社區失能個案規範性與感覺性長期照護服務需求之比較研究

A Comparison between Normative and Felt Long-Term Care Needs in the Community-Dwelling Disabled

江慧琪(Hui-Chi Chiang) ； 黃惠滿(Hui-Man Huang) ； 張宏哲(Hong-Jer Chang) ； 王祖琪(Tsu-Chi Wang)

《台灣健康照顧研究學刊》 13期 (2012/09) Pp. 23-41

https://doi.org/10.29750/TJTHCA.201209.0002

摘要

本研究目的在瞭解社區失能個案的長期照護服務需求狀況，並比較個案規範性與感覺性長期照護服務需求之一致性，以作為後續評估、提供服務之參考。採橫斷式、比較性研究設計，研究對象為一長期照護服務中心收案評估之513位個案。研究結果呈現：（1）社區失能個案的長期照護服務需求，最迫切的前三項為居家物理治療、輔具及環境改造、及居家照顧服務需求。（2）個案的長期照護規範性需求與感覺性需求一致性非常高；僅居家醫師往診服務需求之一致性較低。本研究建議未來可探討社區失能個案之長期照護服務需求與資源使用狀況間之關係，以協助照顧管理師在實務上提供社區失能者適切的服務。

關鍵字

社區失能個案 ； 長期照護服務需求 ； 規範性需求 ； 感覺性需求 ； 照顧管理師

並列摘要

The purpose of this study were, firstly, to understand the general needs for long-term care service in community-dwelling disabled, and, secondly, to compare their normative and felt long-term care needs for providing a further assessment and service. This study was a cross-sectional and comparative design. The subjects were selected from a long-term care service center, 513 subjects were recruited in the study. The results demonstrated: Three most important needs of long-term care service were home-care physical therapy; assistant instrument with house environment improvement; and home care. There was a high consistency between normative needs and felt needs among the community-dwelling disabled. The lowest consistency item of service needs was home-care doctor out-clinic-service. In order to assist care managers to provide an appropriate service for community-dwelling disabled, a further research on the relationships between long-term care needs and resources utilization among community-dwelling disabled is recommended.

並列關鍵字

Community-dwelling disabled ； long-term care needs ； normative care needs ； felt care needs ； care manager