養護機構經營管理者對長期照護保險觀點之研究

A Study on the Viewpoints of Managers in Nursing Institutions toward the Long Term Care Insurance

王惠蘭(Hui-Lan Wang) ； 許秀月(Hsiu-Yueh Hsu) ； 陳芬如(Fen-Ju Chen)

《台灣健康照顧研究學刊》 14期 (2013/03) Pp. 99-125

摘要

政府為了整合長期照護體系，即將實施長期照護保險。研究者長期於小型老人養護機構服務，強烈地感受到長期照護相關政策的更替對於機構經營管理上可能造成的影響；本研究旨在探討養護機構經營管理者對長期照護保險的觀點，以質性研究法及立意取樣的方式進行深度訪談，研究結果共歸納出四個主題：（一）硬體改造在現實上難以執行；（二）人力資源的匱乏多半束手無策；（三）財務及營運的不確定感；（四）反對機構評鑑制度的整合。根據上述之結論與發現，本研究從對執政者及養護機構經營管理者二個層面提出建議，希望本研究結果可作為目前或未來養護機構經營管理者，瞭解養護機構未來走向及作法的參考資訊以及做為政策制定者參考的依據。

關鍵字

養護機構 ； 長期照護保險 ； 經營管理

並列摘要

In order to integrate the institutions in to the long-term care system, the government tends to put the long-term care insurance into practice; nursing institutions must face the influence from those regulations about the system. The researcher of this thesis has worked in small-scale nursing institutions for years and strongly perceived that the impact from the change of the long-term care policies may cause the dramatic influence on the management of nursing institutions, especially when the government address the draft of the long-term care services act.The aim of this study is to understand the opinions from the managers of the nursing institutions toward the influences of the long-term care insurance enforced by the government. In this study, the researcher adopts the in-depth interview, a way for qualitative research, and chose the interviewees by purposive sampling. The researcher discussed the issues with those interviewees and analyzed the data to make her own conclusion. There were four themes in this study:1. Modifications of the hardware in nursing institutions were hard to execute.2. Managers in nursing institutions felt helpless to the shortage of human resources.3. Managers in nursing institutions felt a sense of uncertainty for managers about the financial affairs and operation of the institutions.4. Managers in nursing institutions were against the integration of institution assessing system executed by government and they didn't want ”unnecessary” assessments for their institutions.According to those above, there were suggestions provided for the government and the managers of the nursing institutions. The researcher hoped that the managers of the nursing institutions at present or in the future could take the results of this study as the references to understand what they would meet and what they could do in the future and for the government, as the basis for planning the policies.

並列關鍵字

nursing institutions ； long-term care insurance