| Summary: | 碩士 === 弘光科技大學 === 老人福利與事業研究所 === 105 === The rapid growth of the elderly population in Taiwan, intertwined with the gradual changes in social and family structure, resulting in the reduction of the number in family care, has largely increased growing demand for long-term care. In addition to institutional care, the elderly also need community and home care. Therefore, in the A-B-C care mode for long-term care, community care base becomes important role at C-level. However, so far there is no study on the differences between urban and rural community care. Thus, the main purpose of this study is as follows:
1. To compare the degree of satisfaction between urban and rural areas in community care service.
2. To analyze whether the urban and rural areas affect their service satisfaction due to demographic changes and participation in the community.
3. To compare the degree of satisfaction between urban and rural areas.
This study was conducted by face-to-face questionnaire survey. The urban type was "Xitun District in Taichung City", the village was "Zhushan Town, Nantou County" A total of 125 valid samples were collected from the elderly, aged over 65, as the object of study with a structured questionnaire, interviewed eight community members in above sample communities.
This study has found out:
1. The elderly are satisfied with all aspects of community care and service facilities, service personnel, suitability, service items, physical and mental aspects, social participation and overall service satisfaction.
2. Significant differences exists in urban and rural community care service satisfaction in the environment and equipment, service personnel, activities, suitability, service projects, physical and mental, social participation, and the overall aspects
3. Different gender, age, educational level, monthly income, physical health, whether the charges, the situation will affect the participation of urban and rural service satisfaction.
On the base of these findings, this study proposes the following suggestions: In community care level: 1. Encouraging the elderly to participate in volunteer activities. 2. Design-related services for specific ethnic groups. 3. More dynamic events. 4. Listening to the service users to improve the quality of service. 5. Considering urban and rural differences and providing more appropriate services.
At policy level: 1. Providing appropriate subsidies for less economically disadvantaged population. 2. Creating a user-paid concept. 3. Emphasizing care in rural community. 4. Increasing the full-time manpower to enhance the specialization of the base. 5. Providing traffic service. 6. Strengthening the long-term care 2.0 policy advocacy, counseling A-B-C service model.
Keywords: Urban and rural areas, Satisfaction, Community care base, Community care, Long-term care
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