以經理人觀點探討影響長期照顧機構空間規劃之因素

The Perspectives of the Managers on the Space Setting Issues of the Long Term Care Instirutes

林佳靜(Chia-ching Lin)

指導教授 ： 謝嫣娉

亞洲大學/健康學院/長期照護研究所/碩士(2011年)

摘要

隨著老年人口的增加，老人長期照顧機構也逐漸盤升當中。而台灣長照機構約有1400間，且多數為私人經營，加上機構經理人多半負責對機構空間的設計及使用方式等權利。但是極少探討解機構經理人對機構空間的配置概念及困難處。本研究目的旨在了解經理人對機構空間配置之影響因素。本研究以分層隨機抽樣方式選取全國(北部、中部、南部、東部及離島地區)之護理之家、長期照護中心與安養護機構之機構經理人，共有151位作為研究對象，實施期限為三個月，以問卷方式進行調查。
研究結果發現：經理人認為規劃機構空間最重要的是「預防感染及意外設備的機能性」最重要，第二重要為「空間的健康性」；執行困難程度最高為「預防感染及意外設備的機能性」，第二困難的為「社交活動性」。另外，機構為長期照護中心、內部空間格局為混合型、年齡在66歲以上且是兼職聘任的經理人對配置空間的執行能力較困難；相反的，機構經理人的婚姻狀況為離異分居、服務機構達20年以上之主管級、加上機構為安養中心與其他、私人型態且建築物以混合型，是對空間配置執行程度越容易。
本研究藉由以上研究結果得知，建議政府可以朝年齡較年長者且兼職聘任之機構經理人加強宣導空間配置課程或舉辦空間配置課程、雙方座談會，讓政府可了解機構的狀況及問題，並以獎勵或積點來增加機構經理人的參與，規劃出機構居家化及人性化，讓機構經理人與受照顧者雙方面適合的機構空間。

關鍵字

長期照護機構 ； 機構經理人 ； 機構空間 ； 執行困難

並列摘要

With the increase of the aging population, the number of long term care institution for older people is growing too. There are about 1,400 long term care institutions in Taiwan, and most of them are private. Moreover, those managers of these institutions are mainly in charge of space designing and setting regulations for the institutions. However, there is much less discussion on deconstructing their concept of space design and difficulties. The study aims to explore what will influence the managers to design space. The method used in this thesis is based on survey-questionnaire. It uses stratified random sample of those nursing houses, long term care institutions and sanatoriums in the north, middle and south of Taiwan, during the three months of interviewing assist survey.
The result showed that the most important consideration for managers in designing institutions spaces to take is infection prevention and the function of accidental facilities. The second one is spaces for health. And the most difficult part for them is to implement equipments to prevent accidental infection, and the second one is the social activities. Besides, the employed part-time managers who are more than 66 years has more difficulties to configure the space; on the contrary, the managers who are separated marital status as divorced, services organization of more than 20 years of executive experience, with agencies or other nursing houses, private types and the building is a mixed type, is the extent of implementation of spatial configuration easier.
This study suggested that the government should set the courses of space design mostly for those older managers of institutions, or hold mutual forums in order to know what situations and problems the institutions could have. In addition, the government should encourage managers to participate in those courses by rewarding
them; consequently the institution’s spaces will be, and makes comfortable for managers and people who need care.

並列關鍵字

long-term care institution ； managers ； space setting ； implementation difficult

參考文獻

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