Study on Organizational Changes in Social Care Institutions from a Historical Institutional Perspective - Pingtung Veterans Home as a Case Study

• Main Authors: Lin, Ching, 林青
• Other Authors: Chiou, Yu-Chin, Ph.D.
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/03156306808125590481

碩士 === 國立屏東科技大學 === 社會工作系 === 99 === Abstract Student ID: M9761014 Title of Thesis: Study on Organizational Changes in Social Care Institutions from a Historical Institutional Perspective - Pingtung Veterans Home as a Case Study Total Pages: 206 National Pingtung University of Science and Technology Department/Graduate Institute: Department of Social Work Date of Graduation: January, 2011 Degree Conferred: second Name of Student: Lin Ching Advisor: Chiou, Yu-Chin, Ph.D. Abstract: This research examines the organizational changes in Pingtung Veterans Home from a historical institutional perspective. Pingtung Veterans Home has accumulated 57 years’ experiences of providing services for single veterans who came from mainland China to Taiwan in the 1950s. In response of the gradual withering of the veterans and the increasingly demand of institutional care for elderly caused by aging society, it is critical for Pingtung Veterans Home to develop forward-looking perspective by examining its organizational structure and service system. This study intended to achieve the following objectives as following. First, to explore the historical context and development of Pingtung Veteran’s Home, such as: what changes has the organization made under the political, economic, cultural, and social influences? Second, in order to cope with the pressure of competition in social services markets, what changes have been made in terms of the veteran’s welfare as well as systematic structure? And what response strategies have been adopted in the different phases? Third, what are the influences of the organization’s professional development, including social work and nursing services, on veterans and residents? Finally, suggestions relating to the forward-looking development of Pingtung Veterans Home are presented. Pingtung Veterans Home has gone through changes caused by political, economical, cultural, social conditions as well as the changing needs of residents. This process can be categorized into three different stages, which are: Basic Resources, Improvement & Development, and Professionalism & Diversity. In this study, historical data, in-depth interviews and statistical data were collected to analyze the characteristics of Pingtung Veterans Home, such as: organizational development features, management models, organizational arrangement and manpower allocation. There are several important findings in this study. (1) The original design of Pingtung Veterans Home only targeted elderly care without considering the concept of social services. It was not until recently that social welfare became a focus, thereby transforming the government-financed superannuation to social care system; (2) Subject to the restrictions of the “Armed Forces Military Personnel Marriage Act during the Period for Suppression of the Communist Rebellion” in the early times, the veterans were unable to marry. As these veterans got older and as their physical strength gradually declined, they had no choice but to accept institutional care; (3) the veterans that arrived in Taiwan with the government were in their prime, care demands were not yet an issue. At the time, the government mainly adopted the employment-based guidance policy. As the veterans got older, “placement in nursing homes” became a way of supporting for retired military personnel; (4) Pingtung Veterans Home is led and managed mainly by military transits so that veteran care remains the same as that of the group management model adopted in the military. However, under the influence of the social welfare thoughts and evaluation system, the services were headed toward individualized services; (5) in response to the needs of the aging population, Pingtung Veterans Home was aware of the need for professional diversity and gradually changed its target from veterans-only to the public. It now provides day care for the public and implements OT outsourcing plan with the local government to host low-income and disabled people; and (6) the mystery of military management has been revealed after Pingtung Veterans Home officially accepted to partake in the evaluation. Major changes have been made, especially in terms of its professional development and the residents’ autonomy.