| Summary: | 碩士 === 國立臺灣大學 === 衛生政策與管理研究所 === 89 === The purpose of this study is to examine the long-term care arrangement of the discharged patients suffered from stroke, and to analyze the factors associated with these different types of post-hospital care arrangement. The study draws on the data from the research project〝The Impact of policies on the accessibility, quality, and cost of long-term care〞. The sample in this study is consecutive stroke patients from 7 hospitals in Taipei at one month post discharge and screened as having need of long-term care.
The results revealed that 14.1% of the discharged patients needing long-term care lived in the long-term care institutions, 30.5% of them were cared by their families and used at least one kind of community-based formal care services, and 55.4% of them were cared by their families completely. It shows that the families bear quite huge responsibility of care.
In this study, the long-term care arrangement of discharged stroke patients is influenced by five domains：the sociodemographic characteristics of the patients, the need for health care, the resource of care, the discharge plan, and the resource exchanges between patients and their families when the patients were still healthy. After controlling for other factors by using the method of polytomous logistic regression, we found that (1) the patients who were older, discharged with 3~4 items of ADLs disabled, all the 5 ADLs disabled, had fewer children, been transferred to some kind of post-hospital care by their hospitals, never gave instrumental assistance to their families, never or seldom gave informational assistance to their families tended to live into the long-term care institutions. (2) the patients who were female, discharged with 3~4 ADLs disabled, all the 5 ADLs disabled, been transferred to some kind of post-hospital care by their hospitals, tended to be cared both by their families and community-based formal services.
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