影響出院準備服務個案使用不同長期照護服務之因素

Factors Associated with the Use of Long-term Care Services after Discharge Planning

陳亮汝(Liang-Ju Chen) ； 蔡麗珍(Li-Chen Tsai)

《醫務管理期刊》 13卷3期 (2012/09) Pp. 190-206

https://doi.org/10.6174/JHM2012.13(3).190

摘要

目的：為探討接受出院準備服務的個案，在出院後選擇不同長期照護服務安排之特質及其服務使用影響因素。方法：為橫斷性研究，研究對象為中部某區域教學醫院，過去一年接受出院準備服務且出院後有長期照護需求的個案，共有273位，扣除20歲以下非成年者、受訪時已死亡者、拒訪者等，共得分析樣本110位。以結構式問卷進行電話訪問收集資料，並參考Andersen Behavioral Model建構分析架構。資料將以SPSS 18.0進行描述性及推論性統計分析。結果：在控制其他因素後，對服務種類認知越多，較不會住進長期照護機構，其勝算比為0.64，而照顧者有工作者則顯著的較會使用長期照護機構，其勝算比為4.46。而聘用監護工的顯著因素則僅有身分別，結果顯示，一般戶較會聘用監護工，其勝算比為13.92。結論：未來在執行出院準備服務時，應加強推廣社區或居家式服務，並且要考量不同需求、不同經濟條件者的付費意願與能力。而出院準備服務計畫執行時，也應考量照顧者的工作狀況，才能轉介適切且滿足照顧需求的長期照護服務。

關鍵字

出院準備服務 ； 長期照護服務

並列摘要

Objective: The aim of this study was to explore the factors associated with the use of long-term care services after discharge from the hospital.Methods: This was a cross-sectional study of patients in a regional teaching hospital who were discharged from the hospital in pass 1 year. A total of 110 subjects completed a structured questionnaire by telephone interview. The Andersen Behavioral Model was used to examine the factors associated with the use of long-term care services. The data were analyzed with SPSS 18.0 Software.Results: After other variables were controlled, knowledge about long term care services (OR = 0.64) and a caregiver with a job (OR = 4.46) had significant effects on the use of institutional services. The probability of hiring a foreign care aide was significant for those without a social welfare subsidy (OR = 13.92).Conclusions: Community and home-based care services should be promoted during discharge planning. Care managers should determine willingness and ability to pay for services and the caregiver's job situation in order to provide the most appropriate services.

並列關鍵字

discharge planning ； long term care services

參考文獻

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