居家服務使用之相關因素研究

Factors Associated with the Use of Home Care Services

紀玫如(Mei-Ju Chi) ； 莊坤洋(Kun-Yang Chuang) ； 吳振龍(Chen-Long Wu) ； 吳淑瓊(Shwu-Chong Wu)

《台灣公共衛生雜誌》 25卷1期 (2006/02) Pp. 37-48

https://doi.org/10.6288/TJPH2006-25-01-04

摘要

目標：為檢驗居家服務需要者使用居家服務的影響因素。方法：本研究對象選自「建構長期照護體系先導計畫」實驗社區中有居家服務需要之個案，91年1月到92年2月間共有657名；再以自擬結構式問卷經電話訪問收集資料，最後取得有效樣本數463名個案進行分析。其中由自己決定是否使用服務者178名，由家人決定者285名，以邏輯斯複迴歸分別對這兩類樣本進行相關因素之檢驗分析。結果：全部分析樣本中有44.5%的個案有使用居家服務。對居家服務的預期效用和兩類樣本使用居家服務顯著相關，認為效用高者使用的意願機會較高（自己決定樣本之勝算比為7.53，95%CI為3.20-17.75；家人決定樣本之勝算比為9.54，95%CI為4.87-18.68）；另外在家人決定的樣本中，失能程度越嚴重者（勝算比為2.32，95%CI為1.00-5.43）越會去使用服務；照顧觀念越傳統者（勝算比為0.46，95%CI為0.18-0.94）則越不願意使用服務。結論：對服務的預期效用和照顧觀念是民眾決定是否使用服務的重要相關因素，未來政府推動相關政策時可加強此一部份的宣導和規劃。

關鍵字

居家服務 ； 服務利用

並列摘要

Objective: To examine the effects on home care services utilization by the needy. Method: A total of 657 homecare-needed from the experimental-community of ”Pilot Program for the Development of Long Term Care System” were interviewed by constructed-questionnaire on telephone, and 463 subjects were qualified and completed finally. All subjects were the decision maker of the services use and we separated them into 2 models (”self-decided” were 178 and ”family-decided” were 285) to analyze. Results: There were 44.5% of respondents who had used homecare. Logistic regression showed that, after controlling for other variables, the expect-utility was the significant factor in both models (OR of self-decided=7.53, 95% CI=3.20-17.75; OR of family-decided=9.54, 95%CI=4.87-18.68). Otherwise, more ADL (activity of daily living) disability (OR=2.32, 95%CI=1.00-5.43) and less effect on filial piety (OR=0.46, 95%CI=0.18-0.94) were more likely to use in ”family-decided” model. Conclusions: Expected-utility of services and filial piety are two important factors associated with the use of homecare. Our government should enhance the programming and information when promoting relative long-term care policy.

並列關鍵字

home care ； utilization

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