| Summary: | 碩士 === 亞洲大學 === 健康管理研究所 === 94 === Purpose: The topic is discussing the home care service and the almoner fee of the medium and low-income disable in Taichung.
Methods: The method is used the structural questionnaire research to conduct investigation. The first step is getting at least 160 individual questionnaires from the institutions of home services. (Recovery 93.6%) Then, disable level of home care use frequency, percent and chi-square test to discuss the cases.
The second step is visiting the cases of home care with home care attendant. We use the stopwatch to calculate the service items of home care by attendant. Then, basis of difficult and timing consume for analysis of RUGs.
Result: The higher proportion of home care is women (65.6%), the age of 74 to 84 (48.1%), widower (5 1.3%), live together (57.5%), and medium and low-income (81.3%). The highest hours of home care is eight hours every month (33.1%), one times a week (36.3%) and two hours for one times (85.2%): the most demand of home care and life care is house clean (86.2%), and the most demand of body care is helping bath (53.8%).
After chi-square test analysis, the relationship of service hours and Independent variables for cases of home care found the disease cases from home care, such as live status, disability handbook(Disable level) Action disable level (ADL) , and implement action disable level (IADL) . Above these items have germane for the hours of home care like helping bath, change clothes, eat and take a stroll. These service use reaches reveals the correlation with disable level cases.
According to difficult and timing consume to distribute nine items. Finally, we divide items into two groups by match. After Chi-Square Test analysis, we found that reveal the correlation between the difficult of home care and the disable level of cases (p<O.OO1). That is we must renew to calculate the charges of home care individually by the disable level of cases.
Conclusion: According to the RUGs analysis shows, the payment could not ues payment system only,but the compensation also must recalute upon the difficulty of services and the cost of time.The compensation of the services should be increased following the difficulty of the services,therefore,the attendant can get equally of payment system
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