長期照護服務認知及使用意願之世代別分析

Generation Disparity in Long-Term Care Services Awareness and Use Willingness

郭姵伶(Pei-Ling Kao) ； 曾薔霓(Chiang-Ni Tseng) ； 張志娟(Chih-Chuan Chang) ； 陳惠芳(Hui-Fang Chen) ； 曾淑芬(Su-Feng Tseng)

《寶建醫護與管理雜誌》 9卷1期 (2011/06) Pp. 57-80

https://doi.org/10.29681/PCJHM.201106.0007

摘要

民眾對長期照護服務的需求增加，但民眾對長期照護服務的觀念及認知態度卻未必有所提升，本研究旨在從社會心理學角度切入，應用健康信念模式（Health Belief Model）來探討民眾對各種長期照護服務的接受及使用意向，同時著眼於不同世代間的差異，分析差異主要歸因，以為區域性長期照護政策之參考。本研究以台南縣市及宜蘭地區20歲以上參與社區健康講座活動之民眾為對象，並採用自擬問卷由受訪者自填問卷方式收集資料；有效問卷計762份，回收率為90%。研究結果顯示民眾對長期照護服務型態認知度以機構式照護服務最高（知道者達80.2%），其次為居家式照護服務（76.8%），而民眾知道有社區式照護服務者為74.5%。此三種服務型態的接受度在不同世代的分布狀況亦有極大之差別，其中青壯年世代對長期照護服務的使用意願較中老年世代高；而世代間對服務使用意願的差異，與自覺威脅（健康問題及照護需求）、社區資源及家庭支持等因素有關；對長期照護服務認知越高者，其使用意願也明顯較高。本研究建議加強居家式照護服務的相關福利及整合措施。

關鍵字

世代別 ； 長期照護服務 ； 認知 ； 使用意願

並列摘要

For the aging population is getting larger, public demand for long-term care services will also increase. Although our long-term care services resources had been significantly growing in recent years, public perception is unknown about whether the popularity of long-term cares services and the upgrade of cognition and attitude of its relevant services. Because the concept of cognition is closely related to the care services use behavior. Therefore, from the social psychology perspective, this study applied Health Belief Model to explore the public concepts of various long-term care services and the intention of use and meanwhile to focus on the differences among different generations and the reasons of differences. This study aims to provide the reference for future development of regional long-term care policy in Taiwan. The subjects are people who have been living in Tainan and Ilan County and are over 20 years old and have participated in community health education programs. Data collection was using the self-administered questionnaires. 762 valid questionnaires were collected and the response rate was 90%. And the study applied SPSS / pc software package for descriptive statistics and logistic regression statistical analysis. This study results showed the two highest types of long-term care services are institutional care services (that is up to 80.2%), followed by home based care services (76.8%), while the public aware of community care services is 74.5%. The acceptance of three service types in the distribution of different generations also has great differences. Overall, the young generation on the willingness of using long-term care services is higher than the middle-aged generation. The impact of the differences between generations about the use willingness of long-term care services is related to perceived threats (health problems and care needs), community resources and family support factors. With the higher long-term care service awareness, the use willingness also indicated significantly higher. The results showed the older generation still prefers home care services, but the actual use of the services is still low. There are needs to enhance and integrate related services and measures to increase the popularity of home care.

並列關鍵字

Generation disparity ； long-term care services ； awareness ； willing to use