本研究旨在探討國內社區中老人對於居家照護的接受度及其影響因素,以供未來推廣居家照護之參考。 研究資料來源『1996年老人健康及長期照護調查研究』(DOH86-TD-024:吳淑瓊教授主持)。以設籍於台北市萬華區、台北縣深坑、石碇及平溪鄉四個社區共1,592位65歲以上老人為對象。採用Andersen所提出的醫療利用模式,分析可能影響居家照護接受度的直接及間接因素。 本研究發現老人的家庭照護人力愈少、對兩代間看法愈密切、知道居家照護者、自覺身體健康狀況愈差及認知健康愈好者,對居家照護接受度愈高。老人認為兩代間關係需要愈密切者對居家照護的接受度影響最大。家庭照護人力的多寡對居家照護接受度影響最小。間接影響以男性、年齡愈低、自覺經濟狀況愈好、教育程度愈高、居住鄉村者,對居家照護接受度愈高。老人的居住地區對居家照護接度影響最大,主要是經由對兩代間關係看法而影響到接受度。其次為性別對居家照護的影響,主要是經由認知能力而影響到居家照護接受度。
The purpose of this study is to identify the direct and indirect determinants that may affect elderly acceptance of home care. Utilizing the Behavioral Model of Health Services by Andersen, this study attempts to construct a path model of home care acceptance. Data for this study come from the 1996 Health and Long-term Care Survey (DOH86-TD-024). Elderly (N=1592) from three districts in Taipei Hsien and from one district in Taipei City were randomly selected for interviews. Results show that elderly with fewer family caregivers, knowledge of home care, worse physical health, better cognition, and higher expectation of filial piety from children also have higher acceptance of home care. Among them, the expectation of filial piety has the strongest direct effect. The results also show that gender, age, economic status, education, and location of residence have indirect effects on acceptance. Being male, younger, wealthier, higher educated and residing in rural area are associated with higher acceptance of home care. The findings have strong policy implications for devising initiatives to increase the utilization of home care among the elderly.