| Summary: | 博士 === 國立中正大學 === 社會福利研究所 === 105 === Home care services have been provided for more than 30 years in Taiwan. It has been the most utilized program since 10-Year Long-Term Care Policy were implemented in 2008. However, due to budget limitation and lack of flexibility, it cannot meet the needs of families with disable elders.
On supply side, the predicament of home care worker shortage led to heavy dependence on foreign care workers. Thus local home care services cannot be well developed. This study attempts to improve traditional home care services through exploring all in one care services conducted by Fu-hsing Community Care Service Center of Hondao Elder Social Foundation.
This study analyzes the concepts, development and operations of “All in One Care Service”program. Two aspects of major findings are as following:
1.On service need side, there are both external and internal personal factors that limit the uses of traditional home care services, while all in one care services can meet more users’ needs, including more service frequencies and additional car services at users’own expenses. However, night services and all-day services still cannot be well served for some users.
2. On service supply side, major differences between all in on care services and the traditional care services are“holistic”services, which offer several services in one day to meet users’needs, and organize team work to provide multiple services. On labor supply, monthly payment and career planning both produce positive effects on recruiting young workers. However, the hourly service cost is estimated to be 398 NT dollars, due to high indirect costs， which have to be cut down in the future. The all in one care service program results in many effects on the adjustment of home care organization, including providing more flexible services, discarding hourly wage and planning human resource development strategy.
Based on these findings, this study suggests that home care service needs should be focused to arrange care supply, and labor development should be planned to enhance the quantity and quality of care workers that home care services can be sustainably developed.
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