探究影響長期照護機構執業時間長短之因素

隨著醫療水準的提升，科技的進步，國人平均壽命為80.7歲，基於人口老化嚴重帶來的種種問題，長期照顧變成不可或缺的社會議題。本研究關心的是在老年人口快速成長的環境下，國人對長期照護機構的需求也逐漸升高的情況下，是什麼因素會影響長期照護機構的營運的時間長短，是什麼樣的因素會讓機構歇業。本研究分析199家經由分層隨機抽樣自台北市與新北市抽出的機構。我們先對機構的資料進行描述性統計，並利用 extendend Cox模型探討影響機構歇業的因素。分析結果顯示機構負責人是否為護理背景、機構規模屬性（獨立、連鎖或為母機構下之分支）、占床率、機構到醫院最短時間和機構的服務規模人數，是影響機構營運長短的重要因素。

關鍵字

存活分析；長期照護機構；營運時間； extendend Cox model

並列摘要

With the advance of medical technology, the life expectancy in Taiwan is 80.7 years old. Based on the problems of aging population, long-term care becomes an indispensable social issue. We want to understand which factors will affect the length of operation of long-term care institutions. We did descriptive statistics for the data, and used the extended Cox model to investigate the relationships between risk factors and survival time of long-term care institutions. The results show that the head of the institution with nursing background, the institutional attributions (independent, chain, branch), the occuoancy rate of the institution, the shortest time from the institution to a hospital, and the service size of the institutions are important factors that affect the survival time of the long-term care institutions.