影響居家服務使用因素-以疾病別為例

Factors Related to the Home Care Services Utilization -Using Diseases as an Example

柯玉庭(Yu-Ting Ke)

指導教授 ： 韓幸紋

淡江大學/商管學院/會計學系碩士班/碩士(2019年)

https://doi.org/10.6846/TKU.2019.00633

摘要

本文主要探討個案使用居家服務的影響因素，並瞭解哪些因素會影響個案實際使用給付額度。主要分析有無罹患膝關節炎、失智症、中風及心臟病者，研究期間為106年4月至8月，為長期照顧2.0居家服務支付給付新制試辦計畫，並採行包裹制。
研究結果發現，個案患有膝關節炎，無論在何種失能程度，皆較未罹患膝關節炎者選擇使用居家服務的機率高；患有失智症的病患，僅在重度失能情況下較未罹患失智症者使用居家服務的機率高；相反的，患有中風的病患，無論在何種失能程度下，皆較未中風者使用居家服務的機率低，但在刪除有機構式及看護之部份樣本後，發現僅在輕度失能下，較未中風者使用居家服務的機率高，其他失能程度皆不顯著，表示患有中風之個案可能傾向住在機構或聘請看護；個案患有心臟病，在無失能、輕度及重度失能下使用居家服務的機率顯著高於未罹患心臟病者。
另外，使用額度比例方面，結果顯示，患有失智症之個案僅在重度失能情況下，對使用額度比例呈現正顯著；患有心臟病之個案僅在失能中度情況下，對使用額度比例呈現正顯著，表示只有這兩種疾病對政府所給予之給付額度有積極使用。

關鍵字

居家服務 ； 使用因素 ； 使用額度比例

並列摘要

This article focuses on the use factor of home services in a case and understands which factors affect the user percent of amount. The main analysis was whether there were knee arthritis, dementia, stroke and heart disease. The study period, from April to August, 106 is Long-term Care 2.0 pilot project.
The study found that patients with knee arthritis, regardless of the level of disability, were more likely to choose home care than those without knee arthritis. Patients with dementia have a higher chance of using home services than those who have no dementia in severe disability. Conversely, patients with strokes, regardless of the level of disability, have a lower chance of using home services than those without strokes, but after removing some samples of institutional and have a caregiver, they found only mild disability, the chances of using a home service are higher than those without a stroke, and other disability levels are not significant, indicating that a case with a stroke may tend to live in an institution or hire a caregiver. Cases with heart disease have a significantly higher chance of using home services than those without heart disease in no disability, mild and severe disability.
In addition, in terms of user percent of amount, the results show that the cases with dementia are only significant in the case of severe disability. The cases with heart disease are only used in moderately disabled situations. The user percent of amount is showing significant, indicating that only these two diseases have positive use of the amount of payment given by the government.

並列關鍵字

Home services ； Use factor ； User percent of amount

參考文獻

英文文獻

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