居家照護病患及主要照顧者在長期照顧資源的利用及可近性探討

Access to and Use of Long-term Care Resources by Home Care Patients and Their Primary Caregivers

邱啟潤(Chii-Jun Chiou) ； 黃鈺琦(Yu-Chi Huang)

《長期照護雜誌》 14卷3期 (2010/12) Pp. 293-309

https://doi.org/10.6317/LTC.201012_14(3).0005

摘要

居家照護病患與其照顧者需求之服務資源是多元的，故本研究目的是針對居家照護病患的主要照顧者，對長期照顧資源的可獲性和可近性進行探討。以南台灣高高屏三縣市，28家醫院型態的居家照護機構，進行分層隨機抽樣，抽出13家，由主要照顧者自填結構式問卷，完成有效問卷365份，問卷回收率為88%。結果顯示居家照護病患利用過的資源，以身心障礙手冊申請(84.4%)為最多，其次較多的依序為輔具或醫療器材之補助和醫院的出院準備服務(76.4%)、119緊急救援系統(55.1%)、外籍看護工(49.3%)及長照管理中心的服務(43.0%)。照顧者自認有需求但資源的可近性不好者為居家營養及居家復健，最需要的資源為多分享與交流照顧知識與技巧，及就醫用復康巴士。建議可提供以病患或照顧者為中心的服務，建立一個分享知識與技巧的平台，針對病患與主要照顧者的臨時需求提供一個更多元的服務、方便又便宜的就醫復康巴士，以及加強外籍看護工照顧品質的訓練。

關鍵字

長期照顧資源 ； 居家照護服務 ； 可近性

並列摘要

Home care patients and their caregivers have diverse service needs. The purpose of this study was to investigate the availability and accessibility of long-term care resources for home care patients and their primary caregivers. We used stratified and random sampling method and selected 13 out of 28 hospital-based home care agencies in Kaohsiung city, Kaohsiung County and Pingtung County in southern Taiwan. A total of 365 primary caregivers completed a self-administered questionnaire, giving a response rate of 88%. Results demonstrated that the most commonly used home care resources were those provided to patients with a mental or physical disability (84.4%) followed by subsidies for medical equipment and assistive devices, and hospital discharge planning (76.4%), the 119 emergency rescue service (55.1%), foreign care workers (49.3%) and long term care management center services (43.0%). Caregivers reported a need for and poor access to home care nutrition and home rehabilitation resources. Moreover, there is a need to share and exchange knowledge and skills between caregivers or professional personnel. We recommend the establishment of a center for home care patients and their caregivers, where knowledge and skills can be shared. Respite care catering to a diverse range of needs could be provided with the help of a convenient and inexpensive Rehabus service. Finally, the standard of foreign care workers should be improved through appropriate training.

並列關鍵字

long-term care resources ； home health care services ； accessibility