| Summary: | 碩士 === 嘉南藥理大學 === 醫務管理系 === 105 === Background: The eldery population over 65 years old was 13.2%, the average life expectancy was 79.84 years old, and the disabled elderly were estimated to reach 440 thousands in 2016. It indicates that people have to be cared in the last 7 years of theie lives. “Aging-in-Place” and “Active Aging” are ideal goals of long term care policies. However, rapid changes of society structure, family structure, population structure, and complicated patterns of disease, as well as medical technology advances, have caused people to live a long time, but do not necessarily have a good quality of life. People can select the institutional care to reduce the burden of family caregivers, so the elderly stay in institutions have increased.
Purpose: This study explores intentions of those whose families have been resided in long-term care institutions in Chiayi and Tainan areas, and investigate influencing factors of intetions.
Methods: A cross-sectional survey was implemented from February 1, 2016 to March 10, 2016. A total of 420 questionnaires were distributed and 238 were collected. After excluding 41 invalid questionnaires, valid questionnaires were 197 and the effective return rate was 47%. Data was properly analyzed by descriptive statistics, independent t test, one-way ANOVA, correlation coefficient, and linear regression analysis.
Results: The mean score of intention to select institutional long-term care is 3.80, standard deviation is 0.65. Intention of selecting institutional long-term care, the perceived attitude toward institutional care, choice obstacle, cognition of filial piety, and institutional perception are significantly correlated. Intention of selecting institutional care are significant different among variables in the age (p=0.041), the educational level (p=0.004) and the situation suffered from chronic diseases (p=0.007). Results of regression analysis find that the perceived attitude toward institutional care (β=0.446, p=0.000), cognition of filial piety (β=-0.140, p=0.001) and the education level which is a Bachelor degree or above compared to the illiterate (β=-0.534, p=0.011) are significantly influencing factors. Subjects with higher perceived attitude toward institutional care and lower cognition of filial piety have higher intentions to select institutional care. Subjects with Bachelor degree or above compared to those are illiterate have lower intentions to select institutional care.
Conclusions/Implications: Results show that the perceived attitude toward institutional care, cognition of filial piety and the education level which is a Bachelor degree or above compared to the illiterate are significantly influencing factors to select long-term institutional care. Managers of long-term care institutions should use network and communication technologies to communicate with families of institutional residences for avoiding misunderstanding and debates. Managers should also strengthen the staff training to provide active care taking and improve the quality of services. Managers can actively contact and concerned residents' families to reduce their anxiety or guilt of abandoning families. Due to changes of social structure, the severity of disease and disability, and the family's caring disability, institutional care is necessary. Current policies of “Long-term Care v2.0” lack strategies of institution-based care, and these strategies should be emphasized in the future.
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