社區照顧關懷據點經營管理策略之研究－以彰化市為例－

本研究旨在探究彰化市社區照顧關懷據點經營管理現況、困境及策略。為有效達成研究目的，本研究採質與量並行之方式，以文件分析與德懷術等研究方法進行探究。首先，針對彰化市社區照顧關懷據點之源起與實行現況、社區照顧理論、經營管理理論及社區照顧關懷據點經營管理策略等相關文獻進行探究，歸納出社區照顧關懷據點經營管理策略構面與內涵，並依據文獻探討與文件分析結果，自行編製第ㄧ次德懷術問卷（初稿），發展德懷術所需之研究工具。其次，本研究依據研究目的與範圍，參照德懷術取樣準則，針對德懷術專家進行研究對象之取樣工作。本研究以立意取樣方式，選取目前任職於彰化市社區照顧關懷據點負責人、彰化縣政府業務主管及學術界相關領域教授等三類職務類別之德懷術專家，共計二十ㄧ人，進行三次德懷術問卷調查作業。德懷術在資料分析方法上，屬於無母數統計分析，待德懷術問卷調查回收後，本研究即進行各策略構面與內涵之假設考驗（柯-史單一樣本考驗、克-瓦二氏單因子等級變異數分析及符號考驗）與描述性統計分析。最後，依據前述研究歷程與資料分析結果，研擬結論與建議，冀協助彰化市或其他地區之社區照顧關懷據點，檢核並改善其經營管理方式，以達永續經營之目標。

關鍵字

社區照顧；社區照顧關懷據點；在地老化；經營管理；經營管理策略

並列摘要

The main purpose of the study was to plan a concrete and efficient management strategy by means of exploring current situation, dilemma and strategies for community caring-concern centers in Changhua city. In order to accomplished the purpose, this study employed the mixed of both qualitative and qualitative analysis, the document analysis and Delphi technique were conducted. First, the study was centered on about the origins, current situation, theory of community caring-concern, management, strategies and related papers. The findings were summarized in perspectives and connotations for management strategy of community caring-concern. The first draft of Delphi questionnaire was composed according to the result of literature review and document analysis. Second, referring to research purpose and field, and following Delphi technique, a purposively sampling method was used to select 21 Delphi experts, including the person in charge of community caring-concern centers in Changhua city, executives of Changhua County Government, and academic professors in related domain. The 3-round questionnaires of Delphi surveys were conducted to analyze hypothesis researches (Kolmogorov-Smirnov one sample test, Kruskal-Wallis one-way analysis of variance by rank and the sign test) and descriptive statistics on perspectives and connotations for management of community caring-concern centers.Finally, on the basis of above results, this study concluded the findings and gave its suggestions, hoping to assist the community caring-concern centers in Changhua or other cities, which can examine and improve management mode, and achieve the goal of sustainable management.