| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 89 === With the rapid aging of the population, in Taiwan, it has brought forth the need of long-term care and hence, the accelerated increase in the number of institutions founded. On the contrary to this demand, the system is facing various predicaments. The mounting pressures from competitors, as well as the need to raise the standards of service, is taking its toll on the operation of institutions and hence, forcing management not to overlook the viability of co-operative programs between organizations.
The aim of this study was to investigate the status and characteristics of organizations of long-term care for the elderly, in northern Taiwan, and explore the disposition of the organizations for strategic alliance, as well as other factors. Furthermore, the study aims to provide specific suggestions at the level of management for future governmental reference and, in the long term, to provoke alternative thoughts on management in the industry.
This investigate adopted the method of Cross-Sectional Study, surveying 517 elderly care institutes in northern Taiwan by mail. 403 valid surveys were returned, an effective return rate of 78.9%. Major findings of this study are as follows:
1. A 50.3% of the care institutes have had collaborations prior to this study, and were only mildly satisfied with the overall co-operation.
2. Institution operatives had more thorough understanding regarding long-term care (av. 1.64-1.96%) but were less clear on strategic alliance (av. 1.22-1.32%).
3. A 66.1% of the care institutes were willing to form strategic alliance in order to boost competitiveness (28.3%), expand their range of service (23.9%) and, improve the efficiency of the use of resources (15.5%).
4. Amongst those willing to comply with alliances, cooperative research alliances were most highly favored (84.1%) over management alliances (80.7%), and financial alliances were least favored (37.6%).
5. Of those inclined to form alliances, hospitals (60.3%), foster cares bodies (12.6%) and physiotherapeutic institutions (10.9%) were found to be the preferred subject for collaboration. The individuals preferred are doctors (41.5%), nursing staff (22.0%), and physiotherapists (9.8%).
6. Major factors affecting the willingness of long-term elderly care bodies to form alliances include: the age of the management staff, primary working motives, and the occupying rate at the long-term care institution.
7. Tendencies in relationships between the fundamental characteristics of the operatives and the form of strategic alliance:
I、 Female operatives were more inclined, than male operatives, to adopt alliances in the reciprocal aiding of resources and, information exchange.
II、 All age groups within the age of 65 were more inclined than age groups 66 and above to form alliances in the purchase of resources.
III、 Operatives with non-nursing-related education backgrounds were more inclined, than operatives with nursing-related education backgrounds, to form alliances in management.
8. Tendencies in relationships between the fundamental characteristics of care institutions and the form of strategic alliance:
I、 Non-registered care institutions were more inclined, than registered care institutions, to adopt alliances in the reciprocal aiding of human resources.
II、 Non-juridical funded care institutions were more inclined, than juridical funded care institutions, to adopt alliances in the form of partnerships and combined purchasing of resources.
III、 Registered care institutions were more inclined, than non-registered care institutions, to form alliances in the exchange of information.
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