| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 101 === Objective: To explore the utilization factors of long-term care services among the primary caregivers in Taipei City. Methods: Study subjects were derived from the databank of Taipei Long-term Care Management Center from January 2011 to April 2012. There were 6,831 eligible beneficiaries of long-term care services and 1,104 study subjects were recruited by Simple Random Sampling. Data collected by mailed self-administered questionnaires to 1,104 of primary caregivers of long-term care services. There are 627 caregivers of long-term care services returned their valid questionnaires. The study employed SPSS21.0 version as data analyses. Results: Health service receiver who are heavier disability and care expense more than social service receiver (p<0.001 and p=0.041, respectively). Primary caregivers think that the best three of long-term care receiver service are home care, home service, and traffic & special shuttle services The primary caregivers who think that the utilization factors are “the service is good for case’s physical status” or “the service charge is reasonable, so they could afford it” would more likely continue to utilize home care (p=0.001 and p=0.006, respectively). If doesn’t have foreign domestic helper, would more likely continue to utilize home rehabilitation (p=0.031). The primary caregivers who think that the utilization factors are “someone can accompany case in spare time” would more likely continue to utilize home service (p=0.004). If doesn’t have foreign domestic helper, would reduce the needs of using institutional respite care (p=0.012). If the home respite service and long-term care facilities charge are reasonable and affordable, then primary caregivers would more likely continue to utilize the service (p=0.021 and p=0.016, respectively). The primary caregivers who think that the utilization factor is “elastic service time” would more likely continue to utilize day care (p=0.050). With increasing of primary caregivers’ age, the utilization of home meal service would increase accordingly(p=0.047). The primary caregivers who think that the utilization factors are “reduce the care burden” or “elastic service time” would more likely continue to utilize assistive device and non-obstacle environment improvement (p=0.023 and p=0.040, respectively). If doesn’t have suitable transportation and its elastic time for service, would more likely continue to utilize traffic & special shuttle services (p=0.011 and p=0.037, respectively).
Conclusions: The two utilization factors for primary caregivers keep continuing service in long-term care are satisfaction, “the service is good for case’s physical status” and “reduce the care burden”. The major non-utilization factors of long term care service are economic consideration, common sense of service, the complicated application of long-term care services, and have foreign domestic helper. This study could be a reference for government to administer long term care service so as to improve the factors which primary caregivers would not utilize services and increase the utilization of long term care service.
|
|---|
