| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 91 === Abstract
Title of thesis : The Study on Factors Affecting the Operational Efficiency
of Long-Term Care Facilities in Taiwan
Institution : Graduate Institute of Nursing, Taipei Medical University
Author : Lu, Min-Haui
Thesis directed by : Ching-Min Chen, RN, DNS, Associate Professor
The primary aims of this study were to examine the major
characteristics, operational efficiency and environmental impact upon long-term care facilities perceived by managers, and further to explore the major factors influencing the operational efficiency of long-term care facilities. The cross-sectional research design was use to mail-survey all managers of nursing homes and care centers licensed by 2000 in Taiwan.
The research instruments were self-developed with acceptable content
validity (CVI>.78) and reliability (Cronbach’s α=.68~.78). A total of 229 effective questionnaires returned (response rate=50.22%).
The average occupancy rate was 75.86% in nursing homes, which was lower than that of care centers (80.14%). The size of nursing homes (526.4 pin, 49.02 beds) in average was much larger than that of care centers (284
pin, 35.95 beds). In last year, the average turnover rate in nursing homes was 18.76%, and 21.30% in care centers ; However, for nursing aids, the turnover rate was higher in nursing homes (22.02%)than16% in the care centers. Majority (95.1%)of nursing homes managers with medical background, in contract, only half (51.7%) in care centers. Compare to nursing homes, care centers in general provided more diverse services. In last year, 30.25% of nursing homes surveyed was accredited by federal & state governments, however, only 22.3% of care centers was accredited.
Among 7 domains of environmental impacts on facilities, the managers perceived highest impact from the customers (M=2.62 , SD=.65) and lowest from the marketing (M=1.68, SD=.45). Those facility house were rented felt higher impact on policy laws, human resources and available bankroll than private owned and public funded facilities. Those rented perceived higher impact on operational management than the public funded. The perceived operational management impact was related to consumer source, housing status and facility type. The facilities taking low-incoming clients felt higher impact on available bankroll. The occupancy rate and manager’s age were negatively correlated with available bankroll of the environmental impact.
In term of operational efficiency, the facilities with improved occupancy rate tended to be high-school graduates, with set charge and perceived less impact on customers, policy laws, human resources, available bankroll and operational management. The manager’s age, perceived impact on available bankroll, size of the facility and private facilities, were negatively predicting occupancy rate. However number of nursing aids was positively correlated with occupancy rate .The above combination of five variables only explained 11.0% of variation on occupancy rate, Because a lot of long-term care facilities were centralized at southern and northern urban cities, suggestions were made to explore the supply and demand of long term care in every county in order to subsidize those in deficit and to guide those facilities in lower operational efficiency to adapt the diverse services contents.
Keywords: Long-term care facilities, Perceived of environmental impact, Operational efficiency
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