在控制其他因素後,對服務種類認知越多,較不會住進長期照護機構,其勝算比為0.64,而照顧者有工作者則顯著的較會使用長期照護機構,其勝算比為4.46。而聘用監護工的顯著因素則僅有身分別,結果顯示,一般戶較會聘用監護工,其勝算比為13.92。結論:未來在執行出院準備服務時,應加強推廣社區或居家式服務,並且要考量不同需求、不同經濟條件者的付費意願與能力。而出院準備服務計畫執行時,也應考量照顧者的工作狀況,才能轉介適切且滿足照顧需求的長期照護服務。
Objective: The aim of this study was to explore the factors associated with the use of long-term care services after discharge from the hospital.Methods: This was a cross-sectional study of patients in a regional teaching hospital who were discharged from the hospital in pass 1 year. A total of 110 subjects completed a structured questionnaire by telephone interview. The Andersen Behavioral Model was used to examine the factors associated with the use of long-term care services. The data were analyzed with SPSS 18.0 Software.Results: After other variables were controlled, knowledge about long term care services (OR = 0.64) and a caregiver with a job (OR = 4.46) had significant effects on the use of institutional services. The probability of hiring a foreign care aide was significant for those without a social welfare subsidy (OR = 13.92).Conclusions: Community and home-based care services should be promoted during discharge planning. Care managers should determine willingness and ability to pay for services and the caregiver's job situation in order to provide the most appropriate services.
Other
1.Liu, K., K. Manton, and C. Aragon(2000)。Changes in Home Care Use by Disabled Elderly Persons: 1982-1994。  new window
期刊論文
1.詹惠雅、張瑛、周桂如(20050100)。超長住院個案之出院準備服務。臺灣醫學,9(1),96-101。  延伸查詢new window
2.許秀卿、陳志道、蕭芝殷、劉玉玲(20091200)。出院準備服務之效果評估及影響出院後照顧模式之相關因素探討。臺灣家庭醫學雜誌,19(4),192-202。  延伸查詢new window
3.吳淑瓊、朱昭美(19950800)。民眾對老人長期照護安排之態度:1994臺灣地區社會意向調查之發現。中華公共衛生雜誌,14(4),369-382。new window  延伸查詢new window
4.Naylor, M. D.、Brooten, D.、Campbell, R.、Jacobsen, B. S.、Mezey, M. D.、Pauly, M. V.、Schwartz, J. S.(1999)。Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial。Journal of the American Medical Association,281(7),613-620。  new window
5.陳亮汝、吳淑瓊(20080200)。居家失能老人使用外籍監護工之相關因素分析。臺灣公共衛生雜誌,27(1),32-43。new window  延伸查詢new window
6.戴玉慈、張丹蓉、羅美芳(19980300)。臺灣地區之出院準備服務--試行計劃成果分析。慈濟醫學,10(1),61-68。  延伸查詢new window
7.蔡宗學、莊坤洋、戴玉慈、曾淑芬、吳淑瓊(20040600)。中風病人具身體功能障礙者出院準備服務之執行評估:病人的角度。臺灣公共衛生雜誌,23(3),235-248。new window  延伸查詢new window
8.紀玫如、莊坤洋、吳振龍、吳淑瓊(20060200)。居家服務使用之相關因素研究。臺灣公共衛生雜誌,25(1),37-48。new window  延伸查詢new window
9.史麗珠、莊凱嵐、黎惠芳、王惠玄、胡文潔、王曉慧、蔡玉霞、鄭學慧(20110300)。出院準備服務:出院後不同照護模式的選擇、再入院率、死亡率的分析。Chung Shan Medical Journal,22(1),3-33。  延伸查詢new window
10.張宏哲(20020300)。社區老人使用福利服務的情形及其相關因素之探討:以臺北縣為例。東吳社會工作學報,8,183-232。new window  延伸查詢new window
11.邱啟潤、陳武宗、陳宜品(20051200)。以Andersen模式探討家庭照顧者對正式支持系統的利用。長期照護雜誌,9(4),331-348。  延伸查詢new window
其他
1.Bull MJ, Hansen HE, Gross CR(2000)。A professional-patient partnership model of discharge planning with elders hospitalized with heart failure。  new window
2.Haddock KS(1994)。Collaborative discharge planning: Nursing and social services。  new window
3.郭麗敏、徐亞瑛、江慧玲、陳品玲(2005)。出院準備服務對中風老人主要照顧者生活品質的影響。  延伸查詢new window
4.林佳淑、蔡青芬、陳岳君、柯靜玲(2006)。提升出院準備服務高危險群病患通報率。  延伸查詢new window
5.Dai YT, Chang Y, Hsieh CY, Tai TY.(2003)。Effectiveness of a pilot project of discharge planning in Taiwan。  new window
6.Yamamoto L, Lucey C.(2005)。Case management “within the walls”: a glimpse into the future。  new window
7.Damiani G, Federico B, Venditti A, et al.(2009)。Hospital discharge planning and continuity of care for aged people in an Italian local health unit: does the care-home model reduce hospital readmission and mortality rates?。  new window
8.Shepperd S, Parkes J, McClaren J, Phillips C.(2010)。Discharge planning from hospital to home。  new window
9.梁亞文、王素美、李卓倫、林育秀、鄭瑛琳(2008)。出院準備服務病患入住機構式長期照護之相關因素探討。  延伸查詢new window
10.張文瓊(2001)。中風病人出院後之長期照護安排。  延伸查詢new window
11.Mercier JM, Shelley MC(1997)。Access to Health care among three cohorts of older americans residing in a rural state。  new window
12.Dunlop DD, Manheim LM, Song J, Chang RW(2002)。Gender and ethnic-racial disparities in health care utilization among older adults. The Journals of Gerontology。  new window
13.Diwan S, Shugarman LR, Fries BE(2004)。Problem identification and care plan responses in a home and communitybased services program。  new window
14.White-Means SI, Rubin RM(2004)。Is there equity in the home health care market? Understanding racial patterns in the use of formal home health care。  new window
15.Miller B, Campbell RT, Davis L, Furner S, Giachello A.(1996)。Minority use of community long-term care services: a comparative analysis。  new window
16.Langa KM, Chernew ME, Kabeto MU, Katz SJ(2001)。The explosion in paid home health care in the 1990s: who received the additional services?。  new window
17.Lee T, Kovner CT, Mezey MD, Ko IS(2001)。Factors influencing long-term home care utilization by the older population: implications for targeting。  new window
18.Kim EY, Kim CY(2004)。Who Wants to Enter a Long-Term Care Facility in a Rapidly Aging Non-Western Society? Attitudes of Older Koreans Toward Long-Term Care Facilities。  new window
19.王素美(2006)。出院準備服務對病患選擇機構是長期照顧之探討。  延伸查詢new window
 
 
 
 
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