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外文摘要
引文資料
題名:
Exploring the Home Services Utilization and Its Influencing Factors for Case Closures in Taiwan Long-term Care System
書刊名:
臺灣公共衛生雜誌
作者:
劉立凡
/
陳佳楨
/
李懿珍
/
劉建志
作者(外文):
Liu, Li-fan
/
Chen, Jia-jen
/
Lee, Yi-chan
/
Liu, Chien-chih
出版日期:
2018
卷期:
37:5
頁次:
頁539-553
主題關鍵詞:
居家服務
;
使用率
;
結案原因
;
未滿足需求
;
長期照護服務
;
Home services
;
Utilization
;
Case closure
;
Unmet need
;
Long-term care
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:75
目標:居家服務於長期照護中相當普遍,而發展以人為本的社區式服務,必須透過縱向資料的累積來了解高齡者之個人特性、服務使用與留住社區之能力。本研究目的在檢視南部某都市的居家服務利用情形、結案原因以及相關影響因素。方法:以南部某都市照顧管理資訊系統(LTC-CM)資料庫2011年至2015年為止曾核定使用居家服務之身心障礙者及老人現況資料進行分析,第一次需求評估中(T0)共有9,889名個案接受服務。Cox回歸分析應用於檢視服務利用兩年內結案原因分析,來找出潛在影響因子。結果:研究期間結案的比例偏高,其中死亡佔20%,離開服務佔41%(主因為個案之家庭網絡尋求其他照顧資源)。扣除死亡後結案的影響因子為一般戶、照顧者負荷較大、中度智力缺損者較易結案。結論:本研究結果實證居家服務的高結案率,建議除服務提供外,應重視個案的服務利用狀況與結案原因,建議未來進一步探討不續用服務者其產生服務缺口的原因。
以文找文
Objectives: In order to develop person-centered service delivery in the community, it is important to understand the causal relationships among older adults' personal factors, service utilizations, and the ability to reside in the community from a longitudinal perspective. This study aimed to examine the profile of home services utilization and the reasons for case closures in two years, as well as the related influencing factors, among home service recipients in southern Taiwan. Methods: We analyzed the long-term care dataset of one southern metropolitan area from 2011- 2015, and the records of 9,889 persons aged 50 and over who received home services with an initial need assessment (T0). The Cox Regression Analyses were used to examine the potential risk factors for leaving the services. Results: The high rates of case closures included death (20%) and drop-out (41%), mainly due to the need to search for caregiving resources within family networks. In terms of the influencing factors for leaving the services, those who with non-low household incomes, informal caregiving burden and moderate cognitive impairments were more likely to drop out. Conclusions: This study provides empirical evidence of the high dropout rate and the importance of further investigations to explore the service gap in this context, especially the need to give more attention to those service users who then drop out of the system.
以文找文
期刊論文
1.
Li, H.(2004)。Barriers to and Unmet Needs for Supportive Services: Experiences of Asian-American Caregivers。Journal of Cross-Cultural Gerontology,19,241-260。
2.
Card, D.、Dobkin, C.、Maestas, N.(2008)。The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare。American Economic Review,98(5),2242-2258。
3.
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
4.
Andersen, R.、Newman, J. F.(1973)。Societal and Individual Determinants of Medical Care Utilization in the United States。The Milbank Memorial Fund Quarterly: Health and Society,51(1),95-124。
5.
Chang, Ly-yun(2001)。Family at the Bedside: Strength of the Chinese Family or Weakness of Hospital Care?。Current Sociology,49(3),155-173。
6.
Liu, L. F.、Tinker, A.(2003)。Admission to Nursing Homes in Taiwan。Social Policy and Administration,37(10),376-394。
7.
Lima, J. C.、Allen, S. M.(2001)。Targeting risk for unmet need: Not enough help versus no help at all。J. Gerontol. B Psychol. Sci. Soc. Sci.,56(5),S302-S310。
8.
Ferry, T.(2017)。Caring for Taiwan's Elderly。Taiwan Business Topics,47(3),12-19。
9.
Shen, H. W.、Feld, S.、Dunkle, R. E.、Schroepfer, T.、Lehning, A.(2015)。The prevalence of older couples with ADL limitations and factors associated with ADL help receipt。J. Gerontol. Soc. Work,58,171-189。
10.
Goda, G. S.、Golberstein, E.、Grabowski, D. C.(2011)。Income and the utilization of long-term care services: evidence from the Social Security benefit notch。J. Health Econ.,30,719-729。
11.
Barczyk, Daniel、Kredler, Matthias(2018)。Evaluating long-term care policy options, taking the family seriously。Review of Economic Studies,85(2),766-809。
12.
Kersten, P.、McLellan, D. L.、Gross-Paju, K.(2000)。A questionnaire assessment of unmet needs for rehabilitation services and resources for people with multiple sclerosis: results of a pilot survey in five European countries。Clin. Rehabil.,14,42-49。
13.
Gaugler, J. E.、Kane, R. L.、Kane, R. A.、Newcomer, R.(2005)。Unmet care needs and key outcomes in dementia。J. Am. Geriatr. Soc.,53,2098-2105。
14.
Allin, S.、Masseria, C.(2009)。Unmet need as an indicator of health care access。Eurohealth,15,7-9。
15.
Branch, L. G.(2001)。Community long-term care services: what works and what doesn't?。Gerontologist,41,305-306。
16.
Schaller, F.、Sidelnikov, E.、Theiler, R.(2012)。Mild to moderate cognitive impairment is a major risk factor for mortality and nursing home admission in the first year after hip fracture。Bone,51,347-352。
17.
Herr, M.、Arvieu, J. J.、Aegerter, P.、Robine, J. M.、Ankri, J.(2014)。Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey。Eur. J. Public Health,24,808-813。
18.
Zhen, Z.、Feng, Q.、Gu, D.(2015)。The impacts of unmet needs for long-term care on mortality among older adults in China。J. Disabil. Policy Stud.,25,243-251。
19.
Nakagawa, Y.、Nasu, S.(2011)。Association between components of family care-givers' sense of burden and types of paid care services provided in Japan。Aging Ment. Health,15,687-701。
20.
Casado, B. L.、van Vulpen, K. S.、Davis, S. L.(2011)。Unmet needs for home and community-based services among frail older Americans and their caregivers。J. Aging Health,23,529-553。
21.
Black, B. S.、Johnston, D.、Rabins, P. V.、Morrison, A.、Lyketsos, C.、Samus, Q. M.(2013)。Unmet needs of community-residing persons with dementia and their informal caregivers: findings from the maximizing independence at home study。Journal of the American Geriatrics Society,61(12),2087-2095。
22.
Chen, C. F.(2016)。Insiders and outsiders: policy and care workers in Taiwan's long-term care system。Ageing and Society,36(10),2090-2116。
23.
Andersen, Ronald M.(1995)。Revisiting the behavioral model and access to medical care: Does it matter?。Journal of Health and Social Behavior,36(1),1-10。
圖書
1.
Kane, Rosalie A.、Kane, Robert L.、Ladd, Richard C.(1998)。The Heart of Long-Term Care。Oxford University Press。
2.
Evashwick, C.(2005)。The Continuum of Long-Term Care: Cengage Learning。Cengage Learning。
3.
Ministry of Health and Welfare, R.O.C. (Taiwan)(2016)。Long-Term Care Policy 2.0 (2017-2026)。Taipei:Executive Yuan, R.O.C. (Taiwan)。
其他
1.
Executive Yuan, Taiwan (R.O.C.)。Long-term care 2.0,https://goo.gl/hIinT4。
2.
National Development Council。Population Projections for R.O.C. (Taiwan): 2016-2060,https://goo.gl/EJAnQw。
3.
Ministry of Labor, R.O.C. (Taiwan)。Monthly Bulletin of Labor Statistics in July,https://goo.gl/ufljdy。
4.
Fox, J.,Weisberg, S.。Cox proportional-hazards regression for survival data in R,https://goo.gl/rHeQaS。
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